Home > Journals > Physiotherapy and Occupational Therapy Journal

Physiotherapy and Occupational Therapy Journal

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Effectiveness of Thoracic Screw Thrust Technique in T4 Syndrome

Girija Murugan, Masters Student, Department of Orthopedic Physiotherapy, Dr. APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra 437376, India. , Girija Murugan1 , Subhash M. Khatri2

Author Information

Licence:



Physiotherapy and Occupational Therapy Journal 11(2):p 87-90, April-June 2018. | DOI: http://dx.doi.org/10.21088/potj.0974.5777.11218.6

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Symptoms of the upper extremity, sometimes, doesn’t co­relate with cervical radiculopathy or with peripheral nerve involvement. When an ideal examination excludes the probable diagnosis, comparing the symptoms and its history could possibly lead to the striking remembrance of T4 syndrome. According to Grieve, mobilization of the T4 vertebra, reproduces or eliminates the symptoms. The patient was a 43­year­old lady teacher, presented to the physiotherapy outpatient department, with the chief complaint of neck pain and tingling sensation in the left hand for 6 months. Her pain got aggravated while writing on the blackboard and while lifting weights. And eased with hot water fermentation. No positive findings to rule out for any cervical pathology or peripheral nerve involvement. Thoracic screw thrust technique was adopted to relieve pain and to reduce tingling sensation in the left hand for a patient with T4 syndrome. Following 5 sessions of Thoracic screw thrust technique, her scores of NRS for blackboard writing was reduced from 7/10 to 3/10 and for weight lifting from 8/10 to 3/10. And score for Neck Disability Index reduced from 46% to 35% (Driving domain was excluded). This case report describes the successful application of Thoracic screw thrust technique in T4 syndrome. It will probably establish an evidence of this manual therapy technique in T4 syndrome. This report will possibly also emphasize on the differential diagnosis for neck pain and the requirement of an ideal examination for the same.

Keywords: Neck Pain; T4 Syndrome; Screw Thrust Manipulation.

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/potj.0974.5777.11218.6

Keywords


Article Level Metrics

Last Updated

Thursday 30 July 2026, 05:15:29 (IST)

1984

Accesses

5
429
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share