Thoracic Rotation-Extension Syndrome
Pain occurs in activities that involve thoracic rotation and extension. These might include the cocking phases of throwing and racquet sports and gymnastics and ballet. A history of reduced shoulder motion on one side may contribute to this dysfunction.
- Pain with thoracic extension.
- Sitting in excessive thoracic extension.
- Asymmetry of the thoracic spine.
- Weakness in the abdominals.
- Decreased available thoracic flexion.
- Thoracic extension and rotation with overhead reaching.
- Abdominal stabilization exercises to resist thoracic extension during shoulder flexion.
- Instruction to use a backrest more often to allow the thoracic paraspinal muscles to relax.
- Dissociate upper extremity and lower extremity motion from spine motion.
These are primarily sourced from work by the great Shirley Sahrmann PhD. I use these pages as a personal reference for this type of information.