First rib dysfunction in patients with neck and shoulder pain: a delphi investigation

Review written by Robin Kerr info

Key Points

  1. In this Delphi study an expert panel devised diagnostic criteria via a cluster of clinical tests to identify first rib dysfunction.
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BACKGROUND & OBJECTIVE

First rib dysfunction may be a contributing factor when it comes to neck and shoulder pain. This Delphi investigation aimed to explore the topic of first rib dysfunction amongst experienced manual therapists, particularly in relation to its contribution to neck and shoulder pain. Previous research in this area has been heterogeneous and has lacked validity and reliability (1). On reaching expert consensus, the authors aimed to develop diagnostic criteria for use by clinicians.

First rib dysfunction may be a contributing factor when it comes to neck and shoulder pain.
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The first rib can be implicated in thoracic outlet syndrome but can also stand as a possible driver of more simple neck and shoulder pain.

METHODS

16 experts were recruited via email invitation and had the following qualifications:

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