A patient is referred to physical therapy with a diagnosis of right thoracic outlet syndrome. The physical therapist identifies that the patient’s symptoms are being caused by entrapment at the subcoracoid space. Which of the following activities would MOST likely exacerbate the patient’s symptoms?

1. Reaching overhead to change a light bulb
2. Reaching over to wash the left armpit
3. Looking upward to shave the neck 
4. Looking downward while reading a book

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