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Rib Fractures

Mar 15, 2021

Rib fractures are often caused by trauma to the chest region. Due to the structure of the ribs (long thin bones), they are prone to breaking because of direct trauma or repetitive trauma. Some common causes include a fall, motor vehicle accident, coughing, some sports or an assault. Symptoms of a rib fracture include pain with deep breathing, coughing or with touch. Rib fractures can occur at any age; however, the elderly are at higher risk due to the decrease in bone density. Often rib fractures or the trauma endured can lead to other illnesses or injuries such as pneumonia, bruising of the lungs, pneumothorax, and a collapsed lung.

Treatment of patients with rib fractures may include a team of professionals such as a pain specialist, surgeon, and physical therapist. Depending on the risk of complications, some patients may be hospitalised or require surgery. Symptoms can also be managed with anti-inflammatory drugs, however the key to successful treatment of rib fractures is physical therapy. This would generally begin with controlled breathing exercises; this ensures the lungs are being fully inflated and reduces the risk of developing pneumonia. Studies have shown thoracic stretching and mobility exercises, breathing exercises, have a positive impact on patients who have sustained chest injuries, specifically regarding chest wall expansion and physical function. Rib fracture treatment is considered complete once the patient can breathe and cough normally without discomfort, walk and complete activities of daily living with no aggravation. This can take up to 3 months to fully heal depending on the severity of the fracture.

An Exercise Physiologist can assist with putting together an individualised exercise programme including breathing exercises, thoracic mobility and stretching as well as progressing to more functional exercises to get you back to your regular daily activities.

 

Katie Lintott 

Accredited Exercise Physiologist (AEP) (ESSAM)

References

Baiu, I., & Spain, D. (2019). Rib Fractures.  Jama321 (18), 1836-1836.

Julie A. Ekstrum, Lisa L. Black & Karen A. Paschal (2009) Effects of a Thoracic Mobility and Respiratory Exercise Program on Pulmonary Function and Functional Capacity in Older Adults, Physical & Occupational Therapy In Geriatrics, 27:4, 310-327, DOI:  10.1080/02703180902803895

 

10 May, 2024
“Failure is a bend in the road, not the end of the road. Learn from failure and keep moving forward.” Roy T. Bennett Hypothetically, if I asked you to move to the other side of the country, to a new landscape, new work environment, and to the unknown, what would your answer be? In August 2023, I answered “F**k, yes”, and I want to take you through a journey of learnings, maturity, and growth that only saying “yes” can get you. Fast forward to the 15 th of October 2023, after packing a sea container with belongings, selling my car, and booking a one-way flight to Brisbane, Queensland, I was set. With all the back-end tasks out of the way, I was taking off to what was about to become the most uncomfortable (and horrifying) period of my life. Different city, different lifestyle unfamiliar people, even more unfamiliar landscapes, more responsibility, more opportunities. These were the thoughts rushing through my head while on a one-way trip to my next chapter. And it didn’t take long before the wheels were turning, and I was finding my feet, well, only as quickly as one can after venturing into their uncomfortable. I was thrusted into a new and exciting work environment, with an opportunity to build brand and self-awareness in a new state and legislation. I very quickly realised that I was so far out of my comfort zone, that I wasn’t even sure what zone I was in anymore. “Where do I start? What do I do? Who do I speak to?” Are all rationale thoughts to have, and looking back now, I can safely say that I felt out of my depth, lost, and overwhelmed with the road ahead. Through the motion of failure, and my not so successful trials, I have become far more resilient, confident, mature, I have learnt not to fear rejection but embrace it, I have adopted a mindset where “no” is a conversation starter, not a finisher. Through all this my ability to treat clinically, build relationships, and produce positive outcomes has improved. The journey has been challenging, but so incredibly worth it. I am becoming more comfortable with the uncomfortable and I wouldn’t have changed a thing. Lachlan Simpson Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ QLD
By Alison Absolute Balance 24 Apr, 2024
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Stretching and mobility exercises are indispensable components of both injury prevention and recovery strategies. Incorporating dynamic stretches before physical activity can help prepare the body for movement by increasing blood flow to muscles and enhancing joint flexibility. This dynamic warm-up routine primes the muscles and connective tissues, reducing the risk of injury during subsequent activity. Furthermore, static stretches, performed after physical activity, helps alleviate muscle tension and improve flexibility, thereby minimizing the likelihood of strains and tears. In the realm of injury recovery, stretching and mobility exercises play a crucial role in rehabilitation protocols for individuals recuperating from various musculoskeletal injuries. Following an injury, muscles can become tight and weakened due to disuse or trauma. Gentle stretching exercises aid in maintaining or restoring flexibility, preventing muscle atrophy and contractures. Additionally, targeted mobility exercises assist in restoring range of motion and functional movement patterns, allowing individuals to gradually regain strength and flexibility while reducing the risk of re-injury. Moreover, stretching and mobility exercises promote tissue healing by improving circulation to the injured area. Increased blood flow delivers essential nutrients and oxygen to damaged tissues, facilitating the repair process and reducing inflammation. By incorporating a comprehensive stretching and mobility routine into their regimen, individuals not only safeguard themselves against future injuries but also expedite their recovery journey, enabling them to return to their activities with greater resilience and confidence. Mariah Adolphus Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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