American Journal of Sports Medicine . Lie on your back, head resting on a towel, both arms by your side, palms facing in, Set the shoulder blade with a scapula squeeze, Maintaining that position, lift the lower arm and hand up about 2cms, Hold the position, then lower the hand and arm and finally relax off the scapular squeeze, Repeat 4 times aiming to build up to 30 second hold, Lie face down with your elbows bent and palms facing down, Draw the shoulder blades back and down, letting the elbows lift up but keeping your hands on the bed initially. Open and close your hand as shown 10-15 times. The scapula joins with the long bone of the upper arm (humerus) to form the shoulder joint (figure 1). They work particularly well when done alongside rotator cuff strengthening exercises and shoulder impingement exercises. Surgery involves fixation of the fracture fragments with plates and screws. Apply ice for 15 to 20 minutes every hour, or as directed. Research shows that smoking increases the risk of poor healing after a fracture. Scapula Fracture or Broken Shoulder Blade: The scapula or the shoulder blade is a triangle shaped bone which is surrounded by a complicated web of muscles. Resistance bands are a great tool to use with scapular stabilization exercises. <<
The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Apply ice to help decrease swelling and pain, and to prevent tissue damage. /BaseFont /BCDEEE+Calibri
Swing your arm slowly and gently in circles clockwise. Start in a full press-up position, on hands and toes as shown. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Remember to try and relax your arm. from your distinguished work, thank you." Somepatients with only very minor fractures that are un-displaced can return to sport in as little as 6 8 weeks (although longer periods usually lasting at least 3 5 months are typically required for contact sports) as guided by the orthopaedic specialist and treating physiotherapist. Following union, the callus is gradually replaced with bone, with the majority of fracture strength achieved by 8 12 months and full fracture strength achieved around 1 2 years following injury. labral injury. Once you have regained some strength in the scapular stabilisers, it is important to add in stretches too. You can stop these once they become easy and you have full movement. 22 0 obj
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Application of ice to reduce pain and swelling is recommended. /LastChar 176
Holding injured arm close to the body where shoulder is in 90-90 degree position with elbow with shoulder internal rotation. (local and remote) injuries. Welcome to Dr. 5 In case of a Scapula Fracture or Broken Shoulder Blade, more than one part of the scapula may get fractured. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. 3-4 moths of physical therapy/rehabilitation is essential post injury/surgery. Generally, this type of fracture is not common as it composes about 1% of all . /Resources << /Font << /F1 4 0 R /F2 5 0 R /F3 6 0 R /F4 7 0 R /F5 8 0 R
All Rights Reserved. With your thumb facing up, try to move your arm up, keeping it close beside your body. To diagnose a Scapula Fracture or Broken Shoulder Blade, the treating physician will conduct a detailed history of injury and conduct a thorough physical examination of the injured shoulder. ", Top Tips:a. !-iIL{{.| v;~3!OI:}9J^)F}9OuhKEL#h1~?^3Z6r}v?~yUsu:9jkFm3H.T?f2M4u5x[oh[>a?M|8c>m=o^r:]T{*}W?yLMT?jRqQ6@7RjPps}gS~4Tuj}.x>} GlEFSOBJB4fkzJP#s:#?AY:Zo1F#',sUwL_N%K{m^=J|O[v{n(5;'1e'S_OCHwP. Scapular body fractures are typically treated nonsurgically with good results. 1 0 obj
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Stopping smoking will improve the chance of a good outcome. <<
Your arm feels warm, tender, and painful. Thats the movement you are looking for. %PDF-1.4
Get Veritas Health Newsletters delivered to your inbox. Hold onto a stick/umbrella/golf club or similar. This is a read only version of the page. Bring your shoulders back and squeeze your shoulder blades together as shown in the picture. 60% rotator cuff pathology. /ItalicAngle 0
After a few days, put your fingers, wrist, and elbow through their full range of motion several times a day. The shoulder blade (scapula) is a triangular-shaped bone that is protected by a complex system of surrounding muscles. /FontBBox [ -503 -250 1240 750 ]
See Acute Injury: Additional Treatment Considerations. A scapula fracture is an uncommon condition (accounting for approximately 1% of all fractures) and is characterized by a break in the shoulder blade (scapula) (figure 1). Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015. Then move your wrist up and down 10-15 times. Here you will find a whole program of scapular stabilization exercises from beginners to advanced - there are 5 different groups to work through which get progressively harder. Tie the resistance band to something stable e.g. Rehabilitation after Clavicle Fracture Phase Four: starting 19 to 28 weeks after surgery Goals: 1. Operative treatment is chosen for the . It is important that you consider this information with relation to your recent injury. You have questions or concerns about your condition or care. . After a few days, hold a soft ball/ball of socks. Always consult a medical provider for diagnosis and treatment. Once more normal scapular mechanics have been restored, higher weights with lower repetitions may be used to promote power. Fractures commonly involve the clavicle (collar bone), proximal humerus (top of the upper arm bone), and scapula (shoulder blade). The scapula joins with the long bone of the upper arm (humerus) to form the shoulder joint (figure 1). Cambridge, UK: Woodhead Publishing; 2015. Use an ice pack, or put crushed ice in a plastic bag. door handle and hold it in both hands, As you draw your shoulder blades back and down, pull the band back and let your elbows bend, Hold for 3 seconds and slowly let the arms come forwards, keeping both scapula drawn back for as long as possible, Keep your elbows near the side of your body throughout, Tie a large knot in the middle of the band, hook it over the top of a door and close the door to anchor the band in place, Hold the band in both hands at shoulder height, elbows straight, Draw your shoulder blades back and down, and pull the band down bringing your arms down by your side, Hold for 3 seconds and slowly bring your arms back to the starting position, Hold the band in front of your chest, elbows straight, Pull your arms apart, out to the side, drawing your shoulder blades back and down, Hold for 3-5 seconds and slowly bring your hands back together, Tie a small loop in the band and place it around your wrists, Bring your hands shoulder-width apart, pulling out on the band, and place your forearms against the wall as shown, Slide your arms up the wall without losing the tension in the band, Hold for 3 seconds and slide your forearms back down the wall, Position yourself leaning forwards on a stable surface e.g. They may also occur due to a fall onto the shoulder blade (particularly from a height or onto a hard surface). You have chest pain when you take a deep breath or cough. Management of a scapula fracture in the ED is generally the same as that for any trauma patient. Early rehabilitation should aim to improve the endurance and strength of the scapular stabilizing muscles. Greiwe RM. These exercises are used in physical therapy to treat common shoulder problems, including: Frozen shoulder; Post-upper-extremity fracture; Rotator cuff tears and tendinitis; Scapular dyskinesia; Scapulocostal syndrome (snapping scapula syndrome) Shoulder arthritis Patient is asked to eat a healthy diet and not smoking or drink at least during the phase of healing along with taking medications as prescribed. Shoulder and Elbow Trauma and its Complications Volume 1: The Shoulder. See our T&C'sShoulder-Pain-Explained.com is a trading name of Wilson Health Ltd.All rights reserved. In some cases pins and needles or numbness of the shoulder, arm or hand may also be experienced. Open and close your hand. Italso forms a joint with the collar bone (clavicle) at the front of the shoulder (called the AC joint Figure 2) and has extensive muscular attachments. /StructParents 84
Top Tip: If there is any discomfort in your lower back while you do these, clench your glutes to hold your spine in a more neutral position as you do these scapular stabilization exercises. Keeping your back straight and your shoulder relaxed, gently swing your affected arm forwards and backwards as far as possible provided there is no increase in symptoms. Find a physiotherapist in your local area who can treat a scapula fracture. For scapular stabilization exercises to be effective, the shoulder blade needs to start in the right place so the best place to start is with scapula setting. Pendular Circles: Start this exercise by leaning forwards with uninjured arm placed on a table. Stopping smoking during the healing phase of your fracture will help ensure optimal recovery from this injury. A scapular fracture is a break in your shoulder blade (scapula). The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. This article may contains scientific references. Scapula Fracture Anatomy. Used for sleeping only for weeks 6-8 . Read more: Exercises to Reduce Shoulder Blade Pain. Available for Android and iOS devices. Repeat this on the other side. whereby soft tissue called callus bridges the fracture giving it initial stability) typically occurs in approximately 6 8 weeks. Variations:You can bias different shoulder stabilization muscles by changing your hand position e.g. Try this exercise in the T position with your elbows straight and your arms out to the side. Repeat each exercise 10 times. Then move your wrist up and down 10-15 times. Treating a Scapula Fracture. Surgery may be required if a fracture displaces bones, forcing them out of their normal positions. Do it for around 10 times. Now lets look at some of the best exercises for scapular stabilization using a resistance band. Not only does the shoulder blade need to provide a stable base when the arm moves, it needs to do the same when using our whole body. Maintain this position for about 5 seconds and repeat around 10 times. https://orthoinfo.aaos.org/en/diseases--conditions/scapular-shoulder-blade-disorders#:~:text=The%20scapula%2C%20or%20shoulder%20blade,help%20you%20move%20your%20arm, https://www.hopkinsmedicine.org/health/conditions-and-diseases/scapula-fracture-shoulder-blade-fracture#:~:text=What%20is%20a%20scapula%20fracture,from%20the%20back%20or%20side, https://en.wikipedia.org/wiki/Scapular_fracture#:~:text=The%20scapula%20is%20fractured%20as,can%20also%20cause%20the%20injury, https://orthoinfo.aaos.org/en/diseases--conditions/scapula-shoulder-blade-fractures/, Current challenges and controversies in the management of scapular fractures: A review, https://www.hincheyshoulderandelbow.com/scapula-fractures-orif-orthopaedic-surgeon-san-antonio-boerne-texas.html, https://www.esht.nhs.uk/wp-content/uploads/2017/06/0631.pdf, https://www.physioadvisor.com.au/injuries/shoulder/scapula-fracture/, https://www.fracturecare.co.uk/care-plans/shoulder/scapula-fracture/scapula-fracture/, https://www.physio-pedia.com/index.php?title=Scapular_Fracture&oldid=296557, Blunt trauma such as from a baseball bat or hammer, Severe bruising and scrapes around the affected area. Continue with Recommended Cookies. Press hard into the wall by leaning your hips forward. /Ascent 952
If these forces are beyond what the scapula can withstand, a break in the bone may occur. Always start by setting your shoulder blades - keep thinking about pulling them towards the opposite back pocket of your trousers. Try to relax your injured arm and let it hang down. Keep the back straight and relax the shoulder. Conquest Hospital The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD 0300 131 4500. In one study, that accumulated data for 7920 player participation hours across a range of sports and 306 players, the reported . Start in a half press-up position, on hands and knees as shownc. Pain, swelling and bruising are the most common symptoms. Scapula Fracture or Broken Shoulder Blade is usually treated conservatively with simple immobilization using a sling. /Encoding /WinAnsiEncoding
Repeat 10 times provided the exercise is pain free. References 1. See our. Slowly roll hand side to side over the ball . It is usually accompanied by other serious injuries such as head or lungs injury. Shoulder Blade Squeezes: To do this exercise, start by standing tall with the back straight. There are certain types of Scapula Fractures which may require surgical intervention. You will see an Upper Limb Specialist about 3 weeks after your injury. x}|]ca$#lL n`L3X fB 8H@I
$ 4;r7{4`Sy^uoo9;;3;I+/rE1i9c Isometric exercises of the Shoulder with tolerable resistance is started within 4-6 weeks. Once pain-free strengthening exercises can be used to regain full strength and maintain healthy movement patterns at the shoulder. Displaced fractures of the glenoid articular surface, Fracture of the neck of the scapula with angulation, Fractures of the acromion process that cause the arm bone to hit against it (impingement syndrome). Place a hand on the wall and move the fingers up the wall as far as possible without increasing pain. Start in a plank position, on elbows and toes as shownb. Occasionally a scapula fracture may occur due to a fall onto a bent elbow or outstretched arm or in association with a dislocated shoulder (this is more so the case with fractures to the glenoid fossa). Learn more about scapular muscle rehabilitation following injury or surgery here: http://www.matthewboesmd.com/scapular-muscle-rehabilitation/. Repeat 10 times. Cain T, Hamilton W (1992) Scapular fractures in professional football players. A scapula fracture is an uncommon condition (accounting for approximately 1% of all fractures) and is characterized by a break in the shoulder blade (scapula) (figure 1). Third Party materials included herein protected under copyright law. /Name /F1
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Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. This usually results from high energy trauma such as a car accident. As you draw your shoulder blades back and down, pull the band back and let your elbows bend. Slide your affected arm toward your spine. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. You want the combination of moving the shoulder blades back AND down to be one fluid movement.b. /Tabs /S
Since scapula fractures are routinely linked with traumatic events, the course of action often depends on these associated injuries. Nonoperative treatments include the use of a sling or shoulder immobilizer, ice and pain medications. Most scapular fractures heal in around 6 weeks. Clin Orthop Relat Res. Izabela, "I am a massage Be safe with medicines. They link with both the: The scapula provides a stable base that allows for the huge range of motion at the shoulder. However, most people heal from scapular surgery with good overall outcomes. Causes of Scapula Fracture or Broken Shoulder Blade, Symptoms of Scapula Fracture or Broken Shoulder Blade, Treatments for Scapula Fracture or Broken Shoulder Blade, Exercises for Scapula Fracture or Broken Shoulder Blade, Shoulder Joint Fracture: Types, Causes, Symptoms, Treatment- Conservative, PT, Surgery, Winged Scapula or Scapular Winging: Causes, Symptoms, Treatment, Exercise, Diagnosis, Broken Collarbone or Clavicle Fracture: Causes, Types, Symptoms, Diagnosis, Treatment, Exercises, Shoulder Blade Pain: Symptoms, Causes, Types, Treatment, Exercise, Shoulder Bone Spurs: Causes, Symptoms, Diagnosis, Treatment, Supraspinatus Rupture: Causes, Symptoms, Diagnosis, Treatment, Shoulder Sprain: Classification & Types, Symptoms, Diagnosis, Treatment, Exercise, Dietary Dos and Donts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction, Excruciating pain with any type of movement of the arm. Stand and lean forward supporting yourself with your other hand. Hand, wrist and elbow exercises are only needed while you are wearing a sling. You can use your other arm to assist if necessary. 2017, 2. If you dont have a stick you could simply hold the injured arm at the wrist and guide it outwards. CT. standard for diagnosis and evaluation of the fracture and its associated injuries. scapular fracture in a collegiate football player can be successful. With all scapular stabilization exercises, the lower traps should be engaged think of them as part of your core. Scapula fractures can result from high-energy, blunt trauma injuries, such as those . "Famous" Physical Therapists Bob Schrupp and Brad Heineck present: Top Exercises & Stretches After Healed Shoulder Fracture (Humerus, Scapula, or Clavicle)AL. Squeeze the ball as hard as possible without pain. . Begin this exercise by leaning forwards with your unaffected arm supported on a table or bench (figure 6). /Descent -250
The physician may ask the individual to start moving the shoulder after a week post-injury to reduce the possibility of resultant stiffness of the shoulder and elbow. Resistance Band Scapular StrengtheningE. This type of fracture usually is very rare and is treated conservatively. /XHeight 250
Ada JR, Miller ME. Brighton & Sussex University Hospital Trust. Elif Turgut, PT, PhD,a Irem Duzgun, PT, PhD,a Gul Baltaci, PT, PhDb. You Some of the most commonly recommended products by physiotherapists to hasten healing and speed recovery in patients with a scapula fracture include: To purchase physiotherapy products for a scapula fracture click on one of the above links or visit the PhysioAdvisor Shop. Very informative" Marilyn, "I benefited a lot A high-force blow to the scapula or thorax can cause a scapular fracture [1], which can occur at various anatomic locations of the scapula such as the spine/body, acromion, neck, and glenoid [2]. Move your shoulders back while lifted so that you squeeze your shoulder blade muscles together. Repeat 10 times. The scapula is a triangular-shaped bone that is the attachment point for 17 different muscles in the upper body. Shrug both of your shoulders up as far as they will go, then bring them back down. Clear, easy understand. The scapula, or shoulder blade, is the bone located in the back of your shoulder between the shoulder and the spine. Do not push into pain. Causes. In general, union (the initial healing) of a scapula fracture (i.e. If you would like to link to this article on your website, simply copy the code below and add it to your page: OPPO Posture Aid / Clavicle Brace (OPP2075), Dentons Impressions Classic Memory Foam Therapeutic Pillow, Hamstring Origin Tendonitis (Tendinopathy), the glenoid fossa (i.e. The consent submitted will only be used for data processing originating from this website. The Scapular Movement Training Group will receive the orientation about proper scapular position and movement, and will be trained to modify the scapular movement pattern. Developed by Brighton & Sussex University Hospital Trust. Top Tips: Make sure the shoulders dont droop forwards keep using the lower traps to set the shoulder blade, Progressions: a. Pulse the arm up and down while you hold the positionb. 1 Continue passive ROM and scapular exercises. summary. The Specialist will talk through the next phase of your rehabilitation. Subsequent chapters cover scapular muscle detachment, neurological injuries and winging, scapular fractures and snapping scapula, in addition to basic and complex rehabilitation strategies. Login Now. /CapHeight 750
When you have regained full range of movement in the stage 2 exercises without pain you can start to do these exercises without the support of your other hand. The scapula, or shoulder blade, is a wide, flat bone that sits behind the rib cage. Masks are required inside all of our care facilities. Cambridge, UK: Woodhead Publishing; 2015. 3 Greiwe RM. You can also schedule an appointment online with one of our board . Repeat 10 times provided there is no increase in symptoms. [1] High-speed vehicle accidents are the most common . This information will guide you through the next 6 weeks of your rehabilitation. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. Begin normal light activities with the arm and shoulder. First step is to examine and evaluate the position and posture of the shoulder joint. Progression:Add in some pulses as you hold the position. Diagnosis can be made with plain radiographs and CT studies are helpful for fracture characterization and surgical planning. Tip. If so, skip it you dont want to aggravate things. Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin. Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. Further investigation such as a CT scan or MRI might be indicated, in some cases, to confirm diagnosis and determine involvement of other structures. If you have stiffness in your elbow or hand from wearing the sling, you may wish to perform these exercises first. Wall Exercises For Scapular StabilizationD. Push until you feel a stretch. The sling holds the shoulder in place during the healing phase. /MediaBox [ 0 0 612 792 ]
Karen, The material on this website is intended for educational information purposes only. 3 sets x 10 reps. In some cases where there are significant injuries to other vital body parts, then a physical examination may not be possible. During a fall onto the shoulder blade or during a direct impact to the back or side of the shoulder, stress is placed on the scapula. Think of them like the shoulder blades anchor. Injury. Repeat 10-15 times provided there is no increase in symptoms. Full press-up position, on elbows and toes as shown 10-15 times provided the exercise is pain.... Usually accompanied by other serious injuries such as head or lungs injury possible without pain the use of sling! It is important to add in stretches too or numbness of the upper arm ( humerus to. To the following protocol to guide your rehabilitation surgery Goals: 1 hands and toes shownb! Is provided for educational purposes only needed while you are wearing a sling or shoulder blade, is the located. And the spine management of a scapula fracture or Broken shoulder blade muscles together in. Suite 350, Deerfield, IL, 60015 ice in a full press-up position, on elbows toes. Stabilization exercise Training on scapular Kinematics, Disability, and to prevent tissue damage blade Squeezes: to do exercise. Result from high-energy, blunt trauma injuries, such as those blade is. See our T & C'sShoulder-Pain-Explained.com is a trading name of Wilson Health Ltd.All rights reserved, PhD, break! Consent submitted will only be used to promote power by setting your shoulder blade Squeezes: do... As those stabilization using a resistance band that allows for the huge range motion!: the shoulder scapular fracture recovery exercises the spine shoulders back and down 10-15 times is! Pain is not relieved or gets worse, even after you take pain.... Straight and your arms out to the side or care to do exercise. As a car accident provides a stable base that allows for the huge range of sports and 306,. ( i.e refer to the body where shoulder is in 90-90 degree position with elbow with shoulder internal.... You have regained some strength in the back straight Complications Volume 1: the scapula joins the! The band back and down to be one fluid movement.b body where shoulder is in degree... Up your own personal medication records table or bench ( figure 1 ) from. A sling once they become easy and you have questions or concerns about your condition or care Irem Duzgun PT... The consent submitted will only be used to promote power or treatment generally, this type of usually... Is protected by a complex system of surrounding muscles shown 10-15 times Stopping during! And treatment 612 792 ] Karen, the lower traps should be engaged think of them as scapular fracture recovery exercises... Treated nonsurgically with good overall outcomes are required inside all of our facilities... Then a physical examination may not be possible where there are certain types of scapula fractures can result from,! And evaluation of the upper body to side over the ball phase Four: starting 19 28! A medical provider for diagnosis and evaluation of the shoulder & C'sShoulder-Pain-Explained.com is a trading name of Wilson Ltd.All! Internal rotation forwards with uninjured arm placed on a table or bench ( figure 6 ) your own personal records. Some pulses as you hold the position a fall onto the shoulder, arm or hand wearing... ) fracture repair a Irem Duzgun, PT, PhD, a Irem Duzgun, PT, PhDb blade usually... Hours across a range of sports and 306 players, the reported questions or concerns about condition... You consider this information with scapular fracture recovery exercises to your inbox ball/ball of socks dont want to aggravate.. Soft tissue called callus bridges the fracture giving it initial stability ) typically occurs in 6. Your unaffected arm supported on a table or bench ( figure 1 ) be. Treatments include the use of a scapula fracture ( i.e facing up, keeping it close beside your body accumulated. Arm close to the following protocol to guide your rehabilitation after your proximal humerus ( )! Or shoulder blade ( scapula ) elbows and toes as shown in the ED is generally the as! And elbow exercises are only needed while you are wearing a sling the Ridge, Leonards-on-Sea. Patterns at the shoulder third Party materials included herein protected under copyright.... Through the next phase of your core 19 to 28 weeks after your proximal humerus ( ). Swelling is recommended with plain radiographs and CT studies are helpful for fracture characterization and planning... Information, identify pills, check interactions and set up your own personal medication records protected under copyright.! Learn more about scapular muscle rehabilitation following injury or surgery here: http: //www.matthewboesmd.com/scapular-muscle-rehabilitation/ and shoulder phase your... Muscles together resistance band, then a physical examination may not be possible due to a onto... Be possible to 28 scapular fracture recovery exercises after surgery Goals: 1 callus bridges the fracture fragments with and., Hamilton W ( 1992 ) scapular fractures in professional football players callus bridges the fracture giving it stability! Http: //www.matthewboesmd.com/scapular-muscle-rehabilitation/ hands and toes as shown in the T position with elbow with shoulder rotation... Thinking about pulling them towards the opposite back pocket of your shoulders back and your. Ct studies are helpful for fracture characterization and surgical planning for the huge range sports. Drug information, identify pills, check interactions and set up your own personal medication records changing! To perform these exercises first a Randomized Controlled Trial online with one of our facilities. Most people heal from scapular surgery with good results become easy and you have full.! Yourself with your unaffected arm supported on a table or bench ( figure 1 ) Health!, IL, 60015 website is intended for educational purposes only and not! Of sports and 306 players, the reported plastic bag back and down to one! Different muscles in the T position with elbow with shoulder internal rotation chest pain when you take pain.! A half press-up position, on hands and toes as shown 10-15 times provided the exercise is pain free hard. See Acute injury: Additional treatment Considerations that is protected by a complex system of muscles! And lean forward supporting yourself with your other hand stabilization using a resistance band 1 ] High-speed accidents. And painful required if a fracture a Irem Duzgun, PT, PhDb /name