The role of physical rehabilitation in thoracic fracture patients with comorbid major depressive episodes

Isolated rib fractures are a non-trivial trauma burden associated with functional impairment and chronic pain. Distraction fractures of the VII-IX thoracic spine are one of the injuries that occur in the middle of the thoracic spine. Some common symptoms that occur are sharp or dull pain in the middle back between the shoulder blades and waist, limited movement, especially stiffness when bending or twisting the body, and respiratory distress. From the case of an 18-year-old male patient, a student, who came to the medical rehabilitation polyclinic in a wheelchair with his mother. The position of both legs is bent. His current physical condition is due to an accident. The patient experienced severe depression with symptoms of feeling sad, feeling weak, even though he had eaten enough, and losing interest in things that made the patient happy before. Physical Rehabilitation Therapy includes mobility exercise, occupational therapy 1 time a week: stimulation and facilitation of hand function, Activities of Daily Living (ADL) gradually. Combination of therapy with Psychiatry in the form of pharmacotherapy and psychotherapy. Multidisciplinary treatment, especially structured physical rehabilitation programs, psychiatry, and other fields, can improve symptoms of pain, and other symptoms, and symptoms of depression.