Morgan Bicker

Date of Award


Document Type


First Advisor

Gary Schindler


Scapular fracture, rib fracture, sternoclavicular ligament sprain, ultrasound, neuromuscular re-education, STYM, electrical stimulation


Background and Purpose. The case study describes the outpatient physical therapy management used for a patient with a left scapular fracture, left three-through-eight rib fracture, and left sternoclavicular ligament sprain following a motorcycle accident.

Case Description. A 43-yearold man with decreased left shoulder range of motion, decreased left shoulder strength, increased left upper extremity pain, and impaired functional mobility. He received ten sessions over a 13- week period. Intervention. Interventions that were documented into the patient’s plan of care included: evaluation, ASTYM, electrical stimulation, home exercise program, manual therapy, neuromuscular re-education, therapeutic activity, therapeutic exercise, and ultrasound. There were ten sessions consisted of the interventions listed above.

Outcomes. Following physical therapy intervention, the patient improved in left shoulder range of motion, left shoulder strength, decreased pain, and improved functional mobility. The patient was able to return to work and complete ADLs independently.

Discussion. Therapeutic exercise and manual therapy may be a beneficial combination of interventions for scapular fractures. Additional research is needed regarding the creation of an effective protocol for scapular fractures.