{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:31:28Z","timestamp":1780579888371,"version":"3.54.1"},"reference-count":11,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Flail chest, a severe chest injury, is caused by multiple rib fractures. The open reduction and internal fixation (ORIF) of rib fractures is an effective treatment; however, the patients\u2019 subsequent condition remains unsatisfactory in terms of the activities of daily living (ADL) and pain. No research study has, as yet, reported on hospital-based rehabilitation of patients who had undergone an ORIF. Our aim was to evaluate the efficacy of hospital-based rehabilitation of flail chest post-ORIF patients. Physical therapists assessed the pain, functional independence measure (FIM), and the Berg balance test. A total of three females and four males (mean age 59.43 \u00b1 18.88) were hospitalized. A significant reduction in pain was observed (7.00 \u00b1 1.83 upon admission to 4.10 \u00b1 2.05 pre-discharge (Z = \u22122.07, p = 0.027). A significant improvement in FIM (69.43 \u00b1 14.86 upon admission to 113.57 \u00b1 6.40 pre-discharge, Z = \u22122.37, p = 0.018), and the Berg balance test (35.23 \u00b1 5.87 upon admission to 49.50 \u00b1 3.40 pre-discharge, Z = \u22122.37, p = 0.018), was observed. Upon admission, all the patients required moderate to complete ADL assistance. Upon discharge, all were independent for all ADL functions. Patients after flail chest post-ORIF can benefit from hospital-based rehabilitation.<\/jats:p>","DOI":"10.3390\/ijerph192316026","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T08:46:41Z","timestamp":1669798001000},"page":"16026","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospital-Based Rehabilitation of Patients Who Had Undergone an Open Reduction and Internal Fixation of the Ribs Due to a Flail Chest: Case Series"],"prefix":"10.3390","volume":"19","author":[{"given":"Nehama","family":"Milson","sequence":"first","affiliation":[{"name":"Rehabilitation Department, Soroka University Medical Center, Beer Sheva 84101, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iuly","family":"Treger","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, Soroka University Medical Center, Beer Sheva 84101, Israel"},{"name":"Department of Medicine, Faculty for Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84101, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Vered","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, Soroka University Medical Center, Beer Sheva 84101, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asaf","family":"Acker","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, Soroka University Medical Center, Beer Sheva 84101, Israel"},{"name":"Department of Medicine, Faculty for Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84101, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2987-4396","authenticated-orcid":false,"given":"Leonid","family":"Kalichman","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1097\/BOT.0000000000000750","article-title":"Operative treatment of rib fractures in flail chest injuries: A meta-analysis and cost-effectiveness analysis","volume":"31","author":"Swart","year":"2017","journal-title":"J. Orthop. Trauma"},{"key":"ref_2","unstructured":"Perera, T.B., and King, K.C. (2022). Flail Chest. StatPearls, StatPearls Publishing. Available online: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534090\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.injury.2014.06.014","article-title":"Quality of life after major trauma with multiple rib fractures","volume":"46","author":"Marasco","year":"2015","journal-title":"Injury"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Flagel, B.T., Luchette, F.A., Reed, R.L., Esposito, T.J., Davis, K.A., Santaniello, J.M., and Gamelli, R.L. (2005). Half-a-dozen ribs: The breakpoint for mortality. Surgery, 138.","DOI":"10.1016\/j.surg.2005.07.022"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"251","DOI":"10.4103\/0974-2700.82215","article-title":"Ventilation in chest trauma","volume":"4","author":"Richter","year":"2011","journal-title":"J. Emerg. 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Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s00068-013-0344-9","article-title":"Surgical stabilization of flail chest: The impact on postoperative pulmonary function","volume":"40","author":"Said","year":"2014","journal-title":"Eur. J. Trauma Emerg. Surg."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/23\/16026\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:30:33Z","timestamp":1760146233000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/23\/16026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,30]]},"references-count":11,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["ijerph192316026"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192316026","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,30]]}}}