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Lumbar Compression Fracture Physical Therapy Protocol For lumbar compression fractures (L1, L2, L3, L4, L5), the focus is on: Core stabilization through deep abdominal activation (not crunches or sit-ups) Hip and gluteal strengthening to support the lower spine Pelvic tilts and bridging exercises progressed gradually Walking programs with gradual distance increases Education on lumbar-safe bending and lifting mechanics Thoracic Compression Fracture Physical Therapy For thoracic compression fractures (T5 through T12), the emphasis shifts to: Thoracic extension exercises to counteract the forward pull of kyphosis Scapular retraction and mid-back strengthening Chest stretches to open the front of the body Postural awareness training Breathing exercises to maintain rib cage mobility Recent research supports early, guided rehabilitation after vertebral compression fractures

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[DOI] [Google Scholar] 50.Freedman J