Burn Rehabilitation and Research: Proceedings of a Consensus Summit

Richard, Reg; Baryza, Mary Jo; Carr, Judith A.; Dewey, William S.; Dougherty, Mary Ellen; Forbes-Duchart, Lisa; Franzen, B; Healey, Tanja; Lester, M.; Li, S K.F.; Moore, Merilyn L.; Nakamura, D. Y.; Nedelec, Bernadette; Niszczak, Jonathan; Parry, Ingrid; Quick, Charles; Serghiou, M.; Ward, Robert S.; Ware, Linda; Young, Alan

doi:10.1097/bcr.0b013e3181adcd93

Cited by 119 publications

(45 citation statements)

References 225 publications

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“…It also emphasises the need for implementation of a specialised and dedicated multidisciplinary team in the holistic management of the burn injured patient to optimise the patients' physical and psychological recovery 4,6 . The perceptions and experiences of physiotherapists represent an untapped reserve of insightful and valuable knowledge about patients with acute burn injuries and the challenges they often face during the rehabilitation journey.…”

Section: Introductionmentioning

confidence: 99%

“…Patients are confronted with a diversity of physical, psychological, social and emotional challenges during their recovery process. 1 Hand burn injuries are very common 2 and despite the fact that the surface area of the hand represents less than 3% of the total body surface area (per hand) an isolated hand burn injury may have major implications on the quality of life of an individual 3,4 . Such an injury may be physically disabling and cosmetically disfiguring to an individual and therefore impact on performance in rehabilitation, behaviour and return to society and professional life 5 .…”

Section: Introductionmentioning

confidence: 99%

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Acute burns of the hands – physiotherapy perspective

Dunpath¹,

Chetty²,

Reyden³

2016

Afr H. Sci.

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Abstract:Background: Acute burns of the hands are complex and may impact on various aspects of a person's life. Physiotherapy rehabilitation and restoration of hand function is critical for the patient's independence and re-integration into society. Purpose: This study aimed to explore the perceptions and experiences of physiotherapists in the management of patients with their hand burn injuries. Method: Five focus groups consisting of physiotherapists and physiotherapy assistants working with burn injured patients from each of the five selected public hospitals in KwaZulu-Natal were recruited. An explorative qualitative approach was adopted. Results: Physiotherapists emphasised that the acute management of the hand was trivialised due to a primary focus on the survival of the burn sufferer. Therapists identified several factors that determined the patients' level of participation and motivation in therapy one of which was the procedural pain experienced. The role of the therapists' within the rehabilitation framework was found to be critical to their recovery however there appeared to be a breakdown in the collaboration and communication among health care professionals to the detriment of effective intervention. Conclusion: A multidisciplinary team approach is the foundation in the management of acute burn injuries and during the trajectory of the trauma care continuum.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute burns of the hands – physiotherapy perspective

Dunpath¹,

Chetty²,

Reyden³

2016

Afr H. Sci.

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“…Over the past 50 years, the team of professionals has changed the focus of treatment, moving from survival to rehabilitation, in order to return the patients to society with functional capacity and quality of life (Mackey et al, 2009). These survivors are faced with a wide range of physical and psychosocial disadvantages, affecting all aspects of human life (Vale, 2005;Piccolo, 2002), requiring a careful process of rehabilitation to maximize recovery after hospital discharge (Farrell, Gamelli, Aleem, & Sinacore, 2008;Richard et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…The complete recovery of this individual is slow and there are important care that cannot be neglected so that they can return to their functional, physical and professional activities as early as possible (Farrell et al, 2008;Richard et al, 2009). Given the lack of studies on burns and the consequences in Brazil, as well as the high incidence of this event, worldwide, the study has scientific relevance, providing subsidies for the development of future population education policies aiming to prevent burns.…”

Section: Introductionmentioning

confidence: 99%

<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Itakussu

Valenciano

Fujisawa

et al. 2017

Acta Sci. Health Sci.

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ABSTRACT. Burns cause different impacts on the individual life. Many are the problems faced by survivors, such as hypermetabolism that may persist years after the event. The aim was to assess aerobic capacity, level of physical activity and pain in adult burn victims after hospital discharge. This is a descriptive, cross-sectional study. Participants (n = 60) were adult victims of moderate to severe burns, evaluated by six-minute walk test (6MWT), Pain Scale and International Physical Activity Questionnaire (IPAQ). We applied Student's t-test for independent samples and Mann-Whitney test for comparisons between medium and large burned; Chi-square test to compare the level of physical activity. Large burned (73%) patients prevailed among the 60 participants; there was a statistically significant trend in the distance predicted between groups (p = 0.066), with no change in performance of the aerobic capacity. 60% reported physical activity practice at least three times a week: walking, cycling and soccer. As for the level of pain, 40% reported moderate to severe persistent pain, even after complete healing of wounds. Most participants showed aerobic capacity within the normal range, despite the high body mass index reported, they reported doing physical activities of moderate intensity.Keywords: physical therapy, walking, exercise test, assessment.Capacidade aeróbica, atividade física e dor em adultos vítimas de queimaduras moderadas a graves após alta hospitalar RESUMO. As queimaduras causam diversos impactos na vida do indivíduo. Inúmeros são os problemas enfrentados pelos sobreviventes, como o hipermetabolismo, que pode persistir por anos após o evento. O objetivo deste estudo foi avaliar a capacidade aeróbica, o nível de atividade física e a dor em adultos, vítimas de queimaduras após alta hospitalar. Neste estudo descritivo e transversal, participaram 60 adultos, vítimas de queimaduras moderadas a graves, avaliados pelo teste de caminhada de seis minutos (TC6min), pela Escala de Dor e pelo Questionário Internacional de Atividade Física (IPAQ). Utilizou-se Teste t Student independente e Mann-Whitney para comparações entre médios e grandes queimados; o Qui quadrado para comparação do nível de atividade física. Dos 60 pacientes, predominaram os grandes queimados (73%) e encontrou-se tendência estatística na distância predita entre os grupos (p = 0,066), sem alteração no desempenho da capacidade aeróbica. 60% referiram praticar atividade física pelo menos três vezes por semana: caminhadas, bicicleta e futebol. Quanto ao nível de dor, 40% dos avaliados mencionaram dores persistentes de moderadas a intensas, mesmo após a cicatrização total das feridas. A maioria dos adultos, vítimas de queimaduras moderadas a graves, encontra-se com a sua capacidade aeróbica dentro da normalidade e, apesar do elevado índice de massa corpórea, afirma realizar atividades físicas de moderada intensidade.Palavras-chave: fisioterapia, caminhada, teste de esforço, avaliação.

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“…Full thickness injury of the orofacial region is well accepted in the literature to be a complex area to treat. Despite intervention, this region is prone to persistent b u r n s x x x ( 2 0 1 5 ) x x x -x x x scarring and contractures that manifest in many functional and aesthetic sequelae [1,2] such as poor oral opening and closure for the purposes of oral intake, oral/dental hygiene, intubation, as well as deficits in communicative ability characterised by impairments in articulation and facial expression [3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%