Demonstration of the use of the ICF framework in detailing complex functional deficits after major burn

Grisbrook, Tiffany L.; Stearne, Sarah M.; Reid, Sharon J.; Wood, Fiona; Rea, Suzanne; Elliott, Catherine

doi:10.1016/j.burns.2011.04.001

Cited by 16 publications

(5 citation statements)

References 29 publications

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“…[28] Many previous studies around the world have shown that functional outcomes can be improved by early rehabilitation interventions. [29][30][31] Our findings are in accordance with them.…”

Section: Discussionsupporting

confidence: 92%

Effectiveness of early rehabilitation in hand burns

Kara

2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:Hand burn trauma occurs quite commonly and the outcome of hand burns can significantly impact self-care daily function, work and employment, leisure activities, and overall health-related quality of life. The overall goal of the management of hand burn trauma is to optimize hand function. Rehabilitation and restoration of hand function are critical for the patient's independence and re-integration into society and work. The purpose of this study is to present our experience with 105 hand burn trauma patients admitted and treated in our burn center and to show the efficacy of early rehabilitation on their ability to return to their prior social life and work. METHODS:In our study, we included that 105 patients with acute severe hand burn trauma were hospitalized in Gulhane burn center between 2017 and 2021. They underwent rehabilitation program daily sessions. Patients with hand burns are evaluated by ranges of motions (ROM), grip strength, Cochin Hand Function Scale (CHFS), and Michigan Hand Questionnaire (MHQ) 12 months after the injury. RESULTS:Overall, mean digital total active motion were >180°. The mean values for grip strength of dominant hand for men were 27.2±9.3 kg, for women were 22.0±8.8 kg and non-dominant hand for men were 24.05±13.8 kg, for women were 17.8±10.3 kg. Total score of 5 items was 19.0 in CHFS. The mean overall score on the MHQ was 62.3±27.4. All obtained data were within normal or accepted functional ranges. Spearman correlation coefficient indicates a negative correlation between MHQ and CHFS (p≤0.01). CONCLUSION:A comprehensive rehabilitation program is essential in helping patients to regain optimal function after hand burn trauma. Physiotherapy and occupational therapy is most beneficial when started at the time of admission.

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Section: Discussionsupporting

confidence: 92%

Effectiveness of early rehabilitation in hand burns

Kara

2023

Ulus Travma Acil Cerrahi Derg

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“…In addition to bringing new concepts about the functionality/disability, the ICF has also been proposed with the intention of being an instrument for usage in areas such as national and international reports 50 on disabilities; scientific health researches 51,52 ; clinical 53,54 and epidemiological usage 55,56 , and in the area of social politics, among others such as the educational field 57 .…”

Section: Discussionmentioning

confidence: 99%

Identification of common content between the questionnaire of the Health Survey (ISA-SP) and the International Classification of Functionality, Disability, and Health

Castro

Castaneda

Silveira

2014

Rev. bras. epidemiol.

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The purpose of this paper was to identify the common contents between São Paulo's Health Survey Questionnaire (Physical Disability and Emotional Health Blocks) and the International Classification of Functionality, Disability, and Health. The first stage of the research consisted of the search for the modules of São Paulo's Health Survey, which addressed the issue of disability, and the passages about this theme were highlighted and inserted into a new file. In the second stage, the significant contents were extracted. In the last one, these contents were codified to the codes of the International Classification of Functionality, Disability, and Health by two independent researchers. For the descriptive statistical analysis, crude numbers, percentages, and simple frequencies were used. The degree of agreement between the two professionals was calculated using Kappa's coefficient and the confidence interval. The most common domains were those about functions and body structures and about activities and participation, in which the domain of environmental factors presented a lower frequency of approach.

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“…In the burn population, hypertrophic scarring occurs in 67 % of the cases [ 1 ] and often leads to long-term impairment and disability [ 2 ]. Hypertrophic scars contain an overload of primarily type III collagen oriented parallel to the epidermal surface with multiple nodules containing myofibroblasts, large extracellular collagen filaments and abundant acidic mucopolysaccharides [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Short-term effects of vacuum massage on epidermal and dermal thickness and density in burn scars: an experimental study

Meirte

Moortgat²,

Anthonissen

et al. 2016

Burns &Amp; Trauma

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BackgroundVacuum massage is a non-invasive mechanical massage technique invented to treat burns and scars. To date, no effects of vacuum massage on thickness and density of human scar tissue have been reported. The process in which external stimuli are converted into biochemical responses in the cell is known as mechanotransduction. In the skin endothelial cells, fibroblasts and myofibroblasts embedded in the extracellular matrix (ECM) sense mechanical stimuli (created by vacuum massage) and may promote intracellular processes leading to matrix remodelling. Since mechanotransduction could be a plausible working mechanism for vacuum massage as an anti-scarring therapy, this study aims to investigate the short-term effects of vacuum massage on thickness and density of epidermis and dermis in burn scars in order to find proof of ECM remodelling.MethodsA one group experimental study was performed. Patients with burn scars on upper extremities, lower extremities, and trunk were recruited for participation in this study. The DUB®cutis 22 MHz ultrasound scanner was used to assess thickness and density of the epidermal and dermal skin layers. After baseline measurements, vacuum massage was performed according to a pre-defined protocol. Measurements were carried out at 5 min, 30 min, 1 h, and 2 h post-intervention.ResultsThirteen scar sites from 9 different patients were investigated. In 8 out of the 13 scar sites, a disruption of the epidermis was noticed after the vacuum massage. Five minutes after the intervention, epidermal density decreased statistically significantly (p = .022) and dermal thickness increased (p = .018). Both changes lasted for more than 1 h, but after 2 h, the changes were no longer statistically significant. Dermal density decreased significantly (p = .048) immediately after the intervention, and this decrease was still present after 2 h (p = .011).ConclusionsPreliminary results show that the disruption of the epidermis may indicate that vacuum massage could be able to actually breach the skin barrier. The statistically significant changes in the dermal layers could suggest an increased ECM production after vacuum massage.

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Demonstration of the use of the ICF framework in detailing complex functional deficits after major burn

Cited by 16 publications

References 29 publications

Effectiveness of early rehabilitation in hand burns

Effectiveness of early rehabilitation in hand burns

Identification of common content between the questionnaire of the Health Survey (ISA-SP) and the International Classification of Functionality, Disability, and Health

Short-term effects of vacuum massage on epidermal and dermal thickness and density in burn scars: an experimental study

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