Citation

Zhou YQ, Zhou JY, Luo GX, Tan JL. World J. Clin. Cases 2021; 9(32): 9741-9751.

Copyright

(Copyright © 2021, Baishideng Publishing Group)

DOI

10.12998/wjcc.v9.i32.9741

PMID

34877313

PMCID

PMC8610915

Abstract

BACKGROUND: Hands are one of the most common burn sites in children. Hypertrophic scar contractures in hands after wound healing result in further reductions in their range of motion (ROM), motility, and fine motor activities. Rehabilitation can improve the function of hands. But the optimal time of rehabilitation intervention is still unclear. Therefore, this study was designed to investigate the effects of early rehabilitation management of paediatric burnt hands and to compare the efficacy between early and later rehabilitation intervention.

AIM: To investigate the effects of early rehabilitation management of paediatric burnt hands.

METHODS: A total of 52 children with burnt hands were allocated into the early intervention group (≤ 1 mo from onset) and a late intervention group (> 1 mo from onset) between January 2016 and December 2017. The children received the same rehabilitation programme including skin care, scar massage, passive ROM exercises, active ROM exercises, compression therapy, orthotic devices wearing and game or music therapy. Rehabilitation assessments were performed before and after the rehabilitation treatment.

RESULTS: In the early intervention group, the ROM of the hands was significantly improved after rehabilitation (P = 0.001). But in the late group the effect was not significant statistically (P = 0.142). In the early group, 38.5% of the patients showed significant improvement, while in the late group, 69.2% of the patients showed no significant improvement. The time from onset to posttraumatic rehabilitation (P = 0.0007) and length of hospital stay (P = 0.003) were negatively correlated with the hand function improvement. The length of rehabilitation stay was positively correlated with the hand function improvement (P = 0.005).

CONCLUSION: These findings suggest that early rehabilitation might show better results in terms of ROM.

Language: en

Keywords

Children; Burns; Rehabilitation; Hand extension; Hand flexion; Range of motion