Burn Rehabilitation

Abstract

Esselman PC, Thombs BD, Magyar-Russell G, Fauerbach JA: Burn rehabilitation: State of the science. Am J Phys Med Rehabil 2006;85:383-413.

Longitudinal interplay between posttraumatic stress symptoms and coping self-efficacy: A four-wave prospective study

“…The knowledge that one will likely (repeatedly) be exposed to dangerous or threatening events will very likely have an effect on CSE and its associations with any experienced PTSD symptoms. It would also be interesting to see whether the same mechanisms are found in groups where lasting physical symptoms such as scars, chronic pain and functional impairment (Esselman et al, 2006;Summer et al, 2007) also play an important role, as for instance would be the case with burn victims. Additional research that investigates whether relationships between CSE and PTSD change when individuals are exposed to additional potentially traumatic events would also offer new insights into the ability of CSE to predict reactions to subsequent stressors.…”

Update on hypertrophic scar treatment

“…Currently, elastic compression using elastic garments is the predominant means of both prophylaxis and treatment for HTSs (63), despite controversial evidence-based data about their value in reducing the prevalence or magnitude of scarring (63). In fact, studies investigating pressure garments have found no significant difference between treatments involving the use of high-pressure garments, lower-pressure garments, or no pressure at all (64).…”

“…In fact, studies investigating pressure garments have found no significant difference between treatments involving the use of high-pressure garments, lower-pressure garments, or no pressure at all (64). Others, however, claim that pressure therapy achieves HTS regression success rates of 60% to 85% (63), without any conclusive evidence.…”

Chronic Pain Following Physical and Emotional Trauma: The Station Nightclub Fire

“…Although existing data are scarce regarding emotional disturbance in fire survivors without physical injury, it is not uncommon for burn survivors to report psychological symptoms. Studies have demonstrated prevalence rates of 7–46% for depression and 9–45% for PTSD up to 1 year following burn injury (11, 48). In a retrospective study of 492 burn patients, symptom severity was significantly increased in those individuals who reported persistent pain up to 11 years after their injury.…”

“…Fire survivors are often subject to significant emotional trauma related to the event itself (10). It is estimated that 20–45% of burn survivors experience post-traumatic stress disorder (PTSD), associated with delusional memories, nightmares, and pain (11). Schneider et al demonstrated emotional trauma to be more significant than physical injury in predicting long-term impairments in quality of life for survivors of The Station nightclub fire (12).…”