Effects of a Modified Hand Compression Bandage for Treatment of Post-Burn Hand Edemas

Park, Won Yong; Jung, Soo Jin; Joo, So Young; Jang, Ki Un; Seo, Cheong Hoon; Jun, Ah Young

doi:10.5535/arm.2016.40.2.341

Cited by 11 publications

(4 citation statements)

References 21 publications

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“…Daily compression bandaging of hands for 4 weeks after burns has been shown to improve metacarpophalangeal joint (MCPJ) range of movement with clinical and statistical significance, and effects that persisted to 4 months from injury in some cases, but nonsignificant differences in proximal interphalangeal joint (PIPJ) range of movement, grip strength, and Jebsen hand function test 134 . Better functional outcomes have been demonstrated with use of certain positive pressure gloves in an article published in 2006, 135 as gloves are often worn to minimize scarring, hyperesthesia, and edema.…”

Section: Resultsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Introduction Advances in the evidence base of acute thermal hand burns help to guide the management of these common injuries. The aim of this literature review was to evaluate recent evidence in the field over 10 years. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols methodology was used as a guide for this literature review. PubMed, MEDLINE, EMBASE, CINAHL, and Google Scholar were searched for English language articles related to hand burns published between 2009 and 2018 inclusive, and the Cochrane Library was reviewed. Exclusion criteria were as follows: participants younger than 18 years, scar or contracture management, rehabilitation, outcomes assessment, late reconstruction, and electrical or chemical burns. Results An initial search retrieved 6493 articles, which was narrowed to 403 full-text articles that were reviewed independently by 3 of the authors and categorized. Of 202 included articles, there were 8 randomized controlled trials and 2 systematic reviews. Six evidence-based guidelines were reviewed. Referral of hand burns to specialist centers, use of telemedicine, early excision and grafting, and immediate static splintage have been recommended. Enzymatic debridement results in earlier intervention, more accurate burn assessment, preservation of vital tissue, and fewer skin grafts, and ideally requires regional anesthesia. Guidance on escharotomy emphasizes indication, technique and adequate intervention, and potential for enzymatic debridement. Inclusion of topical negative pressure, dermal regenerative templates, acellular dermal matrices, and noncellular skin substitutes in management has helped improve scar and functional outcomes. Discussion The results of this literature review demonstrate that multiple national and international societies have published burns guidelines during the decade studied, with aspects directly relevant to hand burns, including the International Society for Burn Injuries guidelines. There are opportunities for evidence-based quality improvement across the field of hand burns in many centers. Conclusions More than 200 articles globally in 10 years outline advances in the understanding of acute management of thermal hand burns. Incorporating the evidence base into practice may facilitate optimization of triage referral pathways and acute management for hand burns.

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Section: Resultsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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“…12 While there is limited literature for the use of compression for IV infiltration, there is abundant literature on the use of compression to treat less acute forms of edema. Park et al 13 have described utilizing a modified hand-compression bandage to decrease edema and improve the range of motion in the hands of patients with postburn edema. There is extensive literature detailing the use of compression to treat chronic lymphedema.…”

Section: Discussionmentioning

confidence: 99%

A Unique Treatment for Compartment Syndrome After Intravenous Catheter Extravasation: A Case Report

Hoefnagel¹,

Timmermann²,

Riga

et al. 2021

A&A Practice

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Intravenous cannulation is performed on nearly every patient presenting for an anesthetic. Complications of the procedure include infiltration and extravasation, which can have a varied impact on the patient. Here, we present a case of severe intravenous (IV) extravasation, resulting in compartment syndrome of the hand. Rather than treating the compartment syndrome with fasciotomies as is standard, we utilized compression therapy via an Esmarch surgical dressing wrapped distal to proximal on the effected limb, which resulted in marked decrease in swelling and return of perfusion to the hand.

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“…We found that VR rehabilitation was effective according to the MHQ scores for ADL and work. Park et al reported that upper extremity rehabilitation improved hand function in patients, in addition to elbow and forearm improvement [27]. Functions that include grasp power are associated with proximal upper extremity functions.…”

Section: Discussionmentioning

confidence: 99%

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study

Joo

Cho

Lee

et al. 2020

JCM

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Hands are the most frequent burn injury sites. Appropriate rehabilitation is essential to ensure good functional recovery. Virtual reality (VR)-based rehabilitation has proven to be beneficial for the functional recovery of the upper extremities. We investigated and compared VR-based rehabilitation with conventional rehabilitation (CON) in patients with burned hands. Fifty-seven patients were randomized into a VR or CON group. Each intervention was applied to the affected hand for four weeks, and clinical and functional variables were evaluated. Hand function was evaluated before intervention and four weeks after intervention using the Jebsen-Taylor hand function test (JTT), Grasp and Pinch Power Test, Purdue Pegboard test (PPT), and Michigan Hand Outcomes Questionnaire (MHQ). The JTT scores for picking up small objects and the MHQ scores for hand function, functional ADL, work, pain, aesthetics, and patient satisfaction were significantly higher in the VR group than in the CON group (p < 0.05). The results suggested that VR-based rehabilitation is likely to be as effective as conventional rehabilitation for recovering function in a burned hand. VR-based rehabilitation may be considered as a treatment option for patients with burned hands.

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Effects of a Modified Hand Compression Bandage for Treatment of Post-Burn Hand Edemas

Cited by 11 publications

References 21 publications

Acute Management of Thermal Hand Burns in Adults

Acute Management of Thermal Hand Burns in Adults

A Unique Treatment for Compartment Syndrome After Intravenous Catheter Extravasation: A Case Report

Effects of Virtual Reality-Based Rehabilitation on Burned Hands: A Prospective, Randomized, Single-Blind Study

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