Functional outcomes of upper extremity in rural household following burn injury in the course of epilepsy: A case report

Abstract

The most frequent site of burn injury in rural households are hands, Spilling of liquids like tea, water are the most frequent causes of burn in rural households. Properly planned comprehensive physiotherapy rehabilitation is very essential to obtain full-fledged functional recovery. A single hand holds lower than 3% of the TBSA. After the incident of burn, the patient underwent contracture release surgery in which the distal and middle interphalangeal joint of the right 5 th phalanges was amputated. Skin flaps were raised and modelled, and the corners of the proximal interphalangeal joint were nibbled with a bone nibbler. All margins were manipulated in the manner of a fisherman. The split-skin graft was taken from the right thigh and placed over the right wrist, with silk sutures holding it in place followed by a sterile dressing and the patient was shifted towards the ward. Various outcome measures like NPRS, Tampa Kinesiophobia Scale, FIM, Burn Specific Scale, Likert Scale, Burn anxiety Inventory, Burn depression checklist, and Hospital-Acquired Depression Scale were used along with the physiotherapeutic interventions to track the progress. Surgical management was achieved but to bring him back to his pre-pathology life, a comprehensively designed rehabilitation is very beneficial. The outcome obtained was effective medically and correlated with numerous health benefits in overall health-related quality of life. Thus, improving physical functioning and bringing a patient back to his normalcy and resuming her occupation back.