Rehabilitation After a Burn Injury

Serghiou, M.; Cowan, April; Whitehead, Christopher

doi:10.1016/j.cps.2009.05.008

Cited by 43 publications

(21 citation statements)

References 50 publications

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“…The main causes are inadequate initial treatment and physical therapy [5]. The fact that the head and neck are usually exposed makes the area highly vulnerable to initial burn injury, and subsequent scar deformities cannot be camouflaged with clothing [6].…”

Section: Discussionmentioning

confidence: 99%

Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients

2014

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PurposeSevere neck contracture is a problem that must be resolved by priority. We consider the best contracture treatment to be the full-thickness skin graft. However, clinicians often encounter patients, especially extensive burn patients, who have insufficient donor sites for the full-thickness skin graft. We treated extensive burn patients with neck scar contractures with a split-thickness skin graft (STSG) combined with dermal substitutes. The purpose of this study was to evaluate clinical outcomes of neck contracture treatment in extensive burn patients performing STSG with dermal substitutes as adjuvant treatment.MethodsWe analyzed the retrospective clinical and photographic records of 28 patients with severe neck contracture who were admitted to Hallym University Hangang Sacred Heart Hospital, Seoul, Korea, from January 2012 to December 2012. We performed STSG in combination with dermal substitutes to minimize the degree of contracture.ResultsThe overall take rate of skin to dermal substitutes was 95.9%, and no grafts failed to affect recontracture except in one patient with a partial loss of artificial dermis who underwent a follow-up skin graft without any problems. Excellent/good outcomes were shown in 27 out of 28 patients.ConclusionIn extensive burn patients, skin grafting in combination with dermal substitutes can be an alternative to STSG alone for contracture release.

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Section: Discussionmentioning

confidence: 99%

Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients

2014

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“…(15) It is known that after burn accidents in which hospitalization is necessary, physical therapy is essential from the first day, in order to avoid or minimize possible sequelae, to the rehabilitation phase and after discharge. (11) The present study analyzed the physical therapy records of all medical records of the children with burns, zero to six years, attended in the BTC/UH/UEL from January/2011 to February/2014. Because it is a reference in the treatment of burn, they have physical therapy for all patients, except for those who for some reason (death, transfer, discharge of the sector) remain hospitalized only at night.…”

Section: Discussionmentioning

confidence: 99%

“…(37) Finally, the orientation of positioning and simple exercises to perform at home, orthosis indication or even referral for outpatient follow-up are also part of the role of physical therapy. (11) Similarly, these aspects were incorporated into the physical therapy care, orthosis indication were made when necessary and the orientations were most frequently performed in the last session in which any aspect that needs to be considered after hospital discharge should be reinforced.…”

Section: Discussionmentioning

confidence: 99%

“…(25) Thus, early care keeps the patient active, aiming for greater functional independence and reduction of the period of hospitalization, in addition to preparing him/her to return to his normal activities of daily living after discharge. (11) Physical therapy also approaches the pneumofunctional aspects, especially when there is an inhalation injury, in order to reverse or to minimize possible complications resulting from the post-traumatic process. (26) The respiratory approach aims to maintain airway permeability, assist respiratory mechanics and improve pulmonary volumes and capacities.…”

Section: Discussionmentioning

confidence: 99%

“…(11) Physical therapy has as main objective the return of the functionality, acting through the prevention and reduction of sequels, which is fundamental in the rehabilitation of the pediatric patient, due to its rapid physical and motor development. (12,13) In this sense, referral services, such as the Burn Treatment Centers (BTC), have a structure and multiprofessional team specialized for patient care, adult or pediatric, and the physical therapist is essential to recovery.…”

Section: Introductionmentioning

confidence: 99%

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Physical therapy in infants and preschool children with burns: retrospective descriptive study

Takino

Itakussu²,

Trelha³

et al. 2020

mtprehabjournal

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Introduction: Burns are traumatic injuries that occur due to external events, and particularities of pediatric patients make it more serious condition. Physical therapy is essential to the recovery of children victims of burns and it should be started early during hospitalization. Objective: Define initial and final physical therapy care in children victims of burns, during the period of hospitalization, in a Burn Treatment Centers (BTC). Methods: Retrospective and descriptive study by means of gathering information in medical records of children victims of burns, convenience sample, consisted of patients in the 0-6 age group, that were interned in BTC of University Hospital/ UEL, from January 2011 to February 2014. Results: Data from 102 medical records were collected, physical therapy was realized in 94 (92.1%) cases, being respiratory physical therapy, placements, motor physical therapy, orthosis indication and orientation. In the first, second, last but one and last sessions, the most used breathing techniques were clearence maneuvers; the general placements was the most used; during motor physical therapy, the gait /walking and orientation were used with more frequency in last assistance. Conclusion:The initial physical therapy emphasizes the clearence maneuvers for prevention and treatment of respiratory complications that threaten the survival of the patient. The activities focused on functionality were adressed throughout the hospital stay, especially in the final stage. The physical therapy sessions progressed from passive techniques to active, according to the evolution of patients.

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Concept review of regionalized systems of acute care: Is regionalization the next frontier in sepsis care?

Walton

Mohr

2022

JACEP Open

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Regionalization has become a buzzword in US health care policy. Regionalization, however, has varied meanings, and definitions have lacked contextual information important to understanding its role in improving care. This concept review is a comprehensive primer and summation of 8 common core components of the national models of regionalization informed by text‐based analysis of the writing of involved organizations (professional, regulatory, and research) guided by semistructured interviews with organizational leaders. Further, this generalized model of regionalized care is applied to sepsis care, a novel discussion, drawing on existing small‐scale applications. This discussion highlights the fit of regionalization principles to the sepsis care model and the actualized and perceived potential benefits. The principal aim of this concept review is to outline regionalization in the United States and provide a roadmap and novel discussion of regionalized care integration for sepsis care.

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Rehabilitation After a Burn Injury

Cited by 43 publications

References 50 publications

Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients

Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients

Physical therapy in infants and preschool children with burns: retrospective descriptive study

Concept review of regionalized systems of acute care: Is regionalization the next frontier in sepsis care?

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