Return of Hand Function Following Major Burns

Mh, Covey; Dm, Heimbach; Ja, Marvin; Lh, Engrav; deLateur, Barbara J.

doi:10.1097/00004630-198705000-00011

Cited by 14 publications

(4 citation statements)

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“…Grip strength is important for function, with 20 pounds of grip force being reported as needed for completion of most activities of daily living, with measures of up to 100 pounds of force being normal for males and 55 pounds of force for females. 15,16 The right hand approached the 1-year postburn value reported by Covey, 14 whereas the left hand of our case subject was short of that value. The grip strength of the subject's right hand was 60% of normal (right-hand grip strength norms are reported as 101.1 pounds of force), 15,16 and the left-hand grip strength was 42% of normal (left-hand grip strength norms are reported as 83.2 pounds of force).…”

Section: Discussionsupporting

confidence: 50%

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Effect of 3M™ Coban™ Self-Adherent Wraps on Edema and Function of the Burned Hand: A Case Study

Lowell

Pirc

Ward

et al. 2003

The Journal of Burn Care &Amp; Rehabilitation

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Edema and limited function are common acute problems associated with hand burns. This case study examined the effects of 3M Coban Self-Adherent Wraps on edema and function in a 59-year-old male (46% TBSA flame injury) with newly skin grafted dorsally burned hands. At the time of each dressing change, circumferential measurements were taken of both hands and weekly active range of motion and grip strength measurements were recorded. The nine-hole peg test was used to appraise dexterity. During the 4-week study period, there was less edema, greater active range of motion and grip strength, and greater dexterity in the hand with 3M Coban Self-Adherent Wraps as compared with the control hand. This case study suggests that 3M Coban Self-Adherent Wraps were effective in reducing edema in the skin-grafted hand after skin grafting. It further appeared that the reduced edema may have contributed to improved hand function and that 3M Coban Self-Adherent Wraps as a compressive dressing do not impede hand function

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Section: Discussionsupporting

confidence: 50%

“…14 Covey showed a 62% strength impairment in grafted hands at 1 year after burn. 14 Covey showed a 62% strength impairment in grafted hands at 1 year after burn.…”

Section: Discussionmentioning

confidence: 94%

Effect of 3M™ Coban™ Self-Adherent Wraps on Edema and Function of the Burned Hand: A Case Study

Lowell

Pirc

Ward

et al. 2003

The Journal of Burn Care &Amp; Rehabilitation

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“…According to Covey et al [ 22 ], grasp power in patients with post-hand burn, had a recovery of up to 60% and 42% compared with the non-affected side in the right and left hand, respectively. In this study, grasp power improved significantly with the time effect.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2016

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ObjectiveTo evaluate the effect of a modified hand compression bandage in patients with a post-burn hand edema.MethodsPatients were recruited from burn centers. We classified the patients into two groups: the modified hand compression bandage group comprising of 22 patients who had a modified hand compression bandage and received conventional physical therapy and the conventionally treated group, comprising of 20 patients who received only conventional physical therapy during the 4-week period post-burn. Hand circumference, hand skin thickness, and hand function were evaluated by grip strength, active range of motion (ROM), Jebsen hand function test, and visual analogue scale (VAS). These assessments were used to evaluate treatment effectiveness prior to the first treatment, 2 weeks after the first treatment, 4 weeks after the first treatment, and 4 months after the first treatment.ResultsAs a result of repeated-measures analysis of variance on hand circumference, skin thickness, VAS, and each metacarpophalangeal joint ROM, we found significant differences that corresponded to time effect (p<0.05) and time×group (reciprocal action) effect (p<0.05). The results of grasp power, Jebsen hand function test, and each proximal interphalangeal joint ROM, show significant differences in accordance with the time effect (p<0.05), however, there was no reciprocal action effect (p>0.05).ConclusionThe modified hand compression bandage will be clinically useful for the treatment of patients with post-burn hand edemas.

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“…In daily life, the hand is the most vulnerable to be hurt, it will cause dysfunction due to contraction or expansion of scars. An adequate and reasonable treatment of hand scars in children has an extremely important role in the future life of children [2,3]. Therefore, how to take measures to prevent and treat children's scars has become a common concern.…”

Section: Introductionmentioning

confidence: 99%

Before-after cohort study to assess the efficacy of fractional ablative carbon dioxide laser treatment of pediatric hand scars

et al. 2020

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The purpose of this study is to investigate the efficacy of fractional ablative carbon dioxide laser (AFXL) surgery in patients with pediatric hand scars. This study enrolled hand scar patients who received treatment in our hospital between May 2018 and April 2019. Patients were assigned to undergo AFXL surgery based on their personal intents and condition, whereas the fractional laser was used for stiffness and abnormal texture. Outcomes were as follows: hand function was evaluated using the Michigan hand outcomes questionnaire; scar condition was evaluated using the Vancouver scar scale and UNC4P scar scale. Total 30 pediatric patients (mean age, 11.4 years) were eligible for the study and laser-treated scars were significantly improved in Michigan hand outcomes questionnaire from 52.30 ± 6.14 to 66.91 ± 6.43 (p < 0.001). Provider-rated Vancouver scar scale dropped from 8.80 ± 2.75 to 6.73 ± 2.52 (p < 0.001). Patient-reported UNC4P scar scale declined from7.07 ± 2.02 to 4.73 ± 1.31 (p < 0.001). AFXL surgery can significantly improve hand function and appearance of pediatric hand scars, suggesting its advantages over traditional methods of operative intervention.

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Return of Hand Function Following Major Burns

Cited by 14 publications

References 0 publications

Effect of 3M™ Coban™ Self-Adherent Wraps on Edema and Function of the Burned Hand: A Case Study

Effect of 3M™ Coban™ Self-Adherent Wraps on Edema and Function of the Burned Hand: A Case Study

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

Before-after cohort study to assess the efficacy of fractional ablative carbon dioxide laser treatment of pediatric hand scars

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