None listed
Conditions
Brief summary
It is estimated that approximately 80% of major burns involve one or both hands. Occupational therapists have a major role in providing hand and upper limb orthoses and instigating exercise and functional activities when structures are adequately healed. Although there are agreed occupational therapy treatment approaches for patients with upper limb burns, there has been no research into the optimal dose of therapy. This project aims to compare two different doses of inpatient occupational therapy for inpatients with upper limb/hand burns in terms of the impact on hand function, self care and length of stay. We will do this by creating two separate groups of participants (group allocation is based on admission dates); 1 control group (admitted between 1/9/15 and 31/12/15) who have received usual occupational therapy care, which is approximately one x 30 minute session daily. 2 Intervention group (admitted between 1/2/16 and 31/5/16) will receive usual occupational therapy care, plus an additional 30 minutes of daily therapy. Outcomes achieved will then be compared between groups.
Interventions
Two 30 minute sessions of occupational therapy per day during acute inpatient admission comprising:
- passive and/or active hand or arm exercises; and/or
- encouragement of performance of daily living activities involving hand motion (such as feeding, grooming, personal care, playing games) using adapted equipment where required; and/or
- fabrication or modification of custom made upper limb orthoses
Both sessions will be carried out with a Grade 2 occupational therapist during the acute inpat
Two 30 minute sessions of occupational therapy per day during acute inpatient admission comprising: - passive and/or active hand or arm exercises; and/or - encouragement of performance of daily living activities involving hand motion (such as feeding, grooming, personal care, playing games) using adapted equipment where required; and/or - fabrication or modification of custom made upper limb orthoses Both sessions will be carried out with a Grade 2 occupational therapist during the acute inpatient admission when the patient is moved from intensive care unit to the burns ward. Number/duration of occupational therapy sessions per day will be recorded via inpatient treatment statistics (occasions of service and time per session)
Sponsors
The Alfred
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Admission to the Victorian Adult Burns Service: - historical controls: admission between 01/09/15 – 31/12/15 - Intervention: admission between 01/02/16 – 31/05/16 Burns to one or both upper limbs (any thickness)
Exclusion criteria
Unable to comprehend written or spoken versions of patient-rated outcome measure (quickDASH) – NB we will use an interpreter or provide this in the patient’s preferred language where possible Any known impairment in hand or arm function prior to burn (e.g. stroke, amputation, hemiplegia, spasticity, Rheumatoid arthritis)
Outcome results
None listed