Burns
Conditions
Keywords
Hand Burns, Pediatrics
Brief summary
This study is designed to see if some tests of hand movement, strength, and function are valid for children with burns.
Detailed description
Children will be given a battery of tests to determine the validity of these measures for children with severe hand burns. The tests include: * Pinch and grip strength; * Stereognosis; * Speed of manipulation using the Nine Hole Peg Test, Box & Blocks Test, and the Moberg Pickup Test; * Measurement of Range of Motion of the wrist and fingers.
Interventions
BEHAVIORALFunctional hand tests
Chilren were tested after healed hand burns for functional ability.
Sponsors
Shriners Hospitals for Children
Massachusetts General Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Third degree brns to one or both hands * All areas closed * Age between 5 and 18 years old * English or Spanish speaking
Exclusion criteria
* Previous hand condition * Unable to follow 2 step directions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blocks & Box (Standardized Test). | Baseline | Children are asked to move as many blocks as possible from one box to another in one minute. The number of blocks moved is the score. |
| Range of Motion, Total Active Motion (TAM) | Baseline | Subjects' degrees of hand motion are measured by a trained therapist and recorded. Total Active Motion is a measure of finger range of motion that can be used to predict functional movement of the hand. The TAM is the sum of the degrees of active motion of each of the three joints of the fingers, and two joints of the thumb. For this study we also included wrist motion. Full TAM is 1,455 degrees of motion. |
| Grip Strength | Baseline | This is a measure of grip strength in pounds using a dynamometer. The subject squeezes the dynamometer as hard as possible for three trials separated by a short rest. The mean of the three trials is the score. |
| Moberg Pickup Test | Seconds to pick up all 12 objects | The child picks up 12 small objects such as a coin, safety pin and paper clip one at a time and puts them in a container. The time in seconds to complete the task is the score. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| All Study Participants Children were administered hand assessments to measure function after hand burns by a trained therapist. | 3 |
| Total | 3 |
Baseline characteristics
| Characteristic | All Study Participants |
|---|---|
| Age, Categorical <=18 years | 3 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Region of Enrollment United States | 3 participants |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 3 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 3 |
| serious Total, serious adverse events | 0 / 3 |
Outcome results
Primary
Blocks & Box (Standardized Test).
Children are asked to move as many blocks as possible from one box to another in one minute. The number of blocks moved is the score.
Time frame: Baseline
Population: Convenience sample was planned for this study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| All Study Participants | Blocks & Box (Standardized Test). | 32 Blocks |
Primary
Grip Strength
This is a measure of grip strength in pounds using a dynamometer. The subject squeezes the dynamometer as hard as possible for three trials separated by a short rest. The mean of the three trials is the score.
Time frame: Baseline
Population: Convenience sample was planned for this study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| All Study Participants | Grip Strength | 7.33 Pounds |
Primary
Moberg Pickup Test
The child picks up 12 small objects such as a coin, safety pin and paper clip one at a time and puts them in a container. The time in seconds to complete the task is the score.
Time frame: Seconds to pick up all 12 objects
Population: A convenience sample was planned for this study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| All Study Participants | Moberg Pickup Test | 19 Seconds |
Primary
Range of Motion, Total Active Motion (TAM)
Subjects' degrees of hand motion are measured by a trained therapist and recorded. Total Active Motion is a measure of finger range of motion that can be used to predict functional movement of the hand. The TAM is the sum of the degrees of active motion of each of the three joints of the fingers, and two joints of the thumb. For this study we also included wrist motion. Full TAM is 1,455 degrees of motion.
Time frame: Baseline
Population: Convenience sample was planned for ths study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| All Study Participants | Range of Motion, Total Active Motion (TAM) | 998 Degrees |