Burns, Hand Burn
Conditions
Keywords
children burns, Hand Function, Grip strength, pinch strength, Jebsen-Taylor Hand Function Test, Duruoz Hand Index, Canadian Occupational Performance Measure
Brief summary
The Jebsen-Taylor Hand Function Test and Canadian Occupational Performance Measure (COPM) were considered as primary outcome measurements. Secondary outcomes included total active range of motion (ROM) of the digits, hand grip strength and pinch strengths (tip, palmer and lateral pinch). All measurement was conducted at two occasions: at the baseline and after intervention.
Detailed description
The included participant were children with a deep partial thickness or a full thickness burn induced by either a scaled or a flame thermal burn with involvement of more than 50% of the hand and wrist, total body surface area (TBSA) less than 30% , age ranged from 7 to 14 years, recent discharge of inpatient acute care, spontaneous healing (within 34 weeks) or grafting with split thickness or full-thickness skin grafts (at least before 2 weeks). Children were excluded from this study if they had infection, juvenile arthritis, fracture, tendon injuries, muscle injury, degenerative joint diseases, peripheral nerve diseases, Pre - established psychologically and physically disorders (extreme aphasia, cognitive and developmental deficits that can influence the rehabilitation).
Interventions
OTHERcontrol
The traditional therapy included immersing the hand in paraffin for 10 min; soft massaging with a moisturizing gel for 5 min; passive mobilization of the wrist, MP, PIP, and DIP joints; active/passive ROM and stretching exercises; strengthening exercises (done in static mode initially and progressed in the second month to dynamic strengthening using elastic bands); desensitizing sensory stimulation of hypertrophic scars, occupational therapy.
OTHERXbox kinect
The traditional plus Xbox Kinect games were related to five target activities determined according to the person-centered analysis results were chosen for each patient.
The traditional plus the target activities involved training with the materials (clothes, spoons, pencils, buttons, rope, etc) needed for the activity as well as Velcro cylinders, skill cubes, exercise bands, screw sets, therapeutic putty, and tripled coordination tools.
Sponsors
Cairo University
Qassim University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Task-oriented training TOT group and Xbox training group were conducted with an average of 50-min sessions three times a week for 8 weeks. The traditional rehabilitation program conducted for 40-min sessions, three times per week for 8 weeks for all children.
Eligibility
Sex/Gender
ALL
Age
7 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* children with deep partial thickness or a full thickness burn * burn induced by either a scaled or a flame thermal burn * involvement of more than 50% of the hand and wrist * total body surface area (TBSA) less than 30% * age ranged from 7 to 14 years * recent discharge of inpatient acute care * spontaneous healing (within 34 weeks) * grafting with split thickness or full-thickness skin grafts (at least before 2 weeks).
Exclusion criteria
* children with infection * juvenile arthritis * fracture * tendon injuries * muscle injury * degenerative joint diseases * peripheral nerve diseases * Pre - established psychologically and physically disorders * extreme aphasia * cognitive and developmental deficits that can influence the rehabilitation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Jebsen-Taylor Hand Function Test | baseline | is an objective and standard method designed to assess the hand's functional abilities |
| Duruoz Hand Index | baseline | is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items |
| Canadian Occupational Performance Measure | baseline | is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| total active range of motion (ROM) of the digits | baseline | The total active ROM was measured by a hand-held steel finger goniometer |
| hand grip strength | baseline | Grip strength was assessed using a Jamar hydraulic dynamometer |
| pinch strength | baseline | pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer |
Countries
Egypt
Outcome results
None listed