Contracture, Hand
Conditions
Keywords
Paraffin wax, METS, Contracture, Burn
Brief summary
The degree of the burn and the rate of scar development during healing are the main determinants of loss of hand function following thermal injury. Compared to adults, managing these injuries in children presents unique challenges due to three factors: (I) children's thin hand skin makes it difficult to protect deep hilar structures; (II) rapid growth of the hand and fingers in the second and third years of life can cause contusion scar deformity; and (III) treatment is frequently challenging due to the young child's lack of cooperation. The manual technique known as Muscle Energy Technique (MET) primarily targets the soft tissues, although it also has significant effects on the muscles. Osteopaths and is currently utilized by a variety of manual therapy professions as a contribution to joint mobilization. This method is also known as the active muscular relaxation technique or the muscle energy technique. Exercise is necessary to maintain mobility, which in turn depends on overcoming dryness and decreased suppleness of the scar tissue across the joint, which in turn depends on preventing joint stiffness. Heat therapy for the relief of joint pain and stiffness was established using paraffin and prolonged stretching. When used as a treatment method, paraffin wax is heated to a temperature between 115 and 118 degrees.
Detailed description
The degree of the burn and the rate of scar development during healing are the main determinants of loss of hand function following thermal injury. Compared to adults, managing these injuries in children presents unique challenges due to three factors: (I) children's thin hand skin makes it difficult to protect deep hilar structures; (II) rapid growth of the hand and fingers in the second and third years of life can cause contusion scar deformity; and (III) treatment is frequently challenging due to the young child's lack of cooperation. The manual technique known as Muscle Energy Technique (MET) primarily targets the soft tissues, although it also has significant effects on the muscles. Osteopaths and is currently utilized by a variety of manual therapy professions as a contribution to joint mobilization. This method is also known as the active muscular relaxation technique or the muscle energy technique. Exercise is necessary to maintain mobility, which in turn depends on overcoming dryness and decreased suppleness of the scar tissue across the joint, which in turn depends on preventing joint stiffness. Heat therapy for the relief of joint pain and stiffness was established using paraffin and prolonged stretching. When used as a treatment method, paraffin wax is heated to a temperature between 115 and 118 degrees. It will be randomized controlled trail. In which convenient sampling technique will be used. Two groups will be formed in which participants will be divided by lottery method. Group A will be treated by paraffin wax bath therapy and Group B treated by paraffin wax bath therapy with muscle energy technique. The result after statistical analysis will either show this intervention is effective or not. Result will be analyzed on SPSS
Interventions
OTHERParaffin wax bath therapy
this group receive paraffin wax. Each session will last between 40 and 50 min, 2 sessions per week, for total 6 weeks
OTHERParaffin Wax Bath Therapy and Muscle Energy Techniques
This group receive paraffin wax bath therapy along with muscle energy techniques. Each session will be conducted for 40 to 50 mins, 3 sessions in a week for total 6 weeks
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants will get a separate treatment protocol and possible efforts will be mask the both groups about their treatment
Intervention model description
This will be randomized control trail to see effects of Paraffin wax bath therapy with and without muscle energy technique in children with post burn hand contracture
Eligibility
Sex/Gender
ALL
Age
4 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Child with age 4 to 12 yrs * Mild and moderate type of contracture * Loss up to one third and two third of ranges * Recently healed wounds to be sure that no open area exist * Post burn contracture * Without fragile blistering
Exclusion criteria
* Severe type of contractures * Loss of more than two-third of ranges * Any spinal cord injuries * Children with rigid spastic contractures * Contractures other than burn * Wounds that have open area and risk of bleeding occurs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Goniometer | 6 weeks | Measuring a joint angle with a universal goniometer has moderate to excellent reliability. It can therefore, be used as a repeatable device for measuring the range of motion of the joint. According to an article the inter-tester reliability of goniometer is 0.98 and ICC is 0.99 and validity 0.97-0.98. The results of this study indicates that goniometric measurement are both valid and reliable. |
| ABILHAND-kids Questionnaires | 6 weeks | ABILHAND-Kids is use to measure the manual ability of hand in children. The scale used for face to face interview of the parents of the child. The interview will be conduct twice. On the first visit and after an interval of 15 days. The scale consist of different activities parents are asked to fill the questionnaire by estimating their child difficulty on three levels. Impossible: the child is unable to perform the activity. |
Countries
Pakistan
Outcome results
None listed