Burns
Conditions
Brief summary
Burn injuries, particularly circumferential upper arm burns, present significant challenges in rehabilitation due to their impact on pain management, muscle strength, and overall functional abilities. These injuries can lead to severe scarring and contractures, which further complicate the recovery process and affect the patient's quality of life. Traditional rehabilitation approaches often fall short in addressing the multifaceted needs of burn survivors, necessitating the exploration of innovative therapeutic techniques.
Detailed description
Russian current, a form of electrical stimulation, has been extensively utilized in physical therapy to enhance muscle strength and reduce muscle atrophy. Its application in burn rehabilitation is promising due to its ability to stimulate muscle contractions, thereby aiding in maintaining muscle mass and strength. When applied to patients with circumferential upper arm burns, Russian current can potentially mitigate the decline in muscle function while alleviating pain. This method not only supports the physical recovery process but also contributes to improved overall patient well-being by reducing discomfort and enhancing functional capabilities. Muscle energy techniques (MET), on the other hand, are manual therapy interventions designed to improve muscular flexibility and range of motion. By engaging the patient's own muscle contractions against a counterforce, MET can effectively reduce muscle tightness and improve joint function. When integrated with Russian current, MET can offer a comprehensive rehabilitation strategy for patients with upper arm burns. This cross-training approach aims to synergistically improve outcomes by addressing pain management, muscle strength recovery, and functional disability reduction, ultimately leading to a more holistic recovery process for burn survivors.
Interventions
OTHERRussian current and muscle energy techniques
The participants will have the electrodes placed on their biceps and triceps muscles for the Russian current treatment and were positioned comfortably, typically in a supine or seated position, depending on the muscle group being targeted. This positioning ensured stability and allowed for the effective application of the MET .
OTHERRussian Current
The participants will have the electrodes placed on their biceps and triceps muscles for the Russian current treatment. For the biceps, one electrode will be placed on the middle of the muscle, about halfway between the shoulder and elbow, while the second electrode will be placed slightly above it, closer to the shoulder
Sponsors
MTI University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
single blinded
Intervention model description
RCT,prospective
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Age between 20 and 60 years, * Unilateral circumferential elbow and upper arm burn requiring rehabilitation, * Medical stability for physical therapy interventions, * The ability to provide informed consent
Exclusion criteria
* Neurological disorders, severe cognitive impairment, contraindications to electrical stimulation, * Recent upper limb surgery * Pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle power test | at baseline and at 12 weeks | Using a Biodex System 3 PRO dynamometer (Biodex Medical Systems, Shirley, New York).Measurements will be taken before and after the 12-week treatment period. The peak torque (PT) of the biceps and triceps muscles was measured in Newton meters (Nm) for the dominant (affected) side |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | at baseline and at 12 weeks | A visual analogue scale (VAS) is a measurement instrument used in health and medicine to quantify subjective experiences like pain or fatigue on a simple line, with 1 end representing the least intense sensation and 10 the most intense. |
| Upper-Extremity Disability: (DASH) questionnaire | at baseline and at 12 weeks | The DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire is a 30-item, self-report tool used to measure physical function and symptoms in people with upper-limb musculoskeletal disorders.The questionnaire score ranges from 0 to 100, where 0 indicates no disability and 100 represent the most severe disability |
Countries
Egypt
Outcome results
None listed