Analysis of modern methods of examination and assessment of functional disorders in physical therapy in the treatment of patients with upper extremity burns
DOI:
https://doi.org/10.32782/2077-6594/2024.4/11Keywords:
burns, rehabilitation, combustiology, examination, upper limbAbstract
Purpose: to analyze and systematize scientifically validated assessment methods for functional impairments in physical therapy for patients with upper limb burns. Materials and Methods. Analysis of scientific and methodological literature on the research problem and systematization of data obtained from PEDro, Scopus, PubMed, and Google Scholar. Results. The lack of consensus on the optimal methods for assessing the functional status of the upper extremities after burns limits the ability to compare research results and develop effective rehabilitation strategies. In order to adapt the International Classification of Functioning, Limitation and Capability to Ukrainian conditions, we conducted a study comparing different tests and scales. As a result, it was found that the most informative methods for assessing rehabilitation interventions today are POSAS, goniometry, hand dynamometry, QuickDASH and MHQ. Conclusions. Upper limb burn injuries can significantly influence a patient’s ability to participate in social and professional activities. As a result, a timely and comprehensive diagnostic evaluation is essential for creating a tailored rehabilitation plan.
References
Коваленко ОМ. Сучасні можливості лікування опікового шоку. Хірургія України. 2019;1:84–90. DOI: 10.30978/SU2019-1-84.
Лазарєва ОБ, Щаслива ІВ. Особливості ортезування низькотемпературним пластиком осіб з опіками верхніх кінцівок. Спортивна медицина, фізична терапія та ерготерапія. 2024;1:206–212. DOI: 10.32652/spmed.2024.1. 206-212.
Smith MA, Munster AM, Spence RJ. Burns of the hand and upper limb: A review. Burns. 1998;24:493–505. DOI: 10.1016/s0305-4179(98)00063-1.
Van Baar ME, Essink-Bot ML, Oen IM, Dokter J, Boxma H, van Beeck EF. Functional outcome after burns: A review. Burns J Int Soc Burn Injuries. 2006;32:1–9. DOI: 10.1016/j.burns.2005.08.007.
Williams N, Stiller K, Greenwood J, Calvert P, Masters M, Kavanagh S. Physical and quality of life outcomes of patients with isolated hand burns a prospective audit. J Burn Care Res. 2012;33:188–98. DOI: 10.1097/BCR.0b013e318242eeef.
Kraemer MD, Jones T, Deitch EA. Burn contractures: Incidence, predisposing factors, and results of surgical therapy. J Burn Care Rehabil. 1998;9:261–5. DOI: 10.1097/00004630-198805000-00005.
Goverman J, Mathews K, Goldstein R. Adult Contractures in Burn Injury: A Burn Model System National Database Study. J Burn Care Res. 2017;38(1):e328–e336. DOI: 10.1097/BCR.0000000000000380
Clifford MS, Hamer P, Phillips M. Grip strength dynamometry: reliability and validity for adults with upper limb burns. Burns. 2013;39(7):1430–6. DOI: 10.1016/j.burns.2013.03.020.
Dogra BB, Kataria M, Kandari A, Ahmed S, Singh A, Virmani R. Management of post-burn contractures of upper extremities: A general surgeon’s perspective. Indian Journal of Burns. 24(1):29–35. DOI: 10.4103/0971-653X.195524
Bain GI, Polites N, Higgs BG, Heptinstall RJ, McGrath AM. The functional range of motion of the finger joints. J Hand Surg Eur Vol. 2015;40:406–11. DOI: 10.1177/1753193414533754.
Wu A, Edgar DW, Wood FM. The QuickDASH is an appropriate tool for measuring the quality of recovery after upper limb burn injury. Burns. 2007;33(7):843–9. DOI: 10.1016/j.burns.2007.03.015.
Lewis SL, Bucher L, Heitkemper MM, Dirksen SR. Medical-surgical nursing: Assessment and management of clinical problems, single volume. 9th ed. St. Louis, MO: Mosby; 2014.
Draaijers LJ, Tempelman FRH, Botman YAM, Tuinebreijer WE, Middelkoop E, Kreis RW, Zuijlen PM, The Patient and Observer Scar Assessment Scale: A Reliable and Feasible Tool for Scar Evaluation. Plastic and Reconstructive Surgery. 2004;113(7):1960–1965. DOI: 10.1097/01.PRS.0000122207.28773.56
Ciornei B, David VL, Popescu D, Boia ES. Pain Management in Pediatric Burns: A Review of the Science behind It. Glob Health Epidemiol Genom. 2023; 2023:9950870. DOI: 10.1155/2023/9950870.
Physio-pedia.com. [cited 2024 Oct 27]. Available from: https://www.physio-pedia.com/Visual_Analogue_Scale.
Maier P. International Classification of Functioning, Disability and health (ICF). 2004 [cited 2024 Oct 27]; Available from: https://www.who.int/classifications/international-classification-of-functioning-disability-and-health
Rudolf KD, Kus S, Chung KC, Johnston M, et al. Development of the International Classification of Functioning, Disability and Health Core Sets for Hand Conditions – results of the World Health Organization international Consensus Process. Disabil Rehabil. 2012;34(8):681–693. DOI: 10.3109/09638288.2011.613514.