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Burn rehabilitation

Timothy D Girard, Waleed Alhazzani, John P Kress, Daniel R Ouellette, Gregory A Schmidt, Jonathon D Truwit, Suzanne M Burns, Scott K Epstein, Andres Esteban, Eddy Fan, Miquel Ferrer, Gilles L Fraser, Michelle Gong, Catherine Hough, Sangeeta Mehta, Rahul Nanchal, Sheena Patel, Amy J Pawlik, Curtis N Sessler, Thomas Strøm, William Schweickert, Kevin C Wilson, Peter E Morris
BACKGROUND: Interventions that lead to earlier liberation from mechanical ventilation can improve patient outcomes. This guideline, a collaborative effort between the American Thoracic Society (ATS) and the American College of Chest Physicians (CHEST), provides evidence-based recommendations to optimize liberation from mechanical ventilation in critically ill adults. METHODS: Two methodologists performed evidence syntheses to summarize available evidence relevant to key questions about liberation from mechanical ventilation...
October 20, 2016: American Journal of Respiratory and Critical Care Medicine
Candice L Osborne, Christina Petersson, James E Graham, Walter J Meyer, Rune J Simeonsson, Oscar E Suman, Kenneth J Ottenbacher
BACKGROUND: The National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Burn Injury Model Systems (BMS) is a nationwide database that uses patient-reported outcome measures to collect data. Though the outcome measures demonstrate good psychometric properties, the question remains whether or not these measures collect data that encompass the entire experience of burn patients over time. METHODS: Each meaningful concept included in the BMS assessments was linked to the International Classification of Functioning, Disability and Health (ICF) in order to classify and describe the content of each measure...
October 19, 2016: Disability and Rehabilitation
Shailesh Agarwal, Shawn Loder, David Cholok, John Li, Chris Breuler, James Drake, Cameron Brownley, Joshua Peterson, Shuli Li, Benjamin Levi
: : Trauma-induced heterotopic ossification (HO) occurs after severe musculoskeletal injuries and burns, and presents a significant barrier to patient rehabilitation. Interestingly, the incidence of HO significantly increases with repeated operations and after resection of previous HO. Treatment of established heterotopic ossification is challenging because surgical excision is often incomplete, with evidence of persistent heterotopic bone. As a result, patients may continue to report the signs or symptoms of HO, including chronic pain, nonhealing wounds, and joint restriction...
October 5, 2016: Stem Cells Translational Medicine
Oili Dahl, Marie Wickman, Viveca Björnhagen, Mona Friberg, Yvonne Wengström
BACKGROUND: The first year after severe burn is a psychologically challenging period for the patient. Patients may still struggle with burn-related physical and psychological problems such as posttraumatic stress disorder (PTSD) and body image dissatisfaction (BID). AIM: This study investigates the presence of PTSD, BID and coping, at three, six and twelve months after discharge for early identification of patients in need of focused support during rehabilitation...
October 1, 2016: Burns: Journal of the International Society for Burn Injuries
Celeste C Finnerty, Marc G Jeschke, Ludwik K Branski, Juan P Barret, Peter Dziewulski, David N Herndon
Improvements in acute burn care have enabled patients to survive massive burns that would have once been fatal. Now up to 70% of patients develop hypertrophic scars after burns. The functional and psychosocial sequelae remain a major rehabilitative challenge, decreasing quality of life and delaying reintegration into society. Approaches to optimise healing potential of burn wounds use targeted wound care and surgery to minimise the development of hypertrophic scarring. Such approaches often fail, and modulation of the established scar is continued although the optimal indication, timing, and combination of therapies have yet to be established...
October 1, 2016: Lancet
Daniel Roberts-Clarke, Che Fornusek, Nidhi Saigal, Mark Halaki, Joshua Burns, Garth Nicholson, Maria Fiatarone Singh, Daniel Hackett
Charcot-Marie-Tooth (CMT) is a rare inherited peripheral neuropathy in which quality of life (QoL) is reduced compared to the general population. This paper investigates the relationship between QoL and physical performance in people with CMT with the aim of identifying avenues for future research into rehabilitation strategies. Cross-sectional data was obtained from 10 participants (5 men, 5 women, age 46 ± 13 y, height 1.7 ± 0.1 m, body mass 77 ± 17 kg) with CMT (CMT1A n = 5; CMT-X n = 3; unknown genetic origin n = 3)...
October 4, 2016: Journal of the Peripheral Nervous System: JPNS
Paul Wurzer, Abigail A Forbes, Gabriel Hundeshagen, Clark R Andersen, Kathryn M Epperson, Walter J Meyer, Lars P Kamolz, Ludwik K Branski, Oscar E Suman, David N Herndon, Celeste C Finnerty
PURPOSE: We assessed the perception of scarring and distress by pediatric burn survivors with burns covering more than one-third of total body surface area (TBSA) for up to 2 years post-burn. METHODS: Children with severe burns were admitted to our hospital between 2004 and 2012, and consented to this IRB-approved-study. Subjects completed at least one Scars Problems and/or Distress questionnaire between discharge and 24 months post burn. Outcomes were modeled with generalized estimating equations or using mixed linear models...
August 16, 2016: Disability and Rehabilitation
Patricia Ribinik, Paul Calmels, Patrick Dehail, Alain Yelnik
OBJECTIVE: To describe a clinical care pathway for patients who underwent lower limb bone joint injury, taking into account patients' needs, PRM care objectives, human and material resources to be implemented, chronology as well as expected outcomes. MATERIAL/PATIENTS AND METHODS: This clinical care pathway is designed upon the expertise of the Sofmer-Fedmer signatory group, after analysis of literature, French rules and recommendations. It is ratified by the Sofmer scientific council...
September 2016: Annals of Physical and Rehabilitation Medicine
Germain Maberou Houngbedji, Etienne Alagnide, Didier Niama, Bibiane S Dagba, Toussaint G Kpadonou
OBJECTIVE: To assess the effect of early rehabilitation on the cutaneous and musculoskeletal impairments in burn patients in sub-Sahara Africa. MATERIAL/PATIENTS AND METHODS: This is a prospective comparative study of 67 patients divided into two groups G1 and G2. The patients of G1 received in addition to their emergency care, their rehabilitation therapy. On the other hand, the patients of G2 have started their physical therapy only after complete stabilization of their clinical status...
September 2016: Annals of Physical and Rehabilitation Medicine
Heather M Ma, Mark Huang
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Didar Ergene Şentürk, Emre Alp
Landfilling is the most preferred solid waste disposal method in Turkey owing to both economic and technical reasons. However, beside the sanitary landfills there are also hundreds of uncontrolled waste sites located throughout Turkey, which are often left either abandoned or burning. Because there is a lack of legislative guidelines governing the closure and rehabilitation of these dumpsites, the municipalities that are responsible for waste management do not initiate the proactive strategies required for the closure of these sites...
November 2016: Waste Management & Research
Ashley Craig, Yvonne Tran, Rebecca Guest, Bamini Gopinath, Jagnoor Jagnoor, Richard A Bryant, Alex Collie, Robyn Tate, Justin Kenardy, James W Middleton, Ian Cameron
OBJECTIVE: The aim of this meta-analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Multiple search engines included MEDLINE (via OVID), PsycINFO and Embase, and studies were sourced from scientific journals, conference papers and doctoral theses. STUDY SELECTION: A high-yield search strategy was employed...
2016: BMJ Open
Amber Knight, Jason Wasiak, Jacqueline Salway, Lisa O'Brien
INTRODUCTION: Hands are the most commonly burnt body part given humans' innate response to guard their face from injury, and are known to have detrimental functional and psychological consequences. Conflicting evidence exists regarding the impact of hand burns on long-term health status and global functioning. The objective of this study was to identify patient and clinical characteristics that predict health status and hand function of people at 12-24 months after hand burn. METHODS: The Burns Specific Health Scale-Brief (BSHS-B) and the Brief Michigan Hand Outcome Questionnaire (Brief MHQ) were administered to community-dwelling adults who were between one and two years after admission to a statewide burns service for burns including one or both hands...
September 5, 2016: Burns: Journal of the International Society for Burn Injuries
Ingrid Parry, Soman Sen, Kelly Sattler-Petrocchi, David Greenhalgh, Tina Palmieri
Cutaneous functional units (CFUs) are fields of skin that functionally contribute to range of motion (ROM) at an associated joint. When replaced with scar tissue, the skin is less extensible and may result in loss of movement at the joint. Consideration of the amount of CFU affected by burn injury is increasingly being used to predict the development of burn scar contracture (BSC) in burn survivors. Previous work established that, in adults, burn rehabilitation time per CFU was the greatest predictor of preventing BSC...
August 18, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Paul Gittings, Myrthe Salet, Sally Burrows, Michael Rutterman, Fiona M Wood, Dale Edgar
Small burns are common and can cause disproportionate levels of disability. The ability to measure muscle impairment and consequent functional disability is a necessity during rehabilitation of patients. This study aimed to determine the reliability and validity of grip and muscle strength dynamometry in patients with unhealed, minor burn wounds. Grip and muscle strength were assessed three times on each side. Assessment occurred at presentation for the initial injury and again every other day (or every 5 days beyond 10 days post injury) until discharge from the service...
September 5, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Jae Wook Lee, Sung-Moon Lee, Dong Gyu Lee
Pudendal nerve entrapment syndrome is an unusual cause of chronic pelvic pain. We experienced a case of pudendal neuralgia associated with a ganglion cyst. A 60-year-old male patient with a tingling sensation and burning pain in the right buttock and perineal area visited our outpatient rehabilitation center. Pelvis magnetic resonance imaging showed the presence of multiple ganglion cysts around the right ischial spine and sacrospinous ligament, and the pudendal nerve and vessel bundle were located between the ischial spine and ganglion cyst at the entrance of Alcock's canal...
August 2016: Annals of Rehabilitation Medicine
Huan Deng, Jian Chen, Frank Li, Cecilia W P Li-Tsang, Qiushi Liu, Xiaohong Ma, Ming Ao, Nan Chen, Yaqin Zhou, Xiaoyun Zhong, Zhiyu Chen, Lei Cao, Guiyang He, Jun Wu
PURPOSE: To assess the effects of mobility training on severe burn patients in the Burn Intensive Care Unit (BICU). METHODS: This was a retrospective cohort study. Severe burn patients with equal to or more than 50% Total Body Surface Area (TBSA) burns who received early rehabilitation in the BICU were included in this study. Based on the different early rehabilitation strategies during the two periods, patients admitted to the BICU from January 2011 to April 2013 were identified as the passive training cohort (n=49) while patients admitted to the BICU from May 2013 to December 2013 were identified as the mobility training cohort (n=24)...
November 2016: Burns: Journal of the International Society for Burn Injuries
Tania McWilliams, Joyce Hendricks, Di Twigg, Fiona Wood, Margaret Giles
INTRODUCTION: Since 2005, the Western Australian paediatric burn unit has provided a state-wide clinical consultancy and support service for the assessment and management of acute and rehabilitative burn patients via its telehealth service. Since then, the use of this telehealth service has steadily increased as it has become imbedded in the model of care for paediatric burn patients. Primarily, the service involves acute and long term patient reviews conducted by the metropolitan-located burn unit in contact with health practitioners, advising patients and their families who reside outside the metropolitan area thereby avoiding unnecessary transfers and inpatient bed days...
November 2016: Burns: Journal of the International Society for Burn Injuries
Nicola A Clayton, Elizabeth C Ward, Peter K Maitz
BACKGROUND: Dysphagia following severe burns can be significant and protracted, yet there is little evidence describing the rehabilitation principles, process or outcomes. PURPOSE: Outline current evidence and detail the clinical outcomes of two cases who underwent a multifaceted intensive treatment programme aimed at rehabilitating dysphagia by strengthening swallow function and minimising orofacial contractures after severe head and neck burns. METHODS: Two men (54 and 18 years) with full-thickness head and neck burns and inhalation injury underwent intensive orofacial scar management and dysphagia rehabilitation...
August 26, 2016: Burns: Journal of the International Society for Burn Injuries
Vahid Zamanzadeh, Lila Valizadeh, Mojgan Lotfi, Feridoon Salehi, Assef Khalili
BACKGROUND: The present work was conducted to study the burn patients' experiences to get an insight into their main concerns when they suffer the tragic event, recover from it, and adjust back in the society, so that better rehabilitation programs can be planned corresponding to their needs as well as to the needs of the society and the existing situations. MATERIALS AND METHODS: In this qualitative study, 17 burn survivors were enrolled. Unstructured interviews were used for data collection...
July 2016: Iranian Journal of Nursing and Midwifery Research
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