Effect of Physical Rehabilitation Program Based on Range of Motion Exercise on Hand Joints Function among Patients with Thermal Burn

Document Type : Original Article

Authors

1 Lecturer of Medical - Surgical Nursing, Faculty of Nursing, Sohag University, Egypt

2 Assistant Professor of Medical - Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.

3 Lecturer of Critical Nursing, Faculty of Nursing, Assiut University, Egypt.

4 Lecturer of Community Health Nursing, Faculty of Nursing, Sohag University, Egypt.

5 Professor of Plastic Surgery and Burn, Faculty of Medicine, Assiut University, Egypt.

Abstract

Background: Hands are the most common burn injury sites. Appropriate range of motion exercise is essential to ensure good hand functional recovery. Aim: to evaluate effect of physical rehabilitation program based on range of motion exercise on hand joints function among patients with thermal burn Research design: A quasi - experimental (pre / post assessment) design. Setting: the study was conducted in Burn Department, Intermediate Care Room and Burn Outpatient Clinic at the Main Assuit University Hospital. Sample: A purposeful sample of (30) patients, their ages ranged from (20 - 65) years. Tools: tool (1): Patients structured interview questionnaire. Tool (2): Hand Burn Severity assessment scale. Tool (3): Hand contracture severity rating scale. Results: More than half of the patients were males and married (56.7% & 53.3%), (80%) of them had flame thermal burn& (50%) represented by 2nd degree burn with zone A (TBSA). There was a statistical significance difference as regard patients range of motion of mean score of different hand joints mostly in flexion between pre & post (3&6 weeks after program implementation (p < 0.005). Conclusion: significant improvement in hand joints range of motion function among patients with thermal burn post physical rehabilitation program application. Recommendation: using new physical rehabilitation modalities as Smart Glove that can be operated only through active ROM movement for patients with burn hand

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