Can Early Orthotic Support and Physical Therapy Improve the Functional Level in Pediatric Burn Patients?
Early Orthotic Support and Physiotherapy in Pediatric Burns
DOI:
https://doi.org/10.54393/pjhs.v6i3.1606Keywords:
Pediatric Burns, Physiotherapy, Orthotic Intervention, RehabilitationAbstract
Physiotherapy prevents contractures and aids mobility in pediatric burn patients. Objective: To evaluate the potential benefits of implementing early orthotic interventions and physiotherapy programs in pediatric patients with burn injuries. Methods: This quasi experimental study was conducted on 27 children at Department of Physical Medicine and Rehabilitation (PM and R), The Children Hospital and University of Child Health Sciences, Lahore between August 2022 and August 2023. The sample size included 27 pediatric burn patients. Convenient sampling technique was used to collect data. Children under age of 16 years with burn were included in the study. ROM (measured via a goniometer), muscle tone (assessed using the Ashworth scale), and muscle strength (evaluated via the Oxford scale MMT) was systematically assessed. Related pre-treatment questionnaire was filled first, they were undergoing the burn rehabilitation protocol (anti-contracture positioning, ROM, casting, splinting, stretching) followed by verbal questionnaire filling after 3months. Wilcoxon Signed Rank Test was used to measure difference before and after the intervention. Results: Muscle tone of majority of patients was tested which was possible against gravity was possible now against some resistance. Result suggest that Physical activities like carrying an object and other ADLs which were severe difficult after burn were improved. ROM which was limited before orthotic intervention and physiotherapy protocol was now partially limited. Conclusions: In conclusion, the amalgamation of physiotherapy and orthosis represented a pivotal cornerstone in the comprehensive care paradigm for burn patients, yielding a myriad of positive effects that significantly enhance their rehabilitation journey.
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