Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients
Objective: To determine the role of early passive range of motion exercises in the reduction in scar formation and prevention of Contracture in sub-acute Burn Patients. Study Design: Randomized Control Trail (RCT). Place and Duration of Study: Burn Centre Pakistan Institute of Medical Sciences Islam...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Riphah International University, Islamabad
2021-10-01
|
| Series: | Journal of Islamic International Medical College |
| Subjects: | |
| Online Access: | https://journals.riphah.edu.pk/index.php/jiimc/article/view/810 |
| _version_ | 1797986151427997696 |
|---|---|
| author | Muhammad Asadullah, Asghar Khan, Syed Shakil-ur-Rehman, Khalid Farooq Danish, Fozia Sibtain |
| author_facet | Muhammad Asadullah, Asghar Khan, Syed Shakil-ur-Rehman, Khalid Farooq Danish, Fozia Sibtain |
| author_sort | Muhammad Asadullah, Asghar Khan, Syed Shakil-ur-Rehman, Khalid Farooq Danish, Fozia Sibtain |
| collection | DOAJ |
| description | Objective: To determine the role of early passive range of motion exercises in the reduction in scar formation and prevention of Contracture in sub-acute Burn Patients.
Study Design: Randomized Control Trail (RCT).
Place and Duration of Study: Burn Centre Pakistan Institute of Medical Sciences Islamabad, from January to December, 2010.
Materials and Methods: Thirty patients were selected from the burn center at Pakistan Institute of Medical sciences (PIMS) Islamabad, age ranging from 12-60 years, and were randomly placed into two groups, 15 patients in each group. The anti-contracture positioning program was applied on group A with early passive range of motion (PROM) exercises of the involved areas and in group B only anticontracture positioning program was applied. The Vancouver Scar Scale (VSS) was used as an assessment tool and 4 variables were assessed including vascularity, height/thickness, pliability, and pigmentation. Data was analyzed on SPSS version-20 and independent t-test was applied at 90% level of significance to calculate the p-value for group A and B.
Results: The results show that the anti-contracture positioning with early passive range of motion (PROM) exercises reduced scar formation and prevent contractures more significantly in group A (P-value =0.002) with average VSS score 6, as compare to the anticontracture positioning alone in group B (P-value=0.435) with VSS score 10, as assessed at the completion of physical therapy management program in all the 30 patients of subacute stage of burn.
Conclusion: It was concluded that the early passive range of motion exercises with anti-contractures positing can reduce the amount of scar formation, prevent contractures and increase the quality of physical therapy management in sub-acute stage of burn patients. |
| first_indexed | 2024-04-11T07:28:34Z |
| format | Article |
| id | doaj.art-35847ea3d53241f6a2c658f6f5303668 |
| institution | Directory Open Access Journal |
| issn | 1815-4018 2410-5422 |
| language | English |
| last_indexed | 2024-04-11T07:28:34Z |
| publishDate | 2021-10-01 |
| publisher | Riphah International University, Islamabad |
| record_format | Article |
| series | Journal of Islamic International Medical College |
| spelling | doaj.art-35847ea3d53241f6a2c658f6f53036682022-12-22T04:36:58ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222021-10-018110141206Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn PatientsMuhammad Asadullah, Asghar Khan, Syed Shakil-ur-Rehman, Khalid Farooq Danish, Fozia SibtainObjective: To determine the role of early passive range of motion exercises in the reduction in scar formation and prevention of Contracture in sub-acute Burn Patients. Study Design: Randomized Control Trail (RCT). Place and Duration of Study: Burn Centre Pakistan Institute of Medical Sciences Islamabad, from January to December, 2010. Materials and Methods: Thirty patients were selected from the burn center at Pakistan Institute of Medical sciences (PIMS) Islamabad, age ranging from 12-60 years, and were randomly placed into two groups, 15 patients in each group. The anti-contracture positioning program was applied on group A with early passive range of motion (PROM) exercises of the involved areas and in group B only anticontracture positioning program was applied. The Vancouver Scar Scale (VSS) was used as an assessment tool and 4 variables were assessed including vascularity, height/thickness, pliability, and pigmentation. Data was analyzed on SPSS version-20 and independent t-test was applied at 90% level of significance to calculate the p-value for group A and B. Results: The results show that the anti-contracture positioning with early passive range of motion (PROM) exercises reduced scar formation and prevent contractures more significantly in group A (P-value =0.002) with average VSS score 6, as compare to the anticontracture positioning alone in group B (P-value=0.435) with VSS score 10, as assessed at the completion of physical therapy management program in all the 30 patients of subacute stage of burn. Conclusion: It was concluded that the early passive range of motion exercises with anti-contractures positing can reduce the amount of scar formation, prevent contractures and increase the quality of physical therapy management in sub-acute stage of burn patients.https://journals.riphah.edu.pk/index.php/jiimc/article/view/810anti-contracture positions, scar formation, passive range of motion exercise (prom) |
| spellingShingle | Muhammad Asadullah, Asghar Khan, Syed Shakil-ur-Rehman, Khalid Farooq Danish, Fozia Sibtain Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients Journal of Islamic International Medical College anti-contracture positions, scar formation, passive range of motion exercise (prom) |
| title | Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients |
| title_full | Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients |
| title_fullStr | Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients |
| title_full_unstemmed | Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients |
| title_short | Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients |
| title_sort | role of early range of motion exercises in reduction of scar formation and prevention of contracture in sub acute stage of burn patients |
| topic | anti-contracture positions, scar formation, passive range of motion exercise (prom) |
| url | https://journals.riphah.edu.pk/index.php/jiimc/article/view/810 |
| work_keys_str_mv | AT muhammadasadullahasgharkhansyedshakilurrehmankhalidfarooqdanishfoziasibtain roleofearlyrangeofmotionexercisesinreductionofscarformationandpreventionofcontractureinsubacutestageofburnpatients |