Type of Article : Original Research
Year: 2015 | Volume 3 | Issue 1 | Page No. 832-838
Date of Publication: 11-02-2015
EFFECTS OF BURN ON THE MOBILITY OF UPPER LIMB/S, FUNCTIONS OF HAND /S & ACTIVITIES OF DAILY LIVING
Perera M M N *1, Nanayakkarawasam P P 2, Katulanda P 3.
*1&2 Allied Health Sciences Unit, Faculty of Medicine, University of Colombo, Sri Lanka.
2 Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.
Corresponding author: Perera M M N, Allied Health Sciences Unit, Faculty of Medicine, University of Colombo, Sri Lanka.. E-Mail: email@example.com
Background: Burn is an injury cause destruction of skin and underling tissue. Post burns complications are severe. Objective of this study is to identify the effects on the Active Range of Motion (AROM) of upper limb/s, hand functions and Activities of Daily Living (ADL) who attend the physical therapy department of burns unit.
Methodology: It was a descriptive cross sectional study carried out at out-patient physical therapy department of burns unit of National Hospital of SriLanka (NHSL). Fifty subjects recruited into the study. Interviewer assisted self administered questionnaire Disabilities of Arm, Shoulder,Hand Questionnaire (DASH), AROM of nine movements of shoulder and elbow joints and hand function assessment Signals of Functional, Impairements of hand (SOFI) was used to collect data.
Results: Study results showed that Flame burns were the most common burn type and majority of the victims were females. Study population had affected AROM in almost all the movements at the joint, which had affected to the ADL significantly. “Keeping an object shelf above head” and “engaging in heavy work”, showed significant correlation with movements of shoulder. SOFI score for the right hand showed significant correlation with selected Activities of Daily Living (ADL) (“writing”,” using knife to cut food” opening a jar” etc ;).
Conclusion: patient with burn injury including upper limb joints may encounter disabilities. Even though it is mild AROM restrictions at a joint, This restriction affects to persons’ independency in ADL s. This emphasizes the need of intensive medical care as well as long term physical therapy rehabilitation programme for burns patients.
Limitations: Each subject’s AROM was not measured at their discharge which was already stated to be a limitation.
KEYWORDS: Burns, Activities of Daily living (ADL), Active Range of Motion (AROM)
Maslauskas K, Rimdeika R, Rapoliene J, Ramanauskas T. Analysis of burned hand function (early versus delayed treatment). Medicina (Kaunas), 2005;41(10):846-851.
Schneider JC, Holavanahalli R, Helm P, Goldstein R, Kowalske K. Contractures in burn injury: defining the problem, Journal of Burn care and Research.2006;27(4):508-1 (Accessed on 04.08.2009)
world health organization.Burns,WHO.2010 (available at http://www.who.int/violence _injury_prevention/other_injury/burns/en/index.html) (accessed on 08.07.2010)
Triffitt PD. The Relationship between Motion of the Shoulder and the Stated Ability to Perform Activities of Daily Living. Journal of Bone and Joint Surgery Am, 1998: (80):41-6. (Accessed on 08.07.2010)
Williamson MS, Bagley A, Petuskey K,Takashiba S, Palmieri T. Analysis of Upper Extremity Motion in Children After Axillary Burn Scar Contracture Release, Journal of Burn Care and Research. 2009;30:1002–1006. (Accessed on 15.08.2010)
Palmieri TL, Petuskey K, Baly A, Takashiba S, Greenhagh D G, George T.Rab , Alterations in functional movement after axillary burn scar contracture:A motion analysis study, Journal of burn care rehabilitation. 2003;24:104-108. (Accessed on 20.03.2010.
Perera M M N, Nanayakkarawasam P P, Katulanda P. EFFECTS OF BURN ON THE MOBILITY OF UPPER LIMB/S, FUNCTIONS OF HAND /S & ACTIVITIES OF DAILY LIVING. Int J Physiother Res 2015;3(1):832-838. DOI: 10.16965/ijpr.2014.694