Abstract
Objective: To determine the role of early passive range of motion exercises in the reduction in scar formation and
prevention ofContracture in sub-acute Bum 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 earlypassive 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 Aand B.
Results: The results show that the anti-contracture positioning Wth 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=O.435) with VSS
10
score 10, as assessed at the completion of physical therapy management program in all the 30 patients of sub-
acute stage Of burn
Conclusion: ltwas concludedthatthe early passive range ofmotion exercisesvith 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.
Asghar Khan, Syed Shakil-ur-Rehman, Muhammad Asadullah, Khalid Farooq Danish, Fozia Sibtain. (2013) 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, Volume-8, Issue-1.
-
Views
1037 -
Downloads
96
Article Details
Volume
Issue
Type
Language
