To determine the effectiveness of rehabilitation program that included positioning, range of motion (ROM) exercise, pumping exercise, breathing exercise, strengthening exercise, scar massage, positioning, endurance exercise and gait training to improve burn injury and skin grafting condition.
A case report was reviewed in a A 29-year-old male who got rehabilitation program due to struck by fire caused by a machine that exploded and emitted fire then spreaded to his face, stomach, waist, hands and both legs. He was carried out to emergency room and in unconscious condition. He was done for debridement and a split-thickness skin grafting (STSG) on his hands.
After undergoing physical therapy management for one month, the results showed a significant increase in the ROM on wrist, hip, knee and ankle, reduce movement pain (4/10 to 3/10), Vancouver score especially for vascularization (2 to 1), lower limb functional index (9/10 to 8/10), functional Rated Wrist Evaluation (pain;23/50 to 4/50), (functional subscale; 46/50 to a27/50). Conversely, the value of swollen, muscle strength, skin integrity, functional by bartel index did not improve. Conclusions: Physical therapy rehabilitation in burn injury and post skin grafting can increase ROM, pain, vascularization, upper and lower functional abilities.
Physiotherapy rehabilitation in burn injury and post skin grafting can increase ROM, pain, vascularization, upper and lower functional abilities.
Physiotherapy rehabilitation is needed in patient with burn injury and after skin reconstruction to improve the condition of patient and better functional activities.
Burn
Skin grafting
