Physiotherapy in burns

[Dr.Mansi]

Hello friends,

I am going to be in Burns Unit for almost 1 month within 5 days, i require your help in suggesting some common clinical guidelines, burn assessment, preventions, indications, precautions, and mainly common treatments.

Thank u in advance......

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[gcoe]

Hi DrMansi

I had a quick look at PEDro and EBM sites and there seems to be very little out there: no systematic review or clinical guidelines for physiotherapy. Rather surprising. There are a number of trials but it sounds like you could do with some good summary information.

I did manage to find a guideline put out by Australian and NZ Burns Association that covers Allied health care for the rehabilitation of burns and it looks like it is worth a read:

Burn Survivor Rehabilitation:
Principles and Guidelines for the Allied Health Professional
Allied Health Forum
Australian and New Zealand Burn Association (ANZBA)
Updated and adapted from ANZBA Occupational Therapist and Physiotherapist
Principles and Guidelines : March 2007

You can download it as a PDF from:

http://www.anzba.org.au/files/docume...007%284%29.pdf

I hope this is of help

[Dr.Mansi]

I appreciate GCOE's help............. but i think it is in quite detail............... but after a lot of search...... i found......... following article..... which i think..........covers each and every aspect in brief.

Burn Rehabilitation: eMedicine Physical Medicine and Rehabilitation

it did help me...but i will surely go through the book which u have sent.......

Thanks anyway...

Dr. Mansi

[BLAKEH]

I have a new 20 year old female patient with severe neck and upper body burns; grafting is complete and mostly healed. She has significant axillary, neck, and elbow contractures. Any input is appreciated.

[gcoe]

Hi Blakeh

I am not a burns therapist however I found the guideline in the my post above quite helpful in patients I have come into contact with. My understanding is that in order to be effective splinting and positioning is all important but there are lots of potential hazards with their application that you have to be aware of. these techniques are considered helpful for the first 6 months but after that it is not so useful.

the link above doesn't work any more but this should work:

http://www.anzba.org.au/phocadownloa...guidelines.pdf

Perhaps there are some more knowledgeable burns/plastics physios out there who could give advice?

[nancyd589]

Hi Blakeh

I am not a burns therapist however I found the guideline in the my post above quite helpful in patients I have come into contact with. My understanding is that in order to be effective splinting and positioning is all important but there are lots of potential hazards with their application that you have to be aware of. these techniques are considered helpful for the first 6 months but after that it is not so useful.

the link above doesn't work any more but this should work:

http://www.anzba.org.au/phocadownloa...guidelines.pdf

Perhaps there are some more knowledgeable burns/plastics physios out there who could give advice?

Such a very amazing link!
Thanks you for the post.



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[utsab]

i need a article for my project work can any one help meh for that .my topic is "comparative study of trademill trainning versus conventional gait trainning in post stroke patient