Outcomes After Deep Full-Thickness Hand Burns

Radha K. Holavanahalli, Phala A. Helm, April R. Gorman, Karen J. Kowalske

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Holavanahalli RK, Helm PA, Gorman AR, Kowalske KJ. Outcomes after deep full-thickness hand burns. Objective: To measure hand-specific functional performance after deep full-thickness dorsal hand burns. Design: Descriptive, cross-sectional study. Setting: The 2005 Phoenix Society's World Burn Congress, Baltimore, MD. Participants: Volunteer sample of burn survivors (N=32) with full-thickness dorsal hand burns with extensor mechanism involvement, who consented to participate. Interventions: Not applicable. Main Outcome Measures: Total active motion of joints, Jebsen-Taylor Hand Function Test (JTHFT), and Michigan Hand Questionnaire (MHQ). Results: Subjects had large burns (mean percentage total body surface area, 58%). Digit involvement was severe, with more than 50% having amputations and 22% with a boutonnière deformity. Forty percent of subjects had poor functional range with total active motion of less than 180°. Scores on the JTHFT were lower than normative scores, and subjects reported most difficulty in performing MHQ activities of daily living (ADLs). Conclusions: Even with partial amputation or loss of extensor mechanisms, the intact flexor muscles facilitate function by allowing for a modified grasp and enable patients to be independent in most ADL tasks. Training programs can be developed to meet specific goals despite residual hand deformities caused by deep full-thickness burns.

Original languageEnglish (US)
Pages (from-to)S30-S35
JournalArchives of Physical Medicine and Rehabilitation
Volume88
Issue number12 SUPPL. 2
DOIs
StatePublished - Dec 1 2007

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Keywords

  • Burns
  • Hand
  • Hand deformities
  • Rehabilitation
  • Treatment outcome

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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