A clinical study on the evaluation of rehabilitation outcomes in patients with deep hand burns using hand strength monitoring

IF 3.2 3区医学 Q2 CRITICAL CARE MEDICINE Burns Pub Date : 2025-02-03 DOI:10.1016/j.burns.2025.107415

Yaliga Ba , Fang Li , Yongfei Wu , Te Ba , Lingfeng Wang , Shengjun Cao , Quan Li

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Abstract

Background

To provide reference for hand function assessment and treatment effectiveness by measuring changes in muscle strength before and after rehabilitation in patients with deep hand burns.

Methods

Clinical data from 112 patients with deep right hand burns treated at the Third Affiliated Hospital of Inner Mongolia Medical University were collected. Passive Functional Training: hand training was conducted using the continuous passive motion system, once daily for 40 minutes each session. The therapist performed resistance exercises, stretching training, and other motion therapies on the fingers. Specific pressure therapy was applied by the therapist based on the location and shape of the scars. Grip strength and finger to finger strength data of hand burn patients were measured before and after treatment on days 14, 21, 28, 35, 42, 60, 90, and 120 after wound healing. Scores from the Fugl-Meyer hand motor section, Michigan Hand Outcomes Questionnaire (MHQ), Vancouver Scar Scale (VSS), and Visual Analog Scale (VAS) for Pain were recorded before treatment. A two-way ANOVA was employed to evaluate the effects of time and group on rehabilitation outcomes. Pearson and Spearman correlation analysis were employed to explore correlations among variables.

Results

The two-way ANOVA analysis demonstrated significant effects of time, treatment, and their interaction (all P < 0.001). Statistically significant differences in resultant force were observed between pre- and post-treatment at days 21, 28, 35, 42 and 60 ( all P＜0.001). The correlation coefficients between pre-treatment resultant force and Fugl-Meyer and MHQ scores were 0.848 and 0.852, respectively. The correlation coefficient between resultant force and grip strength was 0.899.

Conclusions

Measurement of hand muscle strength after wound healing could serve as a critical index for assessing hand function recovery status.

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.