Evaluation of Hand Assessments in Children With Severe Hand Burns

Massachusetts General Hospital3 enrolled

Overview

This study is designed to see if some tests of hand movement, strength, and function are valid for children with burns.

Children will be given a battery of tests to determine the validity of these measures for children with severe hand burns. The tests include: * Pinch and grip strength; * Stereognosis; * Speed of manipulation using the Nine Hole Peg Test, Box \& Blocks Test, and the Moberg Pickup Test; * Measurement of Range of Motion of the wrist and fingers.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Burns

Interventions

Functional hand testsBEHAVIORAL

Chilren were tested after healed hand burns for functional ability.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Third degree brns to one or both hands * All areas closed * Age between 5 and 18 years old * English or Spanish speaking Exclusion Criteria: * Previous hand condition * Unable to follow 2 step directions

Locations (1)

Shriners Hospitals for Children - Boston

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

Blocks & Box (Standardized Test).

Children are asked to move as many blocks as possible from one box to another in one minute. The number of blocks moved is the score.

Time frame: Baseline

Range of Motion, Total Active Motion (TAM)

Subjects' degrees of hand motion are measured by a trained therapist and recorded. Total Active Motion is a measure of finger range of motion that can be used to predict functional movement of the hand. The TAM is the sum of the degrees of active motion of each of the three joints of the fingers, and two joints of the thumb. For this study we also included wrist motion. Full TAM is 1,455 degrees of motion.

Time frame: Baseline

Grip Strength

This is a measure of grip strength in pounds using a dynamometer. The subject squeezes the dynamometer as hard as possible for three trials separated by a short rest. The mean of the three trials is the score.

Time frame: Baseline

Moberg Pickup Test

The child picks up 12 small objects such as a coin, safety pin and paper clip one at a time and puts them in a container. The time in seconds to complete the task is the score.

Time frame: Seconds to pick up all 12 objects

Data from ClinicalTrials.gov

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