The Jebsen-Taylor Hand Function Test and Canadian Occupational Performance Measure (COPM) were considered as primary outcome measurements. Secondary outcomes included total active range of motion (ROM) of the digits, hand grip strength and pinch strengths (tip, palmer and lateral pinch). All measurement was conducted at two occasions: at the baseline and after intervention.
The included participant were children with a deep partial thickness or a full thickness burn induced by either a scaled or a flame thermal burn with involvement of more than 50% of the hand and wrist, total body surface area (TBSA) less than 30% , age ranged from 7 to 14 years, recent discharge of inpatient acute care, spontaneous healing (within 34 weeks) or grafting with split thickness or full-thickness skin grafts (at least before 2 weeks). Children were excluded from this study if they had infection, juvenile arthritis, fracture, tendon injuries, muscle injury, degenerative joint diseases, peripheral nerve diseases, Pre - established psychologically and physically disorders (extreme aphasia, cognitive and developmental deficits that can influence the rehabilitation).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
46
The traditional therapy included immersing the hand in paraffin for 10 min; soft massaging with a moisturizing gel for 5 min; passive mobilization of the wrist, MP, PIP, and DIP joints; active/passive ROM and stretching exercises; strengthening exercises (done in static mode initially and progressed in the second month to dynamic strengthening using elastic bands); desensitizing sensory stimulation of hypertrophic scars, occupational therapy.
The traditional plus Xbox Kinect games were related to five target activities determined according to the person-centered analysis results were chosen for each patient.
The traditional plus the target activities involved training with the materials (clothes, spoons, pencils, buttons, rope, etc) needed for the activity as well as Velcro cylinders, skill cubes, exercise bands, screw sets, therapeutic putty, and tripled coordination tools.
Shorook Physical Therapy Centers
Cairo, Egypt
Jebsen-Taylor Hand Function Test
is an objective and standard method designed to assess the hand's functional abilities
Time frame: baseline
Jebsen-Taylor Hand Function Test
is an objective and standard method designed to assess the hand's functional abilities
Time frame: immediately after the intervention
Duruoz Hand Index
is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items
Time frame: baseline
Duruoz Hand Index
is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items
Time frame: immediately after the intervention
Canadian Occupational Performance Measure
is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.
Time frame: baseline
Canadian Occupational Performance Measure
is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.
Time frame: immediately after the intervention
total active range of motion (ROM) of the digits
The total active ROM was measured by a hand-held steel finger goniometer
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Time frame: baseline
total active range of motion (ROM) of the digits
The total active ROM was measured by a hand-held steel finger goniometer
Time frame: immediately after the intervention
hand grip strength
Grip strength was assessed using a Jamar hydraulic dynamometer
Time frame: baseline
hand grip strength
Grip strength was assessed using a Jamar hydraulic dynamometer
Time frame: immediately after the intervention
pinch strength
pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer
Time frame: baseline
pinch strength
pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer
Time frame: immediately after the intervention