Changes in Function of the Upper Limb With Physiotherapy

Changes in Function of the Upper Limb With Physiotherapy for Acute Burns: a Pilot Study

This paper describes a pilot clinical study designed to compare changes in ROM, muscle strength and functional recovery of the upper limb during the inpatient treatment period of burn injury.

Study Overview

• Status: Recruiting
• Conditions: Burn of Upper Limb, Except Wrist and Hand

Detailed Description

Patients with burns can face challenges throughout their recovery, including contractures and a reduced range of motion (ROM) in the upper limb (UL), upper and lower limb impairment. Restoring range of motion, muscle strength, and mobility is essential to reduce scarring formation and contractures. The study included 17 patients with unilateral or bilateral superficial, deep partial and full thickness burns to the upper limbs, with or without burns to the upper body, covering 10% or more of the total body surface area

• Study Type: Observational
• Enrollment (Estimated): 17

Contacts and Locations

• Study Contact: Name: Brigita Siparytė-Sinkevičienė; Phone Number: +37068294149; Email: brigita.siparyte@lsmu.lt
• Study Contact Backup: Name: Rytis Rimdeika, Prof; Email: Rytis.Rimdeika@kaunoklinikos.lt

Study Locations

• Lithuania
  • Kaunas, Lithuania
    • Recruiting
    • Brigita Siparytė-Sinkevičienė
    • Contact: Brigita Siparytė-Sinkevičienė; Phone Number: +37068294149; Email: brigita.siparyte@lsmu.lt

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

Patients were invited to participate in the study when they came to the Department of Plastic and Reconstructive Surgery, the Kaunas Clinics, Lithuanian University of Health Sciences, for treatment of burns to the upper limb(s) or upper body. Data for this analysis were collected in 2020-2022.

Description

Inclusion Criteria:

• patients aged 18-69 years
• had burns on the upper limb(s) with or without burns on the upper body
• burns involving ≥ 10% total body surface area (TBSA) with the presence of deep partial thickness or full thickness burns
• who agreed to take part in the study

Exclusion Criteria:

• inability to perform or understand tests
• other injuries (fractures, brain injury)
• central and peripheral nervous system disorders
• amputation
• with burns on the head, hands, feet, and genital area

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Upper limb range of motion	A range of motion assessment evaluates the mobility of the injured joint and assesses the limitations of the range of motion.	Day 0, 7,14,21, 28, 35, more 35 days
Upper limb muscle strength	Assessing muscle strength helps determine how much muscle strength will be lost as a patient heals from a burn injury.	Day 0,14,35, more than 35 days
Pain intensity	The pain rate scale assesses the intensity of pain. A higher score indicates a higher level of pain.	Day 0, 7,14,21, 28, 35, more than 35 days
Activities of daily living	Assessment of daily activity assesses the limitations of your daily activities. Higher scores associated with greater independence in daily activities.	Day 0,14,35, more than 35 days
Functional recovery of the upper limbs	Assesses impairment and activity limitation, as well as a restriction of leisure and work activities due to upper limb dysfunction. A higher score indicates a higher degree of disability.	Day 0,14,35, more than 35 days

Collaborators and Investigators

• Sponsor: Lithuanian University of Health Sciences
• Investigators: Principal Investigator: Rytis Rimdeika, Prof, Lithuania LUHS hospital Kaunas Clinics, Department of Plastic and Reconstructive Surgery

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2020
• Primary Completion (Estimated): September 1, 2024
• Study Completion (Estimated): November 30, 2024

Study Registration Dates

• First Submitted: October 3, 2023
• First Submitted That Met QC Criteria: November 15, 2023
• First Posted (Actual): November 18, 2023

Study Record Updates

• Last Update Posted (Actual): November 18, 2023
• Last Update Submitted That Met QC Criteria: November 15, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: Brigita Siparyte-Sinkeviciene

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No