Journal:Journal of Burn Care and Research
Year, Volume, Issue, Page(s):11, 32, 2, 210-223
Study examined the organization and current practices in physical rehabilitation across burn centers. An online survey was used to collect information regarding: (1) logistics of the burn center, (2) inpatient and outpatient treatment of patients with burn injury, and (3) specific protocols in the treatment of a few complications secondary to burn injuries. Of the 159 responses received, 115 were received from the United States, 20 from Australia, 16 from Canada, and 7 from New Zealand. The overall sample included responses from 76 physical therapists (PTs) and 78 occupational therapists (OTs). Seventy-three of those surveyed considered themselves primarily a burn therapist. Nurses (86 percent) were reported as primarily responsible for wound care of inpatients, followed by wound care technicians (24 percent). Ninety-seven percent of the therapists reported following their own treatment plans. The trunk and areas of head and neck were treated by both PTs and OTs, whereas the lower extremities continue to be treated predominantly by PTs. Some common practices regarding treatment of a few complications secondary to burn injuries such as splinting to prevent contractures, treatment of exposed or ruptured extensor tendons, exposed Achilles tendons, heterotopic ossification, postoperative ambulation, conditioning, scar massage, and the use of compression garments are described.