Course of prevalence of scar contractures limiting function: a preliminary study in children and adolescents after burns

Anouk M. Oosterwijk, Leonora J. Mouton, Moniek Akkerman, Matthea M. Stoop, Margriet E. van Baar, Sonja M.H. Scholten-Jaegers, Cees P. van der Schans, Marianne K. Nieuwenhuis

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Scar contracture is a well-known sequela of burns that is specifically relevant as it may limit function. Reports regarding the course of scar contractures, however, are scarce and, moreover, not focussed on function. This study describes the course of prevalence of scar contractures that limit function in children and adolescents after burns.

METHOD: Range of motion (ROM) of extremity joints of 20 children and adolescents after burns were assessed at discharge (T0) and at six weeks (T1), three months (T2), and six months (T3) after discharge. A scar contracture limiting function was defined as a measured ROM lower than the functional ROM, i.e., ROM used to perform daily activities by unimpaired subjects.

RESULTS: At discharge (T0), 89.5% of the subjects had one or more scar contractures that limited function. Six months later (T3), this prevalence was 76.5%. At discharge (T0), less function limiting scar contractures were found for the upper extremity (29.7%) than the lower extremity (53.3%). Over time, prevalence of contractures in both extremities fluctuated between 22% and 35%.

CONCLUSIONS: The majority of children and adolescents (13/17) still had scar contractures limiting function six months after discharge (T3). Substantial longitudinal studies over a longer period of time are needed to increase our knowledge on the course of these scar contractures in order to support improvements in burn care.

TRIAL REGISTRATION: The study is approved by the Regional Committee for Patient-Oriented Research Leeuwarden in the Netherlands (NL45917.099.13).

Original languageEnglish
Pages (from-to)1810-1818
JournalBurns : journal of the International Society for Burn Injuries
Volume45
Issue number8
DOIs
Publication statusPublished - Dec 2019

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Contracture
Burns
Cicatrix
Articular Range of Motion
Extremities
Upper Extremity
Netherlands
Longitudinal Studies
Lower Extremity
Research

Keywords

  • scars
  • contracture complications
  • children
  • burn care

Cite this

Oosterwijk, Anouk M. ; Mouton, Leonora J. ; Akkerman, Moniek ; Stoop, Matthea M. ; van Baar, Margriet E. ; Scholten-Jaegers, Sonja M.H. ; van der Schans, Cees P. ; Nieuwenhuis, Marianne K. / Course of prevalence of scar contractures limiting function : a preliminary study in children and adolescents after burns. In: Burns : journal of the International Society for Burn Injuries. 2019 ; Vol. 45, No. 8. pp. 1810-1818.
@article{17a46520dc554290832fcee03ff872f3,
title = "Course of prevalence of scar contractures limiting function: a preliminary study in children and adolescents after burns",
abstract = "BACKGROUND: Scar contracture is a well-known sequela of burns that is specifically relevant as it may limit function. Reports regarding the course of scar contractures, however, are scarce and, moreover, not focussed on function. This study describes the course of prevalence of scar contractures that limit function in children and adolescents after burns.METHOD: Range of motion (ROM) of extremity joints of 20 children and adolescents after burns were assessed at discharge (T0) and at six weeks (T1), three months (T2), and six months (T3) after discharge. A scar contracture limiting function was defined as a measured ROM lower than the functional ROM, i.e., ROM used to perform daily activities by unimpaired subjects.RESULTS: At discharge (T0), 89.5{\%} of the subjects had one or more scar contractures that limited function. Six months later (T3), this prevalence was 76.5{\%}. At discharge (T0), less function limiting scar contractures were found for the upper extremity (29.7{\%}) than the lower extremity (53.3{\%}). Over time, prevalence of contractures in both extremities fluctuated between 22{\%} and 35{\%}.CONCLUSIONS: The majority of children and adolescents (13/17) still had scar contractures limiting function six months after discharge (T3). Substantial longitudinal studies over a longer period of time are needed to increase our knowledge on the course of these scar contractures in order to support improvements in burn care.TRIAL REGISTRATION: The study is approved by the Regional Committee for Patient-Oriented Research Leeuwarden in the Netherlands (NL45917.099.13).",
keywords = "scars, contracture complications, children, burn care, brandwonden, littekens, kinderen",
author = "Oosterwijk, {Anouk M.} and Mouton, {Leonora J.} and Moniek Akkerman and Stoop, {Matthea M.} and {van Baar}, {Margriet E.} and Scholten-Jaegers, {Sonja M.H.} and {van der Schans}, {Cees P.} and Nieuwenhuis, {Marianne K.}",
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year = "2019",
month = "12",
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Course of prevalence of scar contractures limiting function : a preliminary study in children and adolescents after burns. / Oosterwijk, Anouk M.; Mouton, Leonora J.; Akkerman, Moniek; Stoop, Matthea M.; van Baar, Margriet E.; Scholten-Jaegers, Sonja M.H.; van der Schans, Cees P.; Nieuwenhuis, Marianne K.

In: Burns : journal of the International Society for Burn Injuries, Vol. 45, No. 8, 12.2019, p. 1810-1818.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Course of prevalence of scar contractures limiting function

T2 - a preliminary study in children and adolescents after burns

AU - Oosterwijk, Anouk M.

AU - Mouton, Leonora J.

AU - Akkerman, Moniek

AU - Stoop, Matthea M.

AU - van Baar, Margriet E.

AU - Scholten-Jaegers, Sonja M.H.

AU - van der Schans, Cees P.

AU - Nieuwenhuis, Marianne K.

N1 - Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

PY - 2019/12

Y1 - 2019/12

N2 - BACKGROUND: Scar contracture is a well-known sequela of burns that is specifically relevant as it may limit function. Reports regarding the course of scar contractures, however, are scarce and, moreover, not focussed on function. This study describes the course of prevalence of scar contractures that limit function in children and adolescents after burns.METHOD: Range of motion (ROM) of extremity joints of 20 children and adolescents after burns were assessed at discharge (T0) and at six weeks (T1), three months (T2), and six months (T3) after discharge. A scar contracture limiting function was defined as a measured ROM lower than the functional ROM, i.e., ROM used to perform daily activities by unimpaired subjects.RESULTS: At discharge (T0), 89.5% of the subjects had one or more scar contractures that limited function. Six months later (T3), this prevalence was 76.5%. At discharge (T0), less function limiting scar contractures were found for the upper extremity (29.7%) than the lower extremity (53.3%). Over time, prevalence of contractures in both extremities fluctuated between 22% and 35%.CONCLUSIONS: The majority of children and adolescents (13/17) still had scar contractures limiting function six months after discharge (T3). Substantial longitudinal studies over a longer period of time are needed to increase our knowledge on the course of these scar contractures in order to support improvements in burn care.TRIAL REGISTRATION: The study is approved by the Regional Committee for Patient-Oriented Research Leeuwarden in the Netherlands (NL45917.099.13).

AB - BACKGROUND: Scar contracture is a well-known sequela of burns that is specifically relevant as it may limit function. Reports regarding the course of scar contractures, however, are scarce and, moreover, not focussed on function. This study describes the course of prevalence of scar contractures that limit function in children and adolescents after burns.METHOD: Range of motion (ROM) of extremity joints of 20 children and adolescents after burns were assessed at discharge (T0) and at six weeks (T1), three months (T2), and six months (T3) after discharge. A scar contracture limiting function was defined as a measured ROM lower than the functional ROM, i.e., ROM used to perform daily activities by unimpaired subjects.RESULTS: At discharge (T0), 89.5% of the subjects had one or more scar contractures that limited function. Six months later (T3), this prevalence was 76.5%. At discharge (T0), less function limiting scar contractures were found for the upper extremity (29.7%) than the lower extremity (53.3%). Over time, prevalence of contractures in both extremities fluctuated between 22% and 35%.CONCLUSIONS: The majority of children and adolescents (13/17) still had scar contractures limiting function six months after discharge (T3). Substantial longitudinal studies over a longer period of time are needed to increase our knowledge on the course of these scar contractures in order to support improvements in burn care.TRIAL REGISTRATION: The study is approved by the Regional Committee for Patient-Oriented Research Leeuwarden in the Netherlands (NL45917.099.13).

KW - scars

KW - contracture complications

KW - children

KW - burn care

KW - brandwonden

KW - littekens

KW - kinderen

U2 - 10.1016/j.burns.2019.05.003

DO - 10.1016/j.burns.2019.05.003

M3 - Article

C2 - 31676251

VL - 45

SP - 1810

EP - 1818

JO - Burns : journal of the International Society for Burn Injuries

JF - Burns : journal of the International Society for Burn Injuries

SN - 0305-4179

IS - 8

ER -