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

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

doi:10.1016/j.burns.2019.05.003

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

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

Healthy Ageing, Allied Health Care and Nursing

University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences
Association of Dutch Burn Centers
Association of Dutch Burn Centres, Burn Centre, Red Cross Hospital
Association of Dutch Burn Centres, Burn Centre, Maasstad Hospital
Department of Public Health, Erasmus Medical Centre

Research output: Contribution to journal › Article › Academic › peer-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 language	English
Pages (from-to)	1810-1818
Journal	Burns : journal of the International Society for Burn Injuries
Volume	45
Issue number	8
DOIs	https://doi.org/10.1016/j.burns.2019.05.003
Publication status	Published - Dec 2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 03 Good Health and Well-being
SDG 17 Partnerships for the Goals

Keywords

scars
contracture complications
children
burn care

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Healthy Ageing

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Frailty and adequate care

Publinova themes

Other

Access to Document

10.1016/j.burns.2019.05.003

Cite this

Oosterwijk, A. M., Mouton, L. J., Stoop, M. M., Akkerman, M., van Baar, M. E., Scholten-Jaegers, S. M. H., van der Schans, C. P., & Nieuwenhuis, M. K. (2019). Course of prevalence of scar contractures limiting function: a preliminary study in children and adolescents after burns. Burns : journal of the International Society for Burn Injuries, 45(8), 1810-1818. https://doi.org/10.1016/j.burns.2019.05.003

@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 Stoop, \{Matthea M.\} and Moniek Akkerman and \{van Baar\}, \{Margriet E.\} and Scholten-Jaegers, \{Sonja M.H.\} and \{van der Schans\}, \{Cees P.\} and M.K. Nieuwenhuis",

year = "2019",

month = dec,

doi = "10.1016/j.burns.2019.05.003",

language = "English",

volume = "45",

pages = "1810--1818",

journal = "Burns : journal of the International Society for Burn Injuries",

issn = "0305-4179",

publisher = "Elsevier Limited",

number = "8",

}

Oosterwijk, AM, Mouton, LJ, Stoop, MM, Akkerman, M, van Baar, ME, Scholten-Jaegers, SMH, van der Schans, CP & Nieuwenhuis, MK 2019, 'Course of prevalence of scar contractures limiting function: a preliminary study in children and adolescents after burns', Burns : journal of the International Society for Burn Injuries, vol. 45, no. 8, pp. 1810-1818. https://doi.org/10.1016/j.burns.2019.05.003

Course of prevalence of scar contractures limiting function: a preliminary study in children and adolescents after burns. / Oosterwijk, Anouk M.; Mouton, Leonora J.; Stoop, Matthea M. et al.
In: Burns : journal of the International Society for Burn Injuries, Vol. 45, No. 8, 12.2019, p. 1810-1818.

Research output: Contribution to journal › Article › Academic › peer-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 - Stoop, Matthea M.

AU - Akkerman, Moniek

AU - van Baar, Margriet E.

AU - Scholten-Jaegers, Sonja M.H.

AU - van der Schans, Cees P.

AU - Nieuwenhuis, M.K.

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

SN - 0305-4179

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

IS - 8

ER -

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

Abstract

UN SDGs

Keywords

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Publinova themes

Access to Document

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