The degree of joint range of motion limitations after burn injuries during recovery

H J Schouten; Marianne K Nieuwenhuis; M E van Baar; C P van der Schans; P P M van Zuilen; Anuschka Niemeijer

doi:10.1016/j.burns.2021.01.003

The degree of joint range of motion limitations after burn injuries during recovery

H J Schouten
, Marianne K Nieuwenhuis
, M E van Baar
, C P van der Schans
, P P M van Zuilen
, Anuschka Niemeijer

Healthy Ageing, Allied Health Care and Nursing

Association of Dutch Burn Centres, Burn Centre, Red Cross Hospital
Burncentre Beverwijk - Department of Plastic and Reconstructive Surgery
Red Cross Hospital Beverwijk, Department of Physiotherapy
Amsterdam UMC Location Vrije Universiteit, Department of Plastic, Reconstructive and Hand Surgery
The Dutch Working Group on Burn Rehabilitation
University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences
Association of Dutch Burn Centers
Association of Dutch Burn Centres, Burn Centre, Maasstad Hospital
Department of Public Health, Erasmus Medical Centre
University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine
University of Groningen, University Medical Center Groningen, Department of Health Psychology
Martini Hospital, Van Swieten Research Institute
Amsterdam UMC

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

INTRODUCTION: The aim of this study was to determine the degree of ROM limitations of extremities, joints and planes of motion after burns and its prevalence over time.

METHOD: The database of a longitudinal multicenter cohort study in the Netherlands (2011-2012) was used. From patients with acute burns involving the neck, shoulder, elbow, wrist, hip, knee and ankle joints that had surgery, ROM of 17 planes of motion was assessed by goniometry at 3, 6 weeks, 3-6-9 and 12 months after burns and at discharge.

RESULTS: At 12 months after injury, 12 out of 17 planes of motion demonstrated persistent joint limitations. The five unlimited planes of motion were all of the lower extremity. The most severely limited joints at 12 months were the neck, ankle, wrist and shoulder. The lower extremity was more severely limited in the early phase of recovery whereas at 12 months the upper extremity was more severely limited.

CONCLUSION: The degree of ROM limitations and prevalence varied over time between extremities, joints and planes of motion. This study showed which joints and planes of motion should be watched specifically concerning the development of scar contracture.

Original language	English
Pages (from-to)	309-318
Number of pages	10
Journal	Burns : journal of the International Society for Burn Injuries
Volume	48
Issue number	2
DOIs	https://doi.org/10.1016/j.burns.2021.01.003
Publication status	Published - 1 Mar 2022

Keywords

burns
cohort studies
contracture/epidemiology
humans
range of motion, articular
upper extremity

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.2021.01.003

Cite this

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title = "The degree of joint range of motion limitations after burn injuries during recovery",

abstract = "INTRODUCTION: The aim of this study was to determine the degree of ROM limitations of extremities, joints and planes of motion after burns and its prevalence over time.METHOD: The database of a longitudinal multicenter cohort study in the Netherlands (2011-2012) was used. From patients with acute burns involving the neck, shoulder, elbow, wrist, hip, knee and ankle joints that had surgery, ROM of 17 planes of motion was assessed by goniometry at 3, 6 weeks, 3-6-9 and 12 months after burns and at discharge.RESULTS: At 12 months after injury, 12 out of 17 planes of motion demonstrated persistent joint limitations. The five unlimited planes of motion were all of the lower extremity. The most severely limited joints at 12 months were the neck, ankle, wrist and shoulder. The lower extremity was more severely limited in the early phase of recovery whereas at 12 months the upper extremity was more severely limited.CONCLUSION: The degree of ROM limitations and prevalence varied over time between extremities, joints and planes of motion. This study showed which joints and planes of motion should be watched specifically concerning the development of scar contracture.",

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author = "Schouten, \{H J\} and Nieuwenhuis, \{Marianne K\} and \{van Baar\}, \{M E\} and \{van der Schans\}, \{C P\} and \{van Zuilen\}, \{P P M\} and Anuschka Niemeijer",

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doi = "10.1016/j.burns.2021.01.003",

language = "English",

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T1 - The degree of joint range of motion limitations after burn injuries during recovery

AU - Schouten, H J

AU - Nieuwenhuis, Marianne K

AU - van Baar, M E

AU - van der Schans, C P

AU - van Zuilen, P P M

AU - Niemeijer, Anuschka

PY - 2022/3/1

Y1 - 2022/3/1

N2 - INTRODUCTION: The aim of this study was to determine the degree of ROM limitations of extremities, joints and planes of motion after burns and its prevalence over time.METHOD: The database of a longitudinal multicenter cohort study in the Netherlands (2011-2012) was used. From patients with acute burns involving the neck, shoulder, elbow, wrist, hip, knee and ankle joints that had surgery, ROM of 17 planes of motion was assessed by goniometry at 3, 6 weeks, 3-6-9 and 12 months after burns and at discharge.RESULTS: At 12 months after injury, 12 out of 17 planes of motion demonstrated persistent joint limitations. The five unlimited planes of motion were all of the lower extremity. The most severely limited joints at 12 months were the neck, ankle, wrist and shoulder. The lower extremity was more severely limited in the early phase of recovery whereas at 12 months the upper extremity was more severely limited.CONCLUSION: The degree of ROM limitations and prevalence varied over time between extremities, joints and planes of motion. This study showed which joints and planes of motion should be watched specifically concerning the development of scar contracture.

AB - INTRODUCTION: The aim of this study was to determine the degree of ROM limitations of extremities, joints and planes of motion after burns and its prevalence over time.METHOD: The database of a longitudinal multicenter cohort study in the Netherlands (2011-2012) was used. From patients with acute burns involving the neck, shoulder, elbow, wrist, hip, knee and ankle joints that had surgery, ROM of 17 planes of motion was assessed by goniometry at 3, 6 weeks, 3-6-9 and 12 months after burns and at discharge.RESULTS: At 12 months after injury, 12 out of 17 planes of motion demonstrated persistent joint limitations. The five unlimited planes of motion were all of the lower extremity. The most severely limited joints at 12 months were the neck, ankle, wrist and shoulder. The lower extremity was more severely limited in the early phase of recovery whereas at 12 months the upper extremity was more severely limited.CONCLUSION: The degree of ROM limitations and prevalence varied over time between extremities, joints and planes of motion. This study showed which joints and planes of motion should be watched specifically concerning the development of scar contracture.

KW - burns

KW - cohort studies

KW - contracture/epidemiology

KW - humans

KW - range of motion, articular

KW - upper extremity

KW - brandwonden

KW - cohortstudies

KW - contractuur/epidemiologie

KW - mensen

KW - bewegingsbereik, articulair

KW - bovenste ledematen

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DO - 10.1016/j.burns.2021.01.003

M3 - Article

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VL - 48

SP - 309

EP - 318

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

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

IS - 2

ER -

The degree of joint range of motion limitations after burn injuries during recovery

Abstract

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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