Zhou YQ, Zhou JY, Luo GX, Tan JL. Effects of early rehabilitation in improvement of paediatric burnt hands function. World J Clin Cases 2021; 9(32): 9741-9751 [PMID: 34877313 DOI: 10.12998/wjcc.v9.i32.9741]
Corresponding Author of This Article
Jiang-Lin Tan, MD, PhD, Associate Professor, Doctor, Institute of Burn Research, State Key Laboratory of Trauma, Burns and Combined Injuries, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, The Third Military Medical University (Army Medical University), No. 30 Gao Tanyan Street, Sha Pingba District, Chongqing 400038, China. jianglintan@aliyun.com
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Nov 16, 2021; 9(32): 9741-9751 Published online Nov 16, 2021. doi: 10.12998/wjcc.v9.i32.9741
Table 1 Demographic and medical characteristics of the population
Groups
Within 1 mo
More than 1 mo
P value
Number of patients
26
26
Sex
0.548
Male (n)
19
17
Female (n)
7
9
Age at injury, mean ± SD (yr)
5.35 ± 4.32
5.46 ± 4.33
0.924
Hand injury
0.105
Palm of hand
7
3
Dorsum of hand
2
0
Palm and dorsum of hand
17
23
Etiology (n)
0.188
Scald
9
8
Fire/flame
5
10
Electricity
3
0
Plastic surgery
9
8
Length of stay, mean ± SD (d)
47.65 ± 44.95
27.50 ± 24.75
0.051
Rehabilitation length of stay, mean ± SD (d)
17.96 ± 25.24
22.19 ± 18.65
0.495
time post injury of Rehabilitation, mean ± SD (d)
17.62 ± 5.09
107.58 ± 62.18
0.000
Education level of parents
0.659
Primary school
5
7
Middle school
16
16
college
5
3
Live
0.358
Urban
6
9
Suburban
20
17
Table 2 Severity of total active range of motion limitation by hand joint muscle action before rehabilitation therapy
Groups
≤ 25%
25%-50%
50%-75%
> 75%
Total
Patients within 1 mo after injury
4
9
5
8
26
Patients with more than 1 month after injury
12
4
5
5
26
Total
16
13
10
13
52
Table 3 Total active range of motion of metacarpophalangeal point, proximal interphalangeal point and distal interphalangeal point
Groups
Within 1 mo
More than 1 mo
P value
Pre-rehabilitation therapy
554.04 ± 358.37
752.12 ± 375.55
0.057
Post-rehabilitation therapy
888.85 ± 345.56
901.73 ± 346.38
0.089
P value
0.001
0.142
Table 4 Treatment efficacy of total active range of motion after rehabilitation therapy
Groups
≤ 25%
25%-50%
50%-75%
> 75%
Total
Patients within 1 mo after injury
7 (26.9)
5 (19.2%)
4 (15.4%)
10 (38.5%)
26
Patients with more than 1 mo after injury
18 (69.2%)
3 (11.5%)
1 (3.8%)
4 (15.4%)
26
Total
25
8
5
14
52
Table 5 Ordered logistic analysis of predictors of the treatment efficacy
Variable
B
Exp (B)
SE
P value
95%CI
Male
-0.566
0.568
0.883
0.522
-2.296-1.165
Age
-0.210
0.811
0.147
0.065
-0.056-0.017
Inpatient
3.909
49.849
1.771
0.027
0.439-7.379
Hospital length of stay (d)
-0.091
0.913
0.031
0.003
-0.151-(-0.031)
Time post injury of rehabilitation intervention
-0.038
0.963
0.014
0.007
-0.065-(-0.011)
Rehabilitation (d)
0.130
1.139
0.047
0.005
0.039-0.221
Fire/flame
3.851
47.040
1.519
0.011
0.874-6.829
Electricity
4.591
98.593
1.817
0.012
1.029-8.153
Citation: Zhou YQ, Zhou JY, Luo GX, Tan JL. Effects of early rehabilitation in improvement of paediatric burnt hands function. World J Clin Cases 2021; 9(32): 9741-9751