Impact of Active and Passive Range of Motion Exercises on Contracture Severity among Burn Patients

Abstract

1.ABSTRACT Contractures are a common complication following sever burn injury, and are characterized by a reduction in joint mobility. Aim: was to evaluate the impact of active verses passive range of motion exercises on contracture severity among burn patients. Method: Quasi-experimental pre-test, posttest research design was utilized. The study was conducted in Burn Unit at General Kafrelsheikh Hospital-Kafrelsheikh City-Kafrelsheikh Governorate; affiliated to Ministry of Health, Egypt. A purposive sample of 60 patients was the study sample. The actual time of data collection started from beginning of October 2018 to the May of 2019. Patients were received the routine hospital treatment regimen plus range of motion exercise for each patient at least for one time daily. Tools: Two Tools were used for data collection; tool Ι; Assessment questionnaire sheet, and Tool Π Joint motion measurement scale. Results: A highly statistically significant correlation was found between following active range of motion exercises and joint contractures among the study group (r= 0.624; P = 0.000). Compared with a highly statistically significant correlation between following passive range of motion and joint contracture among the study group (r = 0.811, ;p-value = .000). Conclusion: Despite the frequency of contractures at time of hospital discharge, very few contractures were severe, and this may be emphasized the importance of practicing range of motion exercises during acute hospitalization Recommendations. Early application of range of motion exercise is an important intervention for minimizing contracture in sever burn patients.