Quantitative postural analysis and pain in children and adolescents victims of burns

Abstract

[Purpose] This study aimed to quantitatively assess postural alignment in both frontal and sagittal planes, as well as pain in children and adolescents victims of burn injuries. [Subjects and Methods] This crosssectional study included 21 victims of burns, nine children (age [mean ± SD], 7.3 ± 1.1 yrs) and 12 adolescents (12,0± 1.4 yrs), classified as medium and large burns, being investigated on pain and postural alignment evaluated by photogrammetry. Pain intensity was assessed by face scales and postural examination included the assessment of global and thoraco-lumbo-pelvic alignment by previously designed protocols. [Results] Only two adolescents reported mild pain associated with burn injuries, whereas deviations of the projection of the gravity center; forward head posture, and scapular asymmetry were observed in both groups. In the analysis of the thoraco-lumbo-pelvic alignment, children tended to have anterior inclination trunk, increased thoracic kyphosis and lumbar lordosis, while in adolescents, increased thoracic kyphosis and lumbar lordosis were observed. [Conclusion] The results indicate that due to the postural alterations and asymmetries in both frontal and sagittal planes, there is an increased risk of developing scoliosis and possible future pain. Thus, physiotherapy is indicated and should be maintained until complete growth is reached.