REHABILITATION SERVICES RESIDENT ORIENTATION cont'd
Basic Treatment Procedures
Splinting - Pressure - Positioning - ROM/Strengthening
Static Splint: Have no movable parts and
maintain joint in one position.
ADL's: We provide adaptive equipment as needed, and train patients in achieving maximum independence in performing activities of daily living.
Focus on splinting should be on those motions that
are most difficult to regain:
When a healed burn surface is able to tolerate a minimal shearing force, a tubular bandage or garments can be used. Tubular bandages may be used as an interim compression device or used as a definitive appliance.
Inserts: Due to body makeup, inserts are sometimes necessary to achieve adequate pressure in certain body areas. These devices help to apply even pressure over the scar.
The effectiveness of pressure garments is under evaluation at Shriners Burns Hospital-Galveston. We are conducting a study where patients with small burns are randomized to receive, or not receive, pressure garments after informed consent is obtained. Patients with large burns (> 10% grafted area) will receive pressure only to one extremity vs. no pressure to the contra-lateral extremity. All patients will remain in ace wraps to burned/grafted areas 1 month post-discharge.
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