Range of Motion Following Intraoperative Coban Dressing Application in Hand Burns
| Status: | Terminated |
|---|---|
| Conditions: | Other Indications, Hospital, Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/30/2016 |
| Start Date: | January 2010 |
| End Date: | December 2011 |
Day One Post Operative Range of Motion Following Skin Graft to Hand With Intraoperative Coban Dressing
Participants of this study will include burns requiring skin graft to hand(s). After
informed consent, an occupational therapy evaluation will be performed. Participants will
consent to surgery, in which skin graft will be applied by physician during surgery,
occupational therapy will apply coban dressing. Participant will seen daily by occupational
therapist during hospitalization for active range of motion to hand(s). Occupational
therapist will measure range of motion of hand(s) and physician will assess graft success at
one and four days after surgery and at three out patient clinic visits. Hand strength will
also be measured at three out patient visits.
Does the initiation of range of motion on post operative day kone with coban dressing
improve hand function without compromising graft success?
informed consent, an occupational therapy evaluation will be performed. Participants will
consent to surgery, in which skin graft will be applied by physician during surgery,
occupational therapy will apply coban dressing. Participant will seen daily by occupational
therapist during hospitalization for active range of motion to hand(s). Occupational
therapist will measure range of motion of hand(s) and physician will assess graft success at
one and four days after surgery and at three out patient clinic visits. Hand strength will
also be measured at three out patient visits.
Does the initiation of range of motion on post operative day kone with coban dressing
improve hand function without compromising graft success?
The participant will be evaluated by occupational therapist prior to surgery. The coban
dressing will be applied to the participant's hand(s)during surgery for a skin graft. This
portion will occur whether the participant agrees to participate or not. The participant
will begin range of motion exercises the day after surgery (post operative day one) with and
occupational therapist. The occupational therapist will see the participant daily for
supervised range of motion while in the hospital. The coban dressing will be removed on post
operative day one if a sheet graft is placed to assess bleeding under graft. The coban
dressing will be reapplied and removed again on post operative day four. When a meshed graft
is placed, coban dressing will be removed on post operative day four only. All skin grafts
(meshed and sheet grafts) and range of motion will be assessed on post operative day four.
Coban dressing will be reapplied. The participant will continue range of motion exercise
program at home. An appointment will be scheduled for 3 consecutive weeks in out patient
burn clinic. During clinic visits, skin graft, range of motion, and grip strength will be
measured. The participant will seen in out patient burn clinic whether they choose to
participate in the study or not as a standard of burn care.
dressing will be applied to the participant's hand(s)during surgery for a skin graft. This
portion will occur whether the participant agrees to participate or not. The participant
will begin range of motion exercises the day after surgery (post operative day one) with and
occupational therapist. The occupational therapist will see the participant daily for
supervised range of motion while in the hospital. The coban dressing will be removed on post
operative day one if a sheet graft is placed to assess bleeding under graft. The coban
dressing will be reapplied and removed again on post operative day four. When a meshed graft
is placed, coban dressing will be removed on post operative day four only. All skin grafts
(meshed and sheet grafts) and range of motion will be assessed on post operative day four.
Coban dressing will be reapplied. The participant will continue range of motion exercise
program at home. An appointment will be scheduled for 3 consecutive weeks in out patient
burn clinic. During clinic visits, skin graft, range of motion, and grip strength will be
measured. The participant will seen in out patient burn clinic whether they choose to
participate in the study or not as a standard of burn care.
Inclusion Criteria:
- Less than 15% burn, burn requires skin graft to dorsum of hand, burn involves at
least 2 metacarpophalangeal joints
- 18 and older
Exclusion Criteria:
- Latex allergy
- Documented diagnoses of mental illness that interferes with patients ability to
participate
We found this trial at
1
site
Columbia, Missouri 65212
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