Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 125 Nashua Street, Boston, MA 02114, USA.
Burns. 2012 Mar;38(2):164-71. doi: 10.1016/j.burns.2011.11.002. Epub 2011 Nov 25.
To examine the effect of inpatient rehabilitation therapy on range of motion, hand function and balance in the burn population.
This study utilizes a prospective longitudinal design. Inclusion criteria are adults admitted to a regional inpatient rehabilitation hospital with a primary diagnosis of burn injury. Demographic and medical data are collected. Primary outcomes include range of motion at four joints (shoulder, elbow, hip, knee), hand function (Jebsen Taylor Hand Test) and balance (Berg Balance Scale). Outcomes are measured at admission and discharge. Students't-test is used to determine significant differences in outcomes from admission to discharge.
Eleven subjects meet inclusion criteria. The mean age is 50 years, rehabilitation length of stay is 35 days and total body surface area burned is 41%. Subjects demonstrate significant improvements in range of motion, hand function and balance from admission to discharge (p<0.05).
Specific functional measures, range of motion, hand function and balance, demonstrate significant improvement during inpatient rehabilitation. Future work is needed to investigate other functional benefits of rehabilitation and to compare the impact of inpatient rehabilitation to other therapeutic interventions.
探讨住院康复治疗对烧伤人群关节活动度、手部功能和平衡的影响。
本研究采用前瞻性纵向设计。纳入标准为因烧伤损伤而被收入区域性住院康复医院的成年人。收集人口统计学和医学数据。主要结果包括四个关节（肩、肘、髋、膝）的关节活动度、手部功能（Jebsen Taylor 手功能测试）和平衡能力（Berg 平衡量表）。在入院和出院时进行测量。采用学生 t 检验来确定从入院到出院的结果是否存在显著差异。
11 名受试者符合纳入标准。平均年龄为 50 岁，康复住院时间为 35 天，体表总面积烧伤为 41%。受试者的关节活动度、手部功能和平衡能力从入院到出院均有显著改善（p<0.05）。
在住院康复期间，特定的功能测量指标，包括关节活动度、手部功能和平衡能力，均有显著改善。未来需要进一步研究康复治疗的其他功能益处，并比较住院康复与其他治疗干预措施的影响。
