Cowan April C, Stegink-Jansen Caroline W
Shriners Hospital for Children, Department of Rehabilitation Services, 815 Market St, Galveston, TX 77550, United States.
University of Texas Medical Branch, School of Health Professions, Department of Physical Therapy, 301 University Boulevard, Galveston, TX 77555-1144, United States.
Injury. 2013 Mar;44(3):391-6. doi: 10.1016/j.injury.2013.01.015. Epub 2013 Jan 24.
The improved short and long term survival rate of individuals with large burn injuries has made rehabilitation for optimal recovery of the patient increasingly important. Burn injury to the hands worsens the prospect of functional recovery and good quality of life in single events, especially when included in larger burns. The purpose of this paper is to present a narrative review of examination strategies used for children with burn injuries to the hands in the acute, intermediate and long term stages of rehabilitation, and apply these concepts to selected treatments, using a case that is representative of this complex patient population. The model of health described by the World Health Organisation provided the framework for the review, to structure the review in the domains of body structures and body functions, functional activities and participation in life roles. The lack of consensus in the burn literature regarding the most appropriate outcome measures and interventions necessitates futures research and long term outcome studies to identify, predict and prevent the difficulties patients may face over their lifespan.
大面积烧伤患者短期和长期存活率的提高，使得促进患者最佳康复的康复治疗变得越来越重要。手部烧伤会使单次事件中功能恢复和良好生活质量的前景恶化，尤其是在大面积烧伤中。本文的目的是对烧伤康复急性期、中期和长期阶段手部烧伤儿童的检查策略进行叙述性综述，并将这些概念应用于选定的治疗方法，采用一个代表这一复杂患者群体的病例。世界卫生组织描述的健康模型为综述提供了框架，以便在身体结构和身体功能、功能活动以及生活角色参与等领域构建综述。烧伤文献中对于最合适的结局指标和干预措施缺乏共识，这就需要开展未来研究和长期结局研究，以识别、预测和预防患者在其一生中可能面临的困难。
