School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, 4072, Australia; The Royal Brisbane & Women's Hospital, Queensland Health, Butterfield Street, Brisbane, Queensland, 4029, Australia.
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, 4072, Australia; School of Health and Behavioural Sciences, University of the Sunshine Coast, Sippy Downs, Queensland, 4556, Australia.
Burns. 2022 Nov;48(7):1590-1598. doi: 10.1016/j.burns.2021.10.006. Epub 2021 Oct 27.
Emerging evidence suggests that individual levels of sensory sensitivity may impact treatment outcomes for people recovering from burn injuries. For example, individuals with higher levels of sensory sensitivity were less adherent with compression garment wear, often used for scar management. The purpose of this study was to characterise sensory patterns for a sample of burn-injured patients as a cohort, using normative data as the reference. As different patterns of sensory processing can have implications clinically, understanding this at the cohort level may provide valuable insight for therapy.
This was a secondary analysis of data collected during a cross-sectional study. Adults (N = 117) attending the Professor Stuart Pegg Adult Burns Unit outpatient clinic completed the Adolescent/Adult Sensory Profile and the following quantitative sensory tests: two-point discrimination; mechanical detection threshold; and pressure pain threshold.
Compared to matched normative data, burn-injured patients reported higher levels of sensory sensitive and avoiding patterns, and experienced lower detection thresholds for touch and pain.
Higher reports of sensory sensitivity and sensory avoiding, and lower thresholds for touch and pain, have been correlated with tactile defensiveness. Tactile defensiveness has been associated with social withdrawal and isolation, all of which could contribute to decreased engagement in therapy. The ways in which these sensory characteristics impact on burn-related treatments, such as compression garment adherence, warrant further investigation.
新出现的证据表明，个体的感觉敏感性水平可能会影响烧伤康复患者的治疗效果。例如，感觉敏感性较高的个体对压力衣的依从性较低，而压力衣通常用于疤痕管理。本研究的目的是使用规范数据作为参考，对烧伤患者样本的感觉模式进行特征描述。由于不同的感觉处理模式可能具有临床意义，因此在队列水平上了解这一点可能为治疗提供有价值的见解。
这是一项横断面研究中收集数据的二次分析。在 Professor Stuart Pegg 成人烧伤病房就诊的成年人（N=117）完成了青少年/成人感觉量表和以下定量感觉测试：两点辨别阈；机械检测阈值；和压痛阈值。
与匹配的规范数据相比，烧伤患者报告的感觉敏感和回避模式水平较高，触觉和疼痛的检测阈值较低。
感觉敏感性和感觉回避的较高报告，以及触觉和疼痛的较低阈值，与触觉防御有关。触觉防御与社交退缩和孤立有关，所有这些都可能导致治疗参与度降低。这些感觉特征如何影响与烧伤相关的治疗，例如压力衣的依从性，值得进一步研究。
