• Anouk M Oosterwijk, Leonora J Mouton, Moniek Akkerman, Matthea M Stoop, van Baar Margriet E ME Association of Dutch Burn Centres, Burn Centre, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands; Department of Public Health,, Sonja M H Scholten-Jaegers, Cees P van der Schans, and Marianne K Nieuwenhuis.
• Hanze University Groningen, University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, Petrus Driessenstraat 3, 9714 CA Groningen, The Netherlands; Association of Dutch Burn Centres, Burn Centre Groningen, Martini Hospital, Van Swietenplein 1, 9728 NT Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Hanzeplein 1, 9713 GZ Groningen, The Netherlands. Electronic address: a.m.oosterwijk@pl.hanze.nl.
• Burns. 2019 Dec 1; 45 (8): 1810-1818.

BackgroundScar contracture is a well-known sequela of burns that is specifically relevant as it may limit function. Reports regarding the course of scar contractures, however, are scarce and, moreover, not focussed on function. This study describes the course of prevalence of scar contractures that limit function in children and adolescents after burns.MethodRange of motion (ROM) of extremity joints of 20 children and adolescents after burns were assessed at discharge (T0) and at six weeks (T1), three months (T2), and six months (T3) after discharge. A scar contracture limiting function was defined as a measured ROM lower than the functional ROM, i.e., ROM used to perform daily activities by unimpaired subjects.ResultsAt discharge (T0), 89.5% of the subjects had one or more scar contractures that limited function. Six months later (T3), this prevalence was 76.5%. At discharge (T0), less function limiting scar contractures were found for the upper extremity (29.7%) than the lower extremity (53.3%). Over time, prevalence of contractures in both extremities fluctuated between 22% and 35%.ConclusionsThe majority of children and adolescents (13/17) still had scar contractures limiting function six months after discharge (T3). Substantial longitudinal studies over a longer period of time are needed to increase our knowledge on the course of these scar contractures in order to support improvements in burn care.Trial RegistrationThe study is approved by the Regional Committee for Patient-Oriented Research Leeuwarden in the Netherlands (NL45917.099.13).Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

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