Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Dec 2007
Physical and psychologic rehabilitation outcomes for young adults burned as children.
To report physical and psychologic outcomes for young adult survivors of pediatric burns. ⋯ Most of the people in this sample were functioning physically and psychosocially within normal limits as they reached adulthood. Although they appeared to function well as measured by standardized assessments, there were indications of private suffering that suggested they may not be functioning at an optimal level. The findings suggest that rehabilitation professionals could improve outcomes by including programs to develop overall muscle strength in severely burned children and by addressing concerns related to anxiety and other symptoms of psychologic distress.
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To measure hand-specific functional performance after deep full-thickness dorsal hand burns. ⋯ Even with partial amputation or loss of extensor mechanisms, the intact flexor muscles facilitate function by allowing for a modified grasp and enable patients to be independent in most ADL tasks. Training programs can be developed to meet specific goals despite residual hand deformities caused by deep full-thickness burns.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled Trial Comparative StudyComparison of the effectiveness of amitriptyline and gabapentin on chronic neuropathic pain in persons with spinal cord injury.
To test the hypotheses that both amitriptyline and gabapentin are more effective in relieving neuropathic pain than an active placebo, diphenhydramine. ⋯ Amitriptyline is more efficacious in relieving neuropathic pain than diphenhydramine at or below the level of spinal cord injury in people who have considerable depressive symptomatology.
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Arch Phys Med Rehabil · Dec 2007
Multicenter Study Comparative StudyAssets and liabilities of the Burn Model System data model: a comparison with the National Burn Registry.
To determine whether the Burn Model System (BMS) population is representative of the larger burn population and to investigate threats to internal and external validity in a multicenter longitudinal database of severe burns. ⋯ Cohort studies examining long-term outcomes have the potential flaw of using a nonrepresentative study population. The BMS population was found to be sufficiently representative, but future analyses will require cautious and purposeful application of statistical adjustment strategies.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled TrialAugmented exercise in the treatment of deconditioning from major burn injury.
To investigate the efficacy of a 12-week exercise program in producing greater improvement in aerobic capacity in adult burn survivors, relative to usual care. ⋯ The aerobic capacity of adult burn survivors can be improved with participation in a structured, 12-week exercise program after injury.