The effects of splinting on shoulder function in adult burns
Abstract Introduction Exercises are commonly prescribed to improve shoulder range following axillary burns, but the effect of additional splinting is unclear. Aim To compare splinting and exercise to exercise alone in adults with axillary burns. Method Prospective randomised study allocating partici...
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| Veröffentlicht in: | Burns 2012-08, Vol.38 (5), p.638-644 |
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| creator | Kolmus, Alison M Holland, Anne E Byrne, Martin J Cleland, Heather J |
| description | Abstract Introduction Exercises are commonly prescribed to improve shoulder range following axillary burns, but the effect of additional splinting is unclear. Aim To compare splinting and exercise to exercise alone in adults with axillary burns. Method Prospective randomised study allocating participants to a splinting ( n = 27) or no splinting group ( n = 25). Outcomes measured at six and twelve weeks were shoulder abduction and flexion range, quality of life using the Burn Specific Health Scale-Brief (BSHS-B) questionnaire and upper limb function using the Upper Extremity Functional Index (UEFI) and the Grocery Shelving Task (GST). Results At week twelve, there was no difference between groups for shoulder abduction (mean difference 0°, 95% CI −22 to 22°), flexion (mean difference 2°, 95% CI −18 to 23°), BSHS-B (mean difference −2 points, 95% CI −23 to 18 points), UEFI (mean difference −3 points, 95% CI −19 to 14 points) and GST (mean difference −9 s, 95% CI −20 to 3 s). Adherence to splinting decreased from 77% of participants at week one to 16% at week twelve. Conclusion Shoulder splints did not improve clinical outcomes in this study population and low adherence rates suggest splinting may be unacceptable to patients and makes drawing firm conclusions difficult. |
| doi_str_mv | 10.1016/j.burns.2012.01.010 |
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Aim To compare splinting and exercise to exercise alone in adults with axillary burns. Method Prospective randomised study allocating participants to a splinting ( n = 27) or no splinting group ( n = 25). Outcomes measured at six and twelve weeks were shoulder abduction and flexion range, quality of life using the Burn Specific Health Scale-Brief (BSHS-B) questionnaire and upper limb function using the Upper Extremity Functional Index (UEFI) and the Grocery Shelving Task (GST). Results At week twelve, there was no difference between groups for shoulder abduction (mean difference 0°, 95% CI −22 to 22°), flexion (mean difference 2°, 95% CI −18 to 23°), BSHS-B (mean difference −2 points, 95% CI −23 to 18 points), UEFI (mean difference −3 points, 95% CI −19 to 14 points) and GST (mean difference −9 s, 95% CI −20 to 3 s). Adherence to splinting decreased from 77% of participants at week one to 16% at week twelve. Conclusion Shoulder splints did not improve clinical outcomes in this study population and low adherence rates suggest splinting may be unacceptable to patients and makes drawing firm conclusions difficult.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/j.burns.2012.01.010</identifier><identifier>PMID: 22335885</identifier><identifier>CODEN: BURND8</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Axillary burns ; Biological and medical sciences ; Burns ; Burns - rehabilitation ; Combined Modality Therapy ; Critical Care ; Exercise Therapy - methods ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Outcome Assessment (Health Care) ; Patient Compliance ; Prospective Studies ; Quality of Life ; Range of Motion, Articular ; Shoulder function ; Shoulder Joint ; Shoulder splint ; Splints ; Surveys and Questionnaires ; Traumas. Diseases due to physical agents ; Young Adult</subject><ispartof>Burns, 2012-08, Vol.38 (5), p.638-644</ispartof><rights>2012</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-71518e8b36e70b38a6c84faac51ce34d9554602ef7ba74d0b87549a098d05d273</citedby><cites>FETCH-LOGICAL-c444t-71518e8b36e70b38a6c84faac51ce34d9554602ef7ba74d0b87549a098d05d273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.burns.2012.01.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25985781$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22335885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kolmus, Alison M</creatorcontrib><creatorcontrib>Holland, Anne E</creatorcontrib><creatorcontrib>Byrne, Martin J</creatorcontrib><creatorcontrib>Cleland, Heather J</creatorcontrib><title>The effects of splinting on shoulder function in adult burns</title><title>Burns</title><addtitle>Burns</addtitle><description>Abstract Introduction Exercises are commonly prescribed to improve shoulder range following axillary burns, but the effect of additional splinting is unclear. Aim To compare splinting and exercise to exercise alone in adults with axillary burns. Method Prospective randomised study allocating participants to a splinting ( n = 27) or no splinting group ( n = 25). Outcomes measured at six and twelve weeks were shoulder abduction and flexion range, quality of life using the Burn Specific Health Scale-Brief (BSHS-B) questionnaire and upper limb function using the Upper Extremity Functional Index (UEFI) and the Grocery Shelving Task (GST). Results At week twelve, there was no difference between groups for shoulder abduction (mean difference 0°, 95% CI −22 to 22°), flexion (mean difference 2°, 95% CI −18 to 23°), BSHS-B (mean difference −2 points, 95% CI −23 to 18 points), UEFI (mean difference −3 points, 95% CI −19 to 14 points) and GST (mean difference −9 s, 95% CI −20 to 3 s). Adherence to splinting decreased from 77% of participants at week one to 16% at week twelve. Conclusion Shoulder splints did not improve clinical outcomes in this study population and low adherence rates suggest splinting may be unacceptable to patients and makes drawing firm conclusions difficult.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Axillary burns</subject><subject>Biological and medical sciences</subject><subject>Burns</subject><subject>Burns - rehabilitation</subject><subject>Combined Modality Therapy</subject><subject>Critical Care</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Compliance</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Range of Motion, Articular</subject><subject>Shoulder function</subject><subject>Shoulder Joint</subject><subject>Shoulder splint</subject><subject>Splints</subject><subject>Surveys and Questionnaires</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Young Adult</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVFrFDEUhYModlv9BUKZF8GXWW8mySQDVZDSVqHgg_U5ZJIbm-1sZk1mCv33ZrrbCr4YLgTCd3Iu5xDyjsKaAm0_btb9nGJeN0CbNdAy8IKsqJJdTTl0L8kKGIiaU9kdkeOcN1COUPCaHDUNY0IpsSJnN7dYofdop1yNvsq7IcQpxF_VGKt8O86Dw1T5OdoplJcQK-PmYaoerd-QV94MGd8e7hPy8_Li5vxrff396tv5l-vacs6nWlJBFaqetSihZ8q0VnFvjBXUIuOuE4K30KCXvZHcQa-k4J2BTjkQrpHshHzY_7tL4-8Z86S3IVscBhNxnLMucUjZQiegoGyP2jTmnNDrXQpbkx4KtHCt3ujH3fUSmwZaZlGdHgzmfovuWfOUUwHeHwCTrRl8MtGG_JcTnRJS0cJ92nNY4rgPmHS2AaNFF1KJWLsx_GeRz__obekjFMs7fMC8GYuiJK2pzkWjfywNLwXTpnTbtIL9AfZhn5o</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Kolmus, Alison M</creator><creator>Holland, Anne E</creator><creator>Byrne, Martin J</creator><creator>Cleland, Heather J</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>The effects of splinting on shoulder function in adult burns</title><author>Kolmus, Alison M ; Holland, Anne E ; Byrne, Martin J ; Cleland, Heather J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-71518e8b36e70b38a6c84faac51ce34d9554602ef7ba74d0b87549a098d05d273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Axillary burns</topic><topic>Biological and medical sciences</topic><topic>Burns</topic><topic>Burns - rehabilitation</topic><topic>Combined Modality Therapy</topic><topic>Critical Care</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Compliance</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Range of Motion, Articular</topic><topic>Shoulder function</topic><topic>Shoulder Joint</topic><topic>Shoulder splint</topic><topic>Splints</topic><topic>Surveys and Questionnaires</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kolmus, Alison M</creatorcontrib><creatorcontrib>Holland, Anne E</creatorcontrib><creatorcontrib>Byrne, Martin J</creatorcontrib><creatorcontrib>Cleland, Heather J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kolmus, Alison M</au><au>Holland, Anne E</au><au>Byrne, Martin J</au><au>Cleland, Heather J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of splinting on shoulder function in adult burns</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>38</volume><issue>5</issue><spage>638</spage><epage>644</epage><pages>638-644</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><coden>BURND8</coden><abstract>Abstract Introduction Exercises are commonly prescribed to improve shoulder range following axillary burns, but the effect of additional splinting is unclear. Aim To compare splinting and exercise to exercise alone in adults with axillary burns. Method Prospective randomised study allocating participants to a splinting ( n = 27) or no splinting group ( n = 25). Outcomes measured at six and twelve weeks were shoulder abduction and flexion range, quality of life using the Burn Specific Health Scale-Brief (BSHS-B) questionnaire and upper limb function using the Upper Extremity Functional Index (UEFI) and the Grocery Shelving Task (GST). Results At week twelve, there was no difference between groups for shoulder abduction (mean difference 0°, 95% CI −22 to 22°), flexion (mean difference 2°, 95% CI −18 to 23°), BSHS-B (mean difference −2 points, 95% CI −23 to 18 points), UEFI (mean difference −3 points, 95% CI −19 to 14 points) and GST (mean difference −9 s, 95% CI −20 to 3 s). Adherence to splinting decreased from 77% of participants at week one to 16% at week twelve. Conclusion Shoulder splints did not improve clinical outcomes in this study population and low adherence rates suggest splinting may be unacceptable to patients and makes drawing firm conclusions difficult.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22335885</pmid><doi>10.1016/j.burns.2012.01.010</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Analysis of Variance Axillary burns Biological and medical sciences Burns Burns - rehabilitation Combined Modality Therapy Critical Care Exercise Therapy - methods Female Humans Male Medical sciences Middle Aged Outcome Assessment (Health Care) Patient Compliance Prospective Studies Quality of Life Range of Motion, Articular Shoulder function Shoulder Joint Shoulder splint Splints Surveys and Questionnaires Traumas. Diseases due to physical agents Young Adult |
| title | The effects of splinting on shoulder function in adult burns |
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