Integumentary: Burns: Rehabilitation

Question 1

Chest wall mobility

Answer 1

• Exercises to promote chest expansion

Question 2

Anti-contracture Rehabilitation

Answer 2

• Starts from day one and continues for many months

Question 3

Anti-contracture Rehabilitation: Anterior Neck

Answer 3

• Common deformity is flexion.
• Therapist should stress hyperextension.
• Position with a firm cervical orthosis.

Question 4

Anti-contracture Rehabilitation: Shoulder

Answer 4

• Common deformity is adduction and internal rotation.
• Therapist should stress abduction, flexion, and external rotation.
• Position with an axillary splint.

Question 5

Anti-contracture Rehabilitation: Elbow

Answer 5

• Common deformity is flexion and pronation.
• Therapist should stress extension and supination
• Position in extension with posterior arm splint.

Question 6

Anti-contracture Rehabilitation: Hand

Answer 6

• Common deformity is claw hand
• Therapist will want to stress:
• Wrist extension with:
• 15 degrees MP flexion
• 70 degrees PIP and DIP extension
• Thumb abduction
• Position in intrinsic plus position with resting hand splint.

Question 7

Anti-contracture Rehabilitation: Hip

Answer 7

• Common deformity is flexion and adduction.
• Therapist should stress hip extension and abduction
• Position in extension, abduction, and neutral rotation

Question 8

Anti-contracture Rehabilitation: Knee

Answer 8

• Common deformity is Flexion
• Therapist should stress: Extension
• Position in extension with posterior knee splint

Question 9

Anti-contracture Rehabilitation: Ankle

Answer 9

• Common deformity is plantarflexion.
• Therapist should stress dorsiflexion
• Position with foot and ankle in neutral with splint pr plastic ankle foot orthosis

Question 10

Edema Control

Answer 10

• Elevation of extremities

- Range of motion

Question 11

Stretching

Answer 11

• Early mobilization

- Take all joints through full passive range of motion