Contracture Prevention

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Contraction of scar tissue can lead to decreased Range of Movement (ROM) and reduced performance in functional activities. This page outlines key aspects of contracture prevention and management.

positioning, stretching and exercises, splinting and orthoses application and pressure therapy.

Enquiries

For clarification of information, or to speak with a burns clinician, please contact:

e: burnsunit@alfred.org.au  Attention: Allied health/nursing, VABS

References:
  1. Agency for Clinical Innovation. Burns Rehabilitation Management videos. NSW 2019 ( cited 2018 Aug 20) . Available from URL https://www.aci.health.nsw.gov.au/resources/burn-injury/burn_survivor_rehabilitation/burn_rehabilitation_management_videos.
  2. Edgar, D. (ed.) (2014). Burn Trauma Rehabilitation: Allied Health Practice Guidelines. Philadelphia: PA. Lippincott William & Wilkins.
  3. Dr Rasika Jayasekara RN, BA, BScN(Hons), PGDipEdu, MNSc, MClinSc, PhD. Evidence Summary. Burns Rehabilitation: Exercise. The Joanna Briggs Institute EBP Database, JBI@Ovid. 2016; JBI10423
  4. Goverman J, Mathews K, Goldstein R, Holanahalli R, Kowalske K, Esselmanm P, Gibran N, Suman O, Herndon D, Ryan CM, Schneider JC. Adult Contractures in Burn Injury: A Burn Model System National Database Study. JBCR (internet). 2017 cited Aug 20); 38(1): pages  e328–e336. Available from :  https://doi.org/10.1097/BCR.0000000000000380
  5. Long Khanh Dao Le, B.Pharm, MPH, MHHSM.. Evidence Summary. Neck Burns: Positioning and Splinting. The Joanna Briggs Institute EBP Database, JBI@Ovid. 2016; JBI1687
  6. Stekelenburg CM, Marck RE, Tuinebreijer WE, deVet HC, Ogawa R, van Zuuijlen PP. A Systematic Review on Burn Scar Contracture Treatment: Searching for Evidence. JBCR (internet). 2015(cited May-June); 36(3): e153-e161. Available from: https://doi.org/10.1097/BCR.0000000000000106.Carlijn M. Stekelenburg, MD
  7. Stephanie Obeid, BMedSc (Hons), PhD. Evidence Summary. Burns (Lower Extremity): Positioning and Splinting. The Joanna Briggs Institute EBP Database, JBI@Ovid. 2018; JBI1769.

The following Alfred Health Organisational policy and guidelines were followed by all participants involved in the making of videos;

  • Occupational Health and Safety
  • Hand Hygiene
  • Infection and prevention
  • Manual Handling

The Alfred Hospital gratefully acknowledges the ongoing support and contribution of Skilled Medical in funding this project.  For more information on Skilled Medical, please visit www.skilledmedical.com
Supported by:

Ambulance Victoria The Alfred Victorian Adult Burn Services at The Alfred The Royal Children's Hospital Melbourne