Burns Clinical Trial
Official title:
Day One Post Operative Range of Motion Following Skin Graft to Hand With Intraoperative Coban Dressing
Participants of this study will include burns requiring skin graft to hand(s). After informed
consent, an occupational therapy evaluation will be performed. Participants will consent to
surgery, in which skin graft will be applied by physician during surgery, occupational
therapy will apply coban dressing. Participant will seen daily by occupational therapist
during hospitalization for active range of motion to hand(s). Occupational therapist will
measure range of motion of hand(s) and physician will assess graft success at one and four
days after surgery and at three out patient clinic visits. Hand strength will also be
measured at three out patient visits.
Does the initiation of range of motion on post operative day kone with coban dressing improve
hand function without compromising graft success?
The participant will be evaluated by occupational therapist prior to surgery. The coban dressing will be applied to the participant's hand(s)during surgery for a skin graft. This portion will occur whether the participant agrees to participate or not. The participant will begin range of motion exercises the day after surgery (post operative day one) with and occupational therapist. The occupational therapist will see the participant daily for supervised range of motion while in the hospital. The coban dressing will be removed on post operative day one if a sheet graft is placed to assess bleeding under graft. The coban dressing will be reapplied and removed again on post operative day four. When a meshed graft is placed, coban dressing will be removed on post operative day four only. All skin grafts (meshed and sheet grafts) and range of motion will be assessed on post operative day four. Coban dressing will be reapplied. The participant will continue range of motion exercise program at home. An appointment will be scheduled for 3 consecutive weeks in out patient burn clinic. During clinic visits, skin graft, range of motion, and grip strength will be measured. The participant will seen in out patient burn clinic whether they choose to participate in the study or not as a standard of burn care. ;
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