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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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A systematic review for effectiveness of hand therapy in adults of burns

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  • presenting/speaker Akihito Yoshida - Department of Rehabilitation, Nagoya University Hospital, Department of Hand Surgery, Nagoya University, Nagoya, Japan
  • Michiro Yamamoto - Department of Hand Surgery, Nagoya University, Nagoya, Japan
  • Katsuyuki Iwatsuki - Department of Hand Surgery, Nagoya University, Nagoya, Japan
  • Shigeru Kurimoto - Department of Hand Surgery, Nagoya University, Nagoya, Japan
  • Hitoshi Hirata - Department of Hand Surgery, Nagoya University, Nagoya, Japan

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1326

doi: 10.3205/19ifssh1569, urn:nbn:de:0183-19ifssh15695

Published: February 6, 2020

© 2020 Yoshida et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Hand function is one of the most important goals in patients with burns. The patients have physical and psychological dysfunctions, disabilities, and difficulties at their works. The purpose of this systematic review was to evaluate effectiveness of hand therapy in patients with burns.

Materials and Methods: Applying the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, we performed a systematic literature search of the PubMed databases with the key words ("burns" AND "rehabilitation" OR "hand therapy"). We included articles from January 1st, 1970, to September 30th, 2018. Inclusion criteria were 1) burn of hand, 2) more than 18-year-old patient, and 3) original article written in English. Exclusion criteria were case reports or case series. For all inclusive articles, we assessed demographic data, burn depth, intervention program, outcome measure, and treatment effect.

Results: A total of 243 articles were screened, yielding 10 studies were eligible for final review. Effective programs were conventional rehabilitation, aromatherapy massage, inhalation aromatherapy, extracorporeal shock wave therapy, Interactive gaming consoles with conventional rehabilitation, motor imagery, positive pressure glove, transcutaneous electrical nerve stimulation, massage therapy, and passive range of motion. These programs showed improvement of pain, itching, range of motion, psychological function such as anxiety, finger movement task, fine motor skill, gross motor skill, total activity time, comprehensive health, and social function. However, some programs did not show treatment effects (interactive gaming consoles with conventional rehabilitation for range of motion, disability, pain, and fear avoidance of movement; motor imagery for pain).

Conclusions: This systematic review showed effectiveness of hand therapy in adults with burns.