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Effects of interactive robot-enhanced hand rehabilitation in treatment of paediatric hand-burns: A randomized, controlled trial with 3-months follow-up.

Authors
  • Samhan, Ahmed F1
  • Abdelhalim, Nermeen M2
  • Elnaggar, Ragab K3
  • 1 Department of Physical Therapy, New Kasr El-Aini Teaching Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt; Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Saudi Arabia. Electronic address: [email protected] , (Egypt)
  • 2 Department of Physical Therapy, New Kasr El-Aini Teaching Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt; Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Saudi Arabia. , (Egypt)
  • 3 Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt; Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Saudi Arabia. , (Egypt)
Type
Published Article
Journal
Burns : journal of the International Society for Burn Injuries
Publication Date
Sep 01, 2020
Volume
46
Issue
6
Pages
1347–1355
Identifiers
DOI: 10.1016/j.burns.2020.01.015
PMID: 32057546
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To evaluate the effectiveness of the robotic-assisted exercise with virtual gaming on total active range of motion (ROM) of the digits, hand grip strength (HGS), and hand function in children with hand burns. Thirty-three children with burn caused by thermal injury (flame or scald) with the involvement of the wrist and hand, total body surface area (TBSA) <30%, and age between 6-12 years, were included in this study. The patients were randomly allocated to one of the two groups; control group (n = 16; received 60-min of the traditional hand rehabilitation program, three times per week for two successive months) and experimental group (n = 17; engaged in an additional 20 min of interactive robot-enhanced hand rehabilitation besides the traditional rehabilitation). Outcomes measured were the total active ROM of the digits, HGS, and hand function at three occasions during the study: at the baseline, post-treatment, and 3 months follow-up. In the experimental group, results regarding total active (ROM) of the digits, HGS, and hand function were statistically significant in comparison to the control group either after treatment (P < .05, P = .04, and P = .005) respectively or at the follow-up (P < .05, P = .023, and P = .012) respectively favoring the experimental group. The robot-enhanced exercise with virtual gaming can increase total active ROM of the fingers' digits, improve HGS, and hand function in children with hand burns. Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.

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