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• W2796607041 abstract "Axillary burn contractures are one of the most common functional problems seen by the rehabilitation team and brought to the attention of reconstructive surgeons. Although there are tools to independently evaluate specific aspects of this problem including scars, range of motion, pain, and function; there is not an established method of comprehensively assessing and documenting the status of burns of the axillary region during recovery. The purpose of this study was to design and implement a comprehensive assessment tool utilized by the burn team as a resource during the rehabilitative phase of the axilla. A thorough review of the orthopedic, burn and rehabilitation literature was conducted to determine the current standards as well as options for the assessment of burns to the axilla. The search terms “shoulder” and “axilla” were cross referenced with the terms “range of motion; burn; contractures; function; functional assessment; disability.” An independent search was performed with the terms “scar scale” and “burn.” The results were then evaluated, in the context of burns to the axilla, with the following factors in mind: 1) available information 2) accepted norms as well as standardized assessments 3) common and user friendly methods 4) how comprehensive was the evaluation tool. Once the literature was reviewed, the authors assimilated the information to develop a comprehensive one page assessment tool with the following components: A) demographics with burn injury data B) range of motion C) scar characteristics (VSS) with diagrams D) functional component E) final assessment with recommendations. The reverse side of the printed form provides a key for the parameters for assessment. A hard copy and a writeable PDF form of the axillary burn evaluation was created for use by the burn team as a standard for assessing burns. The latter can be added to the EMR of axillary burn contracture patients.The form has been utilized by therapists in a clinical setting for assessment and rehabilitation treatment planning for axillary contractures. The evaluation form includes a comprehensive assessment that has specific fields with respect to range of motion, classification of deformities/contractures, a diagram of the specific region affected, scar characteristics, functional tests and an outcome questionnaire. This is a comprehensive, all inclusive form that can become a standard tool of management with this type of burn contracture. The creation of this all-inclusive form is important because it will provide a standardized evaluation method, permitting meaningful comparison of the same patient at different time intervals and between different patients. This will hopefully standardize care and facilitate future outcomes research." @default.
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• W2796607041 date "2018-04-01" @default.
• W2796607041 modified "2023-09-26" @default.
• W2796607041 title "334 Comprehensive Clinical Assessment Tool for Axillary Burns" @default.
• W2796607041 doi "https://doi.org/10.1093/jbcr/iry006.256" @default.
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