Table 1 Common contractures and anti-contracture strategy after burns
Body Part Burned | Common Contractures | Positioning and Splinting strategy |
|---|---|---|
Neck | Flexion | Exercise every day, slightly extension position or splinting |
Shoulder | Adduction | Exercise every day, abduction splints under arms |
Elbow | Flexion or Extension | Exercise every day, alternate positioning strategy of extension and flexion |
Wrist | Flexion or Dorsal Extension | Exercise every day, extension splinting of 20° |
MP(Metacarpal Phalangeal Joint) | Hyperextension | Exercise every day, thumb opposition, 50-70° MCP flexion and IP joints in full extension using functional or anti-contracture splint |
IP(Interphalangeal Joint) | Flexion | |
Hip | Flexion | Exercise every day, fully extended and abducted, prone position if possible |
Knee | Flexion | Exercise every day, extension splint |
Ankle | Planter Flexion | Exercise every day, neutral position with dorsiflexion of 90° |
Metatarsal-Phalangeal Joint | Dorsiflexion | Exercise every day, anti-contracture splint |
Mouth | Microstomia | Exercise every day, mouth splints |
Nostril | Stenosis of Anterior Naris | Appropriate dilator inserted into nostril |