Rehabilitation in adults with burn injury: an overview of systematic reviews.
| Autor: | Al Hanna, Reem, Cofré Lizama, Luis Eduardo, Amatya, Bhasker, Galea, Mary P., Khan, Fary |
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| Předmět: |
HAND physiology
EDEMA prevention DISABILITIES PHYSICAL therapy PSYCHOTHERAPY BURNS & scalds PATIENT safety COST effectiveness EXERCISE STRETCH (Physiology) MUSIC therapy SCARS OCCUPATIONAL therapy ITCHING MUSCLE strength AROMATHERAPY VIRTUAL reality LASER therapy THERAPEUTIC touch ALTERNATIVE medicine PHYSICAL fitness PAIN management QUALITY of life ELECTRIC stimulation ULTRASONIC therapy MASSAGE therapy PHYSICAL activity MEDICAL care costs RANGE of motion of joints EMPLOYMENT reentry AUGMENTED reality ADULTS |
| Zdroj: | Disability & Rehabilitation; Dec2024, Vol. 46 Issue 26, p6266-6287, 22p |
| Abstrakt: | Purpose: To systematically evaluate evidence from published systematic reviews for the effectiveness of rehabilitation interventions in adults with burn injury. Materials and methods: A comprehensive literature review conducted using medical and health science electronic databases up to 31 July 2022. Two independent reviewers selected studies, extracted data, and assessed methodological study quality using A Measurement Tool to Assess Systematic Reviews (AMSTAR-2), and the certainty of evidence for reported outcomes using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool. Results: Twenty-one systematic reviews evaluated five categories of interventions: physical, psychological, technology-aided modalities, educational and occupational programs, complementary and alternative medicine. Outcomes included fitness level, hand function, oedema, pain, pruritus, psychological state, quality of life, range of motion, return to work, strength, scar characteristics, level of impairment and burn knowledge. The methodological quality was rated as "critically low" for all reviews. Quality of evidence for the effectiveness of evaluated interventions ranged from "moderate to very low." Conclusions: Beneficial effects of inhaled aromatherapy and extracorporeal shockwave therapy on pain reduction; inhaled or massage aromatherapy, music therapy on anxiety were reported. Safety of interventions was not evaluated, due to the lack of adverse event reporting in primary studies and the included reviews. IMPLICATIONS FOR REHABILITATION: Burn injury is a leading cause of severe morbidity, and long-term disability, with significant health and economic burden. There is emerging evidence to support the use of complementary and alternative medicine interventions (such as aromatherapy and music therapy) for alleviating anxiety. Extracorporeal shockwave therapy with comprehensive rehabilitation therapy has positive effects on pain reduction. These interventions may be considered as adjunctive tools to enhance burn rehabilitation care and improve patient outcomes. However, further robust studies are required to strengthen the evidence, explore adverse effects and associated cost efficiency. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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