Evaluation of Hand Assessments in Children With Severe Hand Burns

Study Overview
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Brief Summary
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This study is designed to see if some tests of hand movement, strength, and function are valid for children with burns.

Detailed Description
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Children will be given a battery of tests to determine the validity of these measures for children with severe hand burns. The tests include: Pinch and grip strength; Stereognosis; Speed of manipulation using the Nine Hole Peg Test, Box & Blocks Test, and the Moberg Pickup Test; Measurement of Range of Motion of the wrist and fingers.

Official Title
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Evaluation of Hand Assessments in Children With Severe Hand Burns

Conditions
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Burns

Intervention / Treatment
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* Behavioral: Functional hand tests


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Third degree brns to one or both hands All areas closed Age between 5 and 18 years old English or Spanish speaking Exclusion Criteria: Previous hand condition Unable to follow 2 step directions

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: All study participants<br>Children with hand burns | Behavioral: Functional hand tests<br>* Chilren were tested after healed hand burns for functional ability.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blocks & Box (Standardized Test). | Children are asked to move as many blocks as possible from one box to another in one minute. The number of blocks moved is the score. | Baseline | 
| Range of Motion, Total Active Motion (TAM) | Subjects' degrees of hand motion are measured by a trained therapist and recorded. Total Active Motion is a measure of finger range of motion that can be used to predict functional movement of the hand. The TAM is the sum of the degrees of active motion of each of the three joints of the fingers, and two joints of the thumb. For this study we also included wrist motion. Full TAM is 1,455 degrees of motion. | Baseline | 
| Grip Strength | This is a measure of grip strength in pounds using a dynamometer. The subject squeezes the dynamometer as hard as possible for three trials separated by a short rest. The mean of the three trials is the score. | Baseline | 
| Moberg Pickup Test | The child picks up 12 small objects such as a coin, safety pin and paper clip one at a time and puts them in a container. The time in seconds to complete the task is the score. | Seconds to pick up all 12 objects | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hand Burns, Pediatrics