The Effect of Proprioceptive Neuromuscular Facilitation and Mirror Therapy on Range of Motion, Pain, Functionality, Kinesophobia and Quality of Life in Patients With Upper Extremity Burns

Study Overview
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Brief Summary
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Purpose of the study; The aim of this study was to investigate the effect of two different exercise programs on joint patency, pain, functionality, kinesophobia and quality of life in upper extremity burn patients. Lütfi Kırdar Training and Research Hospital Burn and Wound Center and unilateral upper extremity burns will consist of individuals aged 18-65 years. 48 burn patients who volunteered to participate in the study will be included in the study. Demographic information of the cases will be recorded. Joint range of motion and pain will be evaluated with the Visual Analogue Scale (VAS) before and after the treatment program. Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to evaluate upper extremity functions. TAMPA Kinezophobia questionnaire will also be used for kinesiophobia. To evaluate the quality of life, Burn-Specific Health Scale developed for burn patients will be used.

Detailed Description
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Joint range of motion of the subjects will be measured with a goniometer. Pain will be evaluated with the Visual Analogue Scale (VAS). In order to evaluate the upper extremity functions, the validity and reliability of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, conducted by Tülin Düger et al. The TAMPA Kinezophobia questionnaire, which has been validated and validated in 2011, will be used for kinesiophobia. The Burn-Specific Health Scale developed for burn patients will be used to evaluate the quality of life. The validity and reliability study of the questionnaire was conducted by Mehmet Adam et al.

Official Title
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The Effect of Proprioceptive Neuromuscular Facilitation and Mirror Therapy on Range of Motion, Pain, Functionality, Kinesophobia and Quality of Life in Patients With Upper Extremity Burns

Conditions
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Burn; Arm

Intervention / Treatment
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* Other: Effect of exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: -18-65 years of age, -the unilateral upper extremity burn, -the understanding of the given information, the application of mirror therapy and the ability to accurately express the level of pain that prevents cognitive, affective and verbal communication There is no problem and no visual impairment, - Turkish reading and writing, - Paralysis, plaster, etc. that will prevent movement in the extremity opposite the burned extremity. to be cognitive enough to understand the surveys, - Agreeing to participate voluntarily in the study - Exclusion Criteria: T.C. Ministry of Health Kartal Lütfi Kırdar Training and Research Hospital Burn and Wound Center treated patients between the ages of 0-18, Burn patients who refused to participate in the study, - Patients with bilateral upper extremity burns

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| proprioceptive neuromuscular facilitation<br>PNF will be applied to randomly selected patients. | Other: Effect of exercise<br>* Once the data are available, we hope to have information about which of the exercise practices included in the rehabilitation program of acute upper extremity burn patients is more effective.<br>|
| Mirror therapy<br>Mirror therapy will be applied to randomly selected patients. | Other: Effect of exercise<br>* Once the data are available, we hope to have information about which of the exercise practices included in the rehabilitation program of acute upper extremity burn patients is more effective.<br>|
| Standart therapy<br>Standard treatment will be applied to randomly selected patients. | Other: Effect of exercise<br>* Once the data are available, we hope to have information about which of the exercise practices included in the rehabilitation program of acute upper extremity burn patients is more effective.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Demographic information | Demographic information of the cases will be recorded.Age, cause of burn, burn zone, burn percentage will be recorded. | 10 minutes | 
| Joint range of motion | The goniometer will measure the range of motion. | 15 minutes | 
| Pain assesment | Pain will be assessed by visual pain scale. | 5 minutes | 
| Functional assesment | Shoulder-Arm Function Questionnaire will be used to evaluate upper extremity functions. | 15 minutes | 
| Fear of Motion | The Tampa Kinesophobia Questionnaire will be used to assess fear of movement. | 10 minutes | 
| Quality of Life Assesment | A scale specific to burn patients will be used to evaluate the quality of life.(Burn Specific Health Scale) | 15 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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burn, physiotherapy