Clinical trial NCT06198062: Effects of Paraffin Wax Therapy vs METs in Post Burn Hand Contractures
Official title: Effects of Paraffin Wax Bath Therapy With and Without Muscle Energy Technique in Children With Post Burn Hand Contracture
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Contracture, Hand
Keywords: Paraffin wax
METS
Contracture
Burn
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-01-10
Enrollment: 30
Sex: ALL
Minimum age (years): 4
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This will be randomized control trail to see effects of Paraffin wax bath therapy with and without muscle energy technique in children with post burn hand contracture
Primary purpose: TREATMENT

Brief summary: The degree of the burn and the rate of scar development during healing are the main determinants of loss of hand function following thermal injury. Compared to adults, managing these injuries in children presents unique challenges due to three factors: (I) children's thin hand skin makes it difficult to protect deep hilar structures; (II) rapid growth of the hand and fingers in the second and third years of life can cause contusion scar deformity; and (III) treatment is frequently challenging due to the young child's lack of cooperation. The manual technique known as Muscle Energy Technique (MET) primarily targets the soft tissues, although it also has significant effects on the muscles. Osteopaths and is currently utilized by a variety of manual therapy professions as a contribution to joint mobilization. This method is also known as the active muscular relaxation technique or the muscle energy technique. Exercise is necessary to maintain mobility, which in turn depends on overcoming dryness and decreased suppleness of the scar tissue across the joint, which in turn depends on preventing joint stiffness. Heat therapy for the relief of joint pain and stiffness was established using paraffin and prolonged stretching. When used as a treatment method, paraffin wax is heated to a temperature between 115 and 118 degrees.

Detailed description: The degree of the burn and the rate of scar development during healing are the main determinants of loss of hand function following thermal injury. Compared to adults, managing these injuries in children presents unique challenges due to three factors: (I) children's thin hand skin makes it difficult to protect deep hilar structures; (II) rapid growth of the hand and fingers in the second and third years of life can cause contusion scar deformity; and (III) treatment is frequently challenging due to the young child's lack of cooperation. The manual technique known as Muscle Energy Technique (MET) primarily targets the soft tissues, although it also has significant effects on the muscles. Osteopaths and is currently utilized by a variety of manual therapy professions as a contribution to joint mobilization. This method is also known as the active muscular relaxation technique or the muscle energy technique. Exercise is necessary to maintain mobility, which in turn depends on overcoming dryness and decreased suppleness of the scar tissue across the joint, which in turn depends on preventing joint stiffness. Heat therapy for the relief of joint pain and stiffness was established using paraffin and prolonged stretching. When used as a treatment method, paraffin wax is heated to a temperature between 115 and 118 degrees.

It will be randomized controlled trail. In which convenient sampling technique will be used. Two groups will be formed in which participants will be divided by lottery method. Group A will be treated by paraffin wax bath therapy and Group B treated by paraffin wax bath therapy with muscle energy technique. The result after statistical analysis will either show this intervention is effective or not. Result will be analyzed on SPSS

Eligibility criteria: Inclusion Criteria

* Child with age 4 to 12 yrs
* Mild and moderate type of contracture
* Loss up to one third and two third of ranges
* Recently healed wounds to be sure that no open area exist
* Post burn contracture
* Without fragile blistering

Exclusion Criteria

* Severe type of contractures
* Loss of more than two-third of ranges
* Any spinal cord injuries
* Children with rigid spastic contractures
* Contractures other than burn
* Wounds that have open area and risk of bleeding occurs

Primary outcomes:
measure: Goniometer
timeFrame: 6 weeks
measure: ABILHAND-kids Questionnaires
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah international university
Study officials:
affiliation: Riphah International University
name: Aiman Arif, MS*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Riaz HM, Ashraf Cheema S. Paraffin wax bath therapy versus therapeutic ultrasound in management of post burn contractures of small joints of hand. Int J Burns Trauma. 2021 Jun 15;11(3):245-250. eCollection 2021.