Clinical trial NCT01027520: Range of Motion Following Intraoperative Coban Dressing Application in Hand Burns
Official title: Day One Post Operative Range of Motion Following Skin Graft to Hand With Intraoperative Coban Dressing
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Burns
Hand Injuries
Keywords: Hand burn
skin graft
coban dressing
range of motion
Lead sponsor: University of Missouri-Columbia
Sponsor class: OTHER
First posted: 2009-12-08
Enrollment: 6
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Participants of this study will include burns requiring skin graft to hand(s). After informed consent, an occupational therapy evaluation will be performed. Participants will consent to surgery, in which skin graft will be applied by physician during surgery, occupational therapy will apply coban dressing. Participant will seen daily by occupational therapist during hospitalization for active range of motion to hand(s). Occupational therapist will measure range of motion of hand(s) and physician will assess graft success at one and four days after surgery and at three out patient clinic visits. Hand strength will also be measured at three out patient visits.

Does the initiation of range of motion on post operative day kone with coban dressing improve hand function without compromising graft success?

Detailed description: The participant will be evaluated by occupational therapist prior to surgery. The coban dressing will be applied to the participant's hand(s)during surgery for a skin graft. This portion will occur whether the participant agrees to participate or not. The participant will begin range of motion exercises the day after surgery (post operative day one) with and occupational therapist. The occupational therapist will see the participant daily for supervised range of motion while in the hospital. The coban dressing will be removed on post operative day one if a sheet graft is placed to assess bleeding under graft. The coban dressing will be reapplied and removed again on post operative day four. When a meshed graft is placed, coban dressing will be removed on post operative day four only. All skin grafts (meshed and sheet grafts) and range of motion will be assessed on post operative day four. Coban dressing will be reapplied. The participant will continue range of motion exercise program at home. An appointment will be scheduled for 3 consecutive weeks in out patient burn clinic. During clinic visits, skin graft, range of motion, and grip strength will be measured. The participant will seen in out patient burn clinic whether they choose to participate in the study or not as a standard of burn care.

Eligibility criteria: Inclusion Criteria:

* Less than 15% burn, burn requires skin graft to dorsum of hand, burn involves at least 2 metacarpophalangeal joints
* 18 and older

Exclusion Criteria:

* Latex allergy
* Documented diagnoses of mental illness that interferes with patients ability to participate

Primary outcomes:
measure: hand function(range of motion, grip and pinch strength)
timeFrame: post operative day four, first, second and third clinic visits
Secondary outcomes:
measure: graft success
timeFrame: post operative day 4 and first, second and third clinic visits
Other outcomes:
Locations:
city: Columbia
country: United States
facility: University of Missouri Health Care - George David Peak Memorial Burn Center
state: Missouri
Study officials:
affiliation: University of Missouri-Columbia
name: Catherine L Barrow, BS OT
role: PRINCIPAL_INVESTIGATOR
References: