Abstract
Objective
To examine if range of motion of the shoulder treated with paraffin will be better
than that of the shoulder treated with sustained stretch alone.
Design
Pilot randomized controlled trial.
Setting
Regional burn center.
Participants
Patients (N=23) who sustained a burn injury, with a shoulder active abduction and/or
flexion in the +70° to +150° degree range, who were 14 years or older, were receiving
follow-up physical therapy after discharge from hospital, and provided a signed consent
to participate.
Interventions
Group A received sustained stretch and paraffin, and group B received sustained stretch
only. Both groups had 6 sessions of treatment over 2 weeks.
Main Outcome Measures
Active range of motion (AROM) and active-assisted range of motion (AAROM) for shoulder
flexion (SF) and shoulder abduction (SA) were measured before and after each treatment
session.
Results
For pretreatment measurements, only the results for SF AAROM had significant time
effects. For posttreatment measurements, SF AROM and SF AAROM had significant effects
for time. Session 1 was significantly lower than sessions 2, 3, 4, and 6 for both
measures, and additionally, session 1 was significantly lower than session 5 for SF
AAROM. For SA AROM, a group-by-time interaction effect was significant, with scores
for the paraffin group relatively stable across sessions, and the nonparaffin group
had peaks at sessions 3 and 6. There were no significant effects for (1) within-session
changes to examine improvement during a session or (2) presession scores across the
6 sessions showing maintenance of motion. Total change from the first session presession
measurement to the sixth session postsession measurement for the 2 treatment groups
were nonsignificantly different.
Conclusions
As shown in this study, sustained stretching with paraffin may be a valuable adjunct
to range of motion intervention for the shoulder after burn injury.
Keywords
List of abbreviations:
AAROM (active-assisted range of motion), AROM (active range of motion), HEP (home exercise program), ROM (range of motion), SA (shoulder abduction), SF (shoulder flexion)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: September 25, 2019
Footnotes
Supported by the National Institute on Disability and Rehabilitation Research (grant no. H133A70023 ), currently known as the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a center within the Administration for Community Living, US Department of Health and Human Services.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
