Orofacial contracture management outcomes following partial thickness facial burns

Clayton, N. A., Ward, E. C. and Maitz, P. K. M. (2015) Orofacial contracture management outcomes following partial thickness facial burns. Burns, 41 6: 1291-1297. doi:10.1016/j.burns.2015.02.015

Author Clayton, N. A.
Ward, E. C.
Maitz, P. K. M.
Title Orofacial contracture management outcomes following partial thickness facial burns
Journal name Burns   Check publisher's open access policy
ISSN 1879-1409
Publication date 2015-09-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.burns.2015.02.015
Open Access Status Not Open Access
Volume 41
Issue 6
Start page 1291
End page 1297
Total pages 7
Place of publication Kidlington, Oxford United Kingdom
Publisher Pergamon Press
Language eng
Formatted abstract
Purpose:  To examine clinical outcomes following non-surgical exercise for contracture management post partial thickness orofacial burn.

Methods:   A cohort of 229 patients with partial thickness orofacial burn was recruited over 3 years. Orofacial contracture management combining exercise and stretching was initiated within 48 h of admission and continued until functional goals were consistently achieved. A second cohort of 120 healthy controls was recruited for normative comparison. Vertical and horizontal mouth opening measures were recorded at the start and completion of orofacial intervention for patients and once only for controls.

Results:   At commencement of intervention, participants with orofacial burns had significantly (p < 0.001) reduced vertical and horizontal mouth opening. Treatment duration averaged 30.7 days (SD = 52.3). Post treatment significant (p < 0.001) improvements in vertical and horizontal opening were noted. At treatment conclusion, a significant (p < 0.01) difference remained between the burns cohort and control group for vertical mouth opening, though horizontal mouth opening was now statistically comparable to the controls.

Conclusion:  This study supports positive outcomes following orofacial contracture management for patients with partial thickness orofacial burn. Despite this, some functional loss remained with patients demonstrating persistent reduced vertical mouth opening at conclusion of treatment compared to their healthy counterparts.
Keyword Burns
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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