The Effects of Severe Burns on Levels of Activity

Authors

  • Hooman Ghrobani Occupational Therapy Centre, Burn Research Centre, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran
  • Mahnoush Momeni Burn Research Centre, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran
  • Ali Zavareh Guy’s and St Thomas’ Hospitals, NHS Trust, London
  • Mahshid Aghajanzadeh Speech Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran
  • Maryam Roham Burn Research Centre, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran
  • Hamid Karimi Motahari Burn Hospital, Iran University of Medical Sciences, Tehran
  • Hossein Rahbar Burn Research Centre, Iran University of Medical Sciences, Tehran

DOI:

https://doi.org/10.5463/dcid.v28i1.585

Keywords:

Burn, rehabilitation, level of activity

Abstract

Purpose: With the recent advances in medicine, the survival rate of clients with severe burns has improved. This has resulted in greater demand for rehabilitation services. One of the major goals for rehabilitation programmes is to restore these clients to their pre-trauma activity levels. However, there is not much research on the subject.

Methods: Based on their availability, 30 clients with severe burns were selected, who had been discharged from the hospital for periods ranging from 1 month to 1 year.  Interviews were conducted and the participants’ perceptions were recorded regarding changes in their self-care, household chores, professional work, hobbies and recreational activities. Based on the results, 2 independent assessors categorised the activity levels as none, minor, intermediate and severe, in terms of negative effect.

Results: In the self-care category, 8 participants reported no negative effect, 12 reported minor, 4 reported intermediate and 6 reported severe effects. In the household chores category, only 2 clients reported no effect and 13 indicated severe effects on their activities. Of the 21 participants who were working, only 2 reported no change in pre-trauma activities while 11 reported severe changes in their working activity levels. While 5 participants indicated no change in their recreational and leisure activity levels, 6 reported severe changes.

Conclusion: Severe burns reduce clients’ levels of activity in some of the categories. However, they often regain their ability to perform activities at a lower level, depending on the site of burn, burning agent, and having received early rehabilitation pre- and post-discharge. Psycho-social factors, pre- and post- trauma, are also important.

Author Biographies

Hooman Ghrobani, Occupational Therapy Centre, Burn Research Centre, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran

Hooman Ghorbani has an MS degree in Occupational Therapy and works a Hand Therapist in Motahary Burn Hospital, Iran.

Mahnoush Momeni, Burn Research Centre, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran

Dr Mahnoush Momeni specialized in General Surgery from Tehran Medical University in 2003 and has been working in the Burn and Trauma Center with the plastic surgery team ever since. She is involved in research about burns, wounds and plastic surgery. She is also a member of Burn Research Center at Iran Medical University

Ali Zavareh, Guy’s and St Thomas’ Hospitals, NHS Trust, London

Dr Alireza Zavareh is a Consultant Radiologist at Guy's and St Thomas' Hospital. He is a sub-specialist in Musculoskeletal Radiology and his interests are in imaging of sports injuries and image-guided MSK interventions. He believes in the huge potential of physiotherapy led management of musculoskeletal injuries.

Mahshid Aghajanzadeh, Speech Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran

Mahshid Aghajanzadeh has a PhD degree in Speech and Language Therapy and works as a researcher in University of Social Welfare and Rehabilitation Science, Tehran, Iran

Maryam Roham, Burn Research Centre, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran

Dr Maryam Roham is an Infectious Disease Specialist. She works in the Burn and Trauma Center at Motahari Burn Hospital. She is a member of the Iran University Burn Research Center.

Hamid Karimi, Motahari Burn Hospital, Iran University of Medical Sciences, Tehran

Dr Hamid Karimi is certified in both General Surgery and Plastic Surgery. He is an active member of American Society of Plastic Surgeons (ASPS), International Society of Aesthetic Plastic Surgery (ISAPS) and International Society of Plastic and Reconstructive Surgery.

He is also a member of the editorial board in PRS-GO journal, MRJMMS and JAD journal. He has 21 years teaching experience in academic medical hospitals.

His field of interests are Plastic and Reconstructive surgery, burn reconstruction, facelift, chemical peeling, rhinoplasty, maxillofacial, cleft lip and palate surgery.

Hossein Rahbar, Burn Research Centre, Iran University of Medical Sciences, Tehran

Dr Hossein Rahbar works as Pediatrician since 2002. He has researched in burn and internal medicine. He is a member of Burn Research Center

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Published

2017-05-23

How to Cite

1.
Ghrobani H, Momeni M, Zavareh A, Aghajanzadeh M, Roham M, Karimi H, Rahbar H. The Effects of Severe Burns on Levels of Activity. DCIDJ [Internet]. 2017 May 23 [cited 2024 Sep. 8];28(1):178-8. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/253

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Section

Original Research Articles