Attempt on standardization of improvement precedures in shoulder gridle burns

INTRODUCTION. The aim of this work is to present improvement procedures in Burn Treatment Center, Siemianowice Śląskie, in patients with shoulder gridle burns. Attempt pf improvement procedures standardization, is supported by studies delve at Burn Treatment Center between year 2005 and 2006. MATERIAL AND METHODS. The material was 14 patients and 17 examination areas i.e. humero- brachial joints. Patients were divided into two study groups: Group A- patients with co-existing axillary fossa burns. Group B- patients with humero-brachial joint burns but without axillary fossa burns The same improvement procedures program was administered to each patient. RESULTS. All patients admitted to the program were treated surgically with free, partial (split)- thickness skin graft. CONCLUSIONS: 1. Presented schema of improvement procedures in shoulder gridle burns allow patient to obtain significant improvement in upper limb mobility range. 2. On every stage of burn illness ignoring rehabilitation recommendations cause many deformations and contractures. 3. For therapeutic rehabilitation , shoulder gridle is a difficult task, and axillary fossa burns shows proclivity to contacture. 4. Thermal wound of humero-brachial joint with co-existing burn of axillary fossa and thorax, are poor prognosis for functional range of upper limb mobility. 5. It is essential to perform exact explanation and realization to the patient how useful physiotherapeutic procedures are, teaching him how to make exercises, how to take care of scar. 6. Therapeutic rehabilitation process, selection of physiotherapeutic methods, forms and means must be stricly adjusted to the lenght of sickness, general physical condition, age and patient’s capability.