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PHYSIOTHERAPY IN
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Burn  Injuries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Skin ,[object Object],[object Object],[object Object],[object Object],[object Object]
Skin ,[object Object],[object Object],[object Object],[object Object]
Skin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Skin ,[object Object],[object Object],[object Object],[object Object]
Skin   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF BURNS
Burn Classification - Depth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Superficial
[object Object],[object Object],[object Object],[object Object],[object Object],Superficial Partial-Thickness
Blistering or easily unroofed burns which are wet or waxy dry, and are painful to pressure.  Their color may range from patchy, cheesy white to red, and they do not blanch with pressure.  They take over 21 days to heal and scarring may be severe. It is sometimes difficult to differentiate these burns from full-thickness burns. Deep Partial-Thickness
Burns which cause the skin to be waxy white to a charred black a Burns which cause the skin to be waxy white to a charred black and tend to be painless. Healing is very slow, if at all, and may require skin grafting.  Severe scarring usually occurs
 
 
Burn Classifications
Burn Classifications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burn Classifications ,[object Object]
Burn Classifications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burn Classifications ,[object Object]
Burn Classifications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burn Classifications ,[object Object]
 
 
BURN ASSESSMENT
BURN ASSESSMENT
Body Surface Area Estimation
 
Burn Patient Severity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burn Patient Severity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burn Criteria
Critical Burn Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Moderate Burn Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object]
Minor Burn Criteria ,[object Object],[object Object],[object Object],[object Object]
 
Pathophysiology of Burn Injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thermal Burn Injury Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thermal Burn Injury Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thermal Burn Injury Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPLICATIONS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychological changes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychiatric complications ,[object Object],[object Object],[object Object],[object Object]
Electrical Burns
Electrical Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Burns ,[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Burn Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Burn Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Any patient with an electrical  burn  regardless of how trivial it looks needs to go to the hospital.  There is no way to tell how bad the burn is on the inside by the way it looks on the outside.
Pediatric Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Geriatric Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WOUND IFECTION/SEPSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WOUND HEALING ,[object Object],[object Object],[object Object]
WOUND DEBRIDEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
WOUND DRESSINGS ,[object Object],[object Object],[object Object]
Assessment & Management
HYPOVOLAEMIC SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SEPTIC SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object]
SKIN ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
PHYSIOTHERAPY MANAGEMENT
POSITIONING AND SPLINTING ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
General Body Positioning for Prevention of Contractures
Burn Patient Positioning: Body Area Contracture Predisposition Preventive Positioning *Neck Flexion Extension /Hyper ext. * Anterior Axilla Shoulder Adduction Shoulder Adduction * Antecubital space Elbow flexion Elbow Extension * Forearm Pronation Supination * Wrist Flexion Extension- 30 o Dorsal/hand/finger MCP Hyper extension IP Flexion, thumb adduction MCP Flexion-80 o , IF Extension, thumb palmar abduction * Palmar hand/finger Finger flexion, thumb opposition Finger extension thumb radial abduction Hip Flexion, adduction external rotation Extension, abduction neutral rotation * Knee Flexion Extension * Ankle Planter flexion Dorsiflexion * Dorsal toes Hyperextension Flexion * Planter toes Flexion Extension
splints ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Fig. (8): Spinal Support Brace.
Thumb Web Spacer
Spreader Bar Attached to Knee Gutter Extension.
Positioning Techniques in Edema Control ,[object Object]
contracture ,[object Object]
Burn Scars - Keloid
Burn Scars - Hypertrophic
Burn Scars - Contracture
Burn Scars - Contracture
Skin Graft Scars
SCAR MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONTRACTURE MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vocational Limitations ,[object Object],[object Object],[object Object],[object Object]
Rehabilitation Burn Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Physiotherapy in burns

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  • 16. Blistering or easily unroofed burns which are wet or waxy dry, and are painful to pressure. Their color may range from patchy, cheesy white to red, and they do not blanch with pressure. They take over 21 days to heal and scarring may be severe. It is sometimes difficult to differentiate these burns from full-thickness burns. Deep Partial-Thickness
  • 17. Burns which cause the skin to be waxy white to a charred black a Burns which cause the skin to be waxy white to a charred black and tend to be painless. Healing is very slow, if at all, and may require skin grafting. Severe scarring usually occurs
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  • 31. Body Surface Area Estimation
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  • 56. Any patient with an electrical burn regardless of how trivial it looks needs to go to the hospital. There is no way to tell how bad the burn is on the inside by the way it looks on the outside.
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  • 72. General Body Positioning for Prevention of Contractures
  • 73. Burn Patient Positioning: Body Area Contracture Predisposition Preventive Positioning *Neck Flexion Extension /Hyper ext. * Anterior Axilla Shoulder Adduction Shoulder Adduction * Antecubital space Elbow flexion Elbow Extension * Forearm Pronation Supination * Wrist Flexion Extension- 30 o Dorsal/hand/finger MCP Hyper extension IP Flexion, thumb adduction MCP Flexion-80 o , IF Extension, thumb palmar abduction * Palmar hand/finger Finger flexion, thumb opposition Finger extension thumb radial abduction Hip Flexion, adduction external rotation Extension, abduction neutral rotation * Knee Flexion Extension * Ankle Planter flexion Dorsiflexion * Dorsal toes Hyperextension Flexion * Planter toes Flexion Extension
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  • 79. Fig. (8): Spinal Support Brace.
  • 81. Spreader Bar Attached to Knee Gutter Extension.
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  • 84. Burn Scars - Keloid
  • 85. Burn Scars - Hypertrophic
  • 86. Burn Scars - Contracture
  • 87. Burn Scars - Contracture
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Notas del editor

  1. 07/16/96 4## * *
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  3. 07/16/96 6## * *