Physical therapy in infants and preschool children with burns: retrospective descriptive study
Takino, Mikelini Ayumi; Itakussu, Edna Yukimi; Trelha, Celita Salmaso; Valenciano, Paola Janeiro; Fujisawa, Dirce Shizuko
Abstract
Introduction: Burns are traumatic injuries that occur due to external events, and particularities of pediatric patients make it more serious condition. Physical therapy is essential to the recovery of children victims of burns and it should be started early during hospitalization. Objective: Define initial and final physical therapy care in children victims of burns, during the period of hospitalization, in a Burn Treatment Centers (BTC). Methods: Retrospective and descriptive study by means of gathering information in medical records of children victims of burns, convenience sample, consisted of patients in the 0-6 age group, that were interned in BTC of University Hospital/ UEL, from January 2011 to February 2014. Results: Data from 102 medical records were collected, physical therapy was realized in 94 (92.1%) cases, being respiratory physical therapy, placements, motor physical therapy, orthosis indication and orientation. In the first, second, last but one and last sessions, the most used breathing techniques were clearence maneuvers; the general placements was the most used; during motor physical therapy, the gait /walking and orientation were used with more frequency in last assistance. Conclusion: The initial physical therapy emphasizes the clearence maneuvers for prevention and treatment of respiratory complications that threaten the survival of the patient. The activities focused on functionality were adressed throughout the hospital stay, especially in the final stage. The physical therapy sessions progressed from passive techniques to active, according to the evolution of patients
Keywords
References
1. Mock C, Peck M, Peden M, Krug E, eds. A WHO plan for burn prevention and care. World Health Organization. [serial on the internet] 2008 [cited 2008]. Avaiable from: URL: http://whqlibdoc.who.int/publications/2008/9789241596299_eng.pdf.
2. Forjuoh SN. Burns in low- and middle-income countries: A review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns. 2006;32(5):529-537.
3. Albuquerque MLL, Silva GPF, Diniz DMSM, Figueiredo AMF, Câmara TMS, Bastos VPD. Análise dos pacientes queimados com sequelas motoras em um hospital de referência na cidade de Fortaleza-CE. Rev Bras Queimaduras. 2010;9(3):89-94.
4. Laporti GA, Leonardi DF. Post-traumatic stress disorder in burn-injured patients. Rev Bras Queimaduras. 2010;9(3):105-14.
5. Vale ECS. Primeiro atendimento em queimaduras: a abordagem do dermatologista. An Bras Dermatol. 2005;80(1):9-19.
6. Serra MCVF, Gomes DR, Crisóstomo MR. Cálculo da área queimada e indicadores para internação hospitalar. In: Maciel E, Serra MC. Tratado de queimaduras. São Paulo: Editora Atheneu; 2006. p. 43-50.
7. Serra, MCVF, Lemos T, Costa DM. Peculiaridades do Tratamento Inicial da Criança Queimada. In: Lima Júnior EM, et al. Tratado de queimaduras no paciente agudo. 2.ed. São Paulo: Editora Atheneu; 2008. p. 49-52.
8. Lima VCS. Abordagem fisioterapêutica da criança queimada. In: Maciel E, Serra MC. Tratado de queimaduras. São Paulo: Editora Atheneu, 2006. p. 235-240
9. Herdon DN, Barret JP. Organização do tratamento da queimadura. In: Herdon DN, Barret JP. Tratamento das queimaduras. Rio de Janeiro: Editora Dilivros, 2002. p. 27-32.
10. Millan LS, Gemperli R, Tovo FM, Mendaçolli TJ, Gomez DS, Ferreira MC. Epidemiological study of burns in children treated at a tertiary hospital in São Paulo. Rev Bras Cir Plást. 2012;27(4):611-5.
11. Serghiou M, Cowan A, Whitehead C. Rehabilitation After a Burn Injury. Clin Plast Surg. 2009;36(4):675-86.
12. Santana CML, Brito CF, Costa ACSM. Importance of physical therapy in the rehabilitation of the burned patient. Rev Bras Queimaduras. 2012;11(4):240-5.
13. Gawryszewski VP, Bernal RTI, Silva NN, Neto OLM, Silva MMA, Mascarenhas MDM, et al. Public hospital emergency department visits due to burns in Brazil, 2009. Cad. Saúde Pública. 2012;28(4):629-640.
14. Lima CTS, Ribeiro LD, Teles MD, Falcão GL, Campos NG. Atuação da Fisioterapia em Pacientes Pediátricos Vítimas de Queimaduras: Revisão Sistemática. Rev Fisioter S Fun. 2013;2(1):50-61.
15. Shiwa SR, Costa LOP, Moser ADL, Aguiar IC, de Oliveira LVF. PEDro: the physical therapy evidence database. Fisioter Mov. 2011;24(3):523-33.
16. Aragão JA, Aragão MECS, Filgueira DM, Teixeira RMP, Reis FP. Epidemiologic study of burn injuries in children admitted to the Burn Unit of the Hospital de Urgência de Sergipe. Rev Bras Cir Plást. 2012;27(3):379-82
17. Santos TP, Sá SMP. Ocorrência De Queimaduras Em Crianças Em Um Centro De Referência. Revista Baiana de Saúde Pública. 2014;38(3):524-538.
18. Rocha Neta AP, Maciel SM, Lopez MLH, Sardinha AHL, Cunha CLF. Burn Accident Profile In Children Under The Age Of Ten Years. SANARE. 2014;13(1):41-47.
19. Fernandes FMFA, Torquato IMB, Dantas MAS, Pontes Júnior FAC, Ferreira JA, Collet N. Queimaduras em crianças e adolescentes: caracterização clínica e epidemiológica. Rev Gaúcha Enferm. 2012;33(4):133-141.
20. Pedro ICS, Rinaldi ML, Pan R, Gonçalves N, Rossi LA, Farina Junior JÁ, Nascimento LC. Hospitalization profile for acute treatment of burned children and adolescents, 2005-2010. Rev Bras Queimaduras. 2014;13(3):154-60.
21. Vendrusculo TM, Balieiro CRB, Echevarría-Guanilo ME, Farina JA Jr, Rossi LA. Queimaduras em ambiente doméstico: características e circunstâncias do acidente. Rev. Latino-Am. Enfermagem. 2010;18(3):157-164.
22. Montes SF, Barbosa MH, Sousa Neto AL. Clinical and epidemiological aspects of burned patients Hospitalized in a teaching hospital. Rev Esc Enferm USP. 2011;45(2):369-73.
23. Martins CBG, Andrade SM. Burns in children and adolescents: hospital morbidity and mortality analysis. Acta Paul Enferm 2007;20(4):464-9.
24. Samuel JC, Campbell ELP, Mjuweni S, Muyco AP, Cairns BA, Charles AG. The Epidemiology, Management, Outcomes and Areas for Improvement of Burn Care in Central Malawi: an Observational Study. J Int Med Res. 2011;39(3):873–879.
25. Schneider JC, Holavanahalli R, Helm P, Goldstein R, Kowalske K. Contractures in Burn Injury: Defining the Problem. Journal of Burn Care & Research. 2006;27(4):508-514.
26. Suman OE, Mlcak RP, Herndon DN. Effect of exercise training on pulmonary function in children with thermal injury. J Burn Care Rehabil. 2002;23(4):288-93.
27. Lima ALJ, Monteiro PVM, Iwabe C. Respiratory System Repercussions And Physical therapy. Revista Multidisciplinar de Saúde. 2011;3(6):48-60.
28. Faustino EA. Concepts and Monitoring of Pulmonary Mechanic in Patients under Ventilatory Support in Intensive Care Unit. RBTI. 2007;19(2):161-169.
29. Santos FRA, Schneider Júnior LC, Forgiarini Junior LA, Veronezi J. Effects of manual rib-cage compression versus PEEP-ZEEP maneuver on respiratory system compliance and oxygenation in patients receiving mechanical ventilation. Rev Bras Ter Intensiva. 2009;21(2):155-161.
30. Davoodi P, Fernandez JM, O SJ. Postburn sequelae in the pediatric patient: clinical presentations and treatment options. J Craniofac Surg. 2008;19(4):1047-52.
31. Civile VT, Finotti CS. Early physical therapy approach in critical burned patients. Rev Bras Queimaduras. 2012;11(2):85-8.
32. Leblebici B, Adam M, Bağiş S, Tarim AM, Noyan T, Akman MN, Haberal MA. Quality of life after burn injury: the impact of joint contracture. J Burn Care Res. 2006;27(6):864-8.
33. Melo SV, Linhares LD, Almeida RD. Effect of Samiball® method on the flexibility and expandability in a burns victim: case report. Rev Bras Queimaduras. 2011;10(2):71-4.
34. Rocha MS, Rocha ES, Souza JPC. Fisioterapia em queimados: uma pesquisa Bibliográficaacerca dos principais recursos fisioterapêuticos e seus benefícios. Revista Tema. 2010;9(13).
35. Santos KPB, Ferreira VS. Contributions for Physical Therapy from the Children’s Point of View. Rev. Bras. Ed. 2013;19(2):211-224.
36. Azevedo DM, Santos JJS, Justino MAR, Miranda FAN, Simpson CA. O brincar enquanto instrumento terapêutico: opinião dos acompanhantes. Revista Eletrônica de Enfermagem. 2008;10(1):137-144.
37. Fujisawa DS, Manzini EJ. Professional training in physical therapy: the use of play activities in The treatment of children. Rev. Bras. Ed. Esp. 2006;12(1):65-84.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email