A Goniometry Paradigm Shift to Measure Burn Scar Contracture in Burn Patients
Abstract
Objective: To test a Revised Goniometry (RG) method and compare it to Standard Goniometry (SG) used to measure burn scar contracted joint angles for determine disability severity and function in a burn population. Hypothesis: Significant statistical differences in patient joint angle measurements will be found between SG techniques compared to RG techniques which incorporate CKM and CFU principles. Specific Aim 1: To compare the average reduction in joint range of motion measured with the standard GM measurements to a newly conceived set of revised GM measurements in a burn population across six (6) joints of interest in eleven (11) single directions. Specific Aim 2: To compare the average reduction in joint range of motion measured with the standard GM measurements to a newly conceived set of revised GM measurements in a burn population for each of the six (6) joints of interest in eleven (11) single directions. Specific Aim 3: To examine the association between the reduction in the joint range of motion and the extent of cutaneous surface area involvement. *Note specific aims updated to align with core protocol. Concluding Remarks: RG method resulted in significantly greater limitation in motion than SG: 38.8 %+15.2% v. 32.1% +13.4% (p<.0001) across all motions together and for 9 of 11 motions when evaluated individually. There was a significant positive weak correlation between amount of CFU scarred and ROM outcome with RG but not with SG (R2=.05, p=.0008). This demonstratesthat RG is a more appropriate method for measuring scar contracture in burn survivors.
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 01, 2019
- Accession Number
- AD1093984
Entities
People
- Ingrid Parry
- Scott Dewey
Organizations
- Geneva Foundation