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Rehabilitation and Scar Management in the after care of the burn patient. Part II: Level of evidence

Rehabilitation and Scar Management in the after care of the burn patient. Part II: Level of evidence. BABI anniversary symposium november 2007 Eric Van den Kerckhove Sophie Verhaeghe Michael Casaer Christophe Remy.

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Rehabilitation and Scar Management in the after care of the burn patient. Part II: Level of evidence

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  1. Rehabilitation and Scar Management in the after care of the burn patient.Part II: Level of evidence BABI anniversary symposium november 2007 Eric Van den Kerckhove Sophie Verhaeghe Michael Casaer Christophe Remy

  2. Physiotherapy items in the after care of a burn patient 1. Exercising, training and ambulation 2. Mobilisations and oedema control 3. Positioning and splinting 4. Scar management

  3. Physiotherapy items in the after care of a burn patient 1. Exercising, training (and ambulation)-Mobility and ADL -Muscle strength and cardiovascular condition! (24 - 48h after trauma) Considered Evidence Based (children)

  4. Physiotherapy items in the after care of a burn patient2. Mobilisations and oedema control-Prevention & treatment contractures (type?) -Delayed healing & scarring and calcification Considered Best Practice

  5. Physiotherapy items in the after care of a burn patient3. Positioning and splinting -Prevention & treatment contractures and decubitus -Static versus dynamic Considered Best Practice

  6. Physiotherapy items in the after care of a burn patient4. Scar management - Pressure Therapy -Prevention & treatment of hypertrophic scars -Hastening healing, flattening and itch reduction Ischemia Considered Best Practice

  7. Physiotherapy items in the after care of a burn patient4. Scar management - Silicone -Prevention & treatment of hypertrophic scars -Erythema, pliability, optimizing pressure Hydration Considered Evidence Based (gel sheeting)

  8. Physiotherapy items in the after care of a burn patient4. Scar management - Massage -Treatment of (hypertrophic) scars -Pliability, itch reduction Metabolism Considered Best Practice

  9. Physiotherapy items in the after care of a burn patient4. Scar management - Moisturizers -Treatment of scars -Itch reduction Hydration and restoration Considered Best Practice

  10. Physiotherapy items in the after care of a burn patient4. Scar management - Others (LPG, Laser, Thermal cure,...) -Treatment of scars -Clinical findings (itch,parameters,wellbeing) Considered Option

  11. Summary (1/2) LEVEL OF EVIDENCE FOR THERAPY

  12. Summary (2/2) LEVEL OF EVIDENCE FOR ASSESSMENT

  13. ConclusionOnly limited evidence for different therapeutical strategies that are used in the rehabilitation and after care of a burn patientthereforeguidelines can be controversial

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