409586

Effect of Joint Motion Exercises in Reducing Pain and Joint Contractures among Burn Patient at Benha Teaching Hospital

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Last updated: 08 Feb 2025

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Abstract

Background:  Context: Burns are a global health issue, causing over 300,000 deaths annually and millions of disabilities. Survivors often face stigma and discrimination due to their disability. Joint contractures, a prevalent complication, can limit joint mobility and adversely affect daily activities. Extreme burns, particularly dermal and full-thickness burns, can lead to deficiency in mobility and daily activities. Despite treatment progress, scar contracture remains a challenge, and patients should receive optimal care to minimize the risk of complications. Aim: Evaluate the effect of joint motion exercises in reducing pain and joint contractures among burn patient at Benha Teaching Hospital. Methods: A quasi-experimental research, specifically a one-group pre/post-test design, was employed in this study. The research was conducted in burn unit at Benha Teaching Hospital, Benha, Egypt. The study included a purposive sample of 60 patients of both genders over nine months. Five assessment tools were utilized: I-A structured interview questionnaire for gathering personal data, and medical history, II-Observational check list to assess joint motion, III-Contractures assessment questionnaire, IV-Visual Analog Scale (VAS), and V-Patients' verbal expression of the features of pain Results: The study found a statistically significant improvement in patients' joint mobility and strength after a joint motion exercise intervention. The percentage of patients reporting poor performance decreased from 88.3% pre-intervention to 1.7% post-intervention. The exercise also improved pain intensity from 43.30% severe pain pre-intervention to 13.30% severe pain post-intervention. The progression of contracture degree also improved from 75% moderate contractures pre intervention to 15% moderate contractures post-intervention. A highly significant positive correlation was found between joint motion exercises, pain intensity level, and joint contractures post-intervention. P=0.000**. Conclusion: Based on the findings of the current study, it can be concluded that joint motion exercises has proven to be effective in reducing pain intensity level and progression of contractures for second degree burn patients, which supports the study hypotheses.  Recommendations: Simple instruction booklet should be provided for burn patients regarding joint motion exercises, in addition future research should focus on assessing factors that contribute to joint contractures in patients with severe burn injuries.

DOI

10.21608/ejhc.2024.409586

Keywords

Burn patients, joint contracture, Joint Motion exercises, Pain

Authors

First Name

Nehal

Last Name

Mahmoud Aboelfadl

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Affiliation

Assistant professor of Medical-Surgical Nursing, Faculty of Nursing, Benha University,Egypt

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First Name

Walaa

Last Name

Shawky Gomea Mohamed

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Affiliation

Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Damietta University, Egypt

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First Name

Ola

Last Name

Ahmed Mohamed Abd Elsamad

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Affiliation

Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Benha University,Egypt

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Volume

15

Article Issue

4

Related Issue

50760

Issue Date

2024-12-01

Receive Date

2025-02-02

Publish Date

2024-12-01

Page Start

1,780

Page End

1,803

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_409586.html

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http://journals.ekb.eg?_action=service&article_code=409586

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409,586

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Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Joint Motion Exercises in Reducing Pain and Joint Contractures among Burn Patient at Benha Teaching Hospital

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Article

Created At

08 Feb 2025