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Effect of kerotherapy combined with kinesitherapy in rehabilitation of hand after skin graft |
LIU Ying1, WAN Keying1, WU Shijian2, LI Bing2, CAI Jingning2, XIE Xiaofang2, LI Baolong2, and ZOU Xiaofang2 |
1.Phase I Clinical Laboratory, Beijing Shijitan Hospital, Copital Medical University, Beijing 100142,China; 2.Department of Burn and Plastic Surgery, Air Force General Hospital of PLA,Beijing 100037,China |
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Abstract Objective To study curative effect of kerotherapy combined with kinesitherap in rehabilitation of hand receiving skin graft. Methods Sixty-three patients with hands receiving skin graft in Department of Burn and Plastic Surgery, Air Force General Hospital from June 2009 to June 2013 were divided into conventional rehabilitation group (31 patients) and combined rehabilitation group (32 patients). Patients in conventional rehabilitation group were treated with pressure therapy, daily exercises, active training, and medicine. Patients in combined rehabilitation group were treated with kerotherapy with kinesitherapy, in addition to pressure therapy, daily exercises, active training, and medicine. All patients were assessed on scar, pain, and hand function after half a year. Results There was no signficant difference in scores of VAS between conventional rehabilitation group and combined rehabilitation. The scores of VAS in combined rehabilitation group(1.56±0.27) were obviously lower than those in conventional rehabilitation group (2.92±0.36, P=0.012) after half a year. There was significant difference in scores of VSS between combined rehabilitation group (4.36±0.78) and conventional rehabilitation group (2.92±0.36, P=0.012). The scores of TAM and Barthel in combined rehabilitation group (238.5±12.7, 87.2±6.76) were higher than those in conventional rehabilitation group (58.2±5.9, 70.2±4.2, P=0.023,P=0.013). Conclusions Kerotherapy with kinesitherapy in rehabilitation can improve function of hand treated by skin graft, and it is worthy of applying generally in hand rehabilitation.
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Received: 03 June 2015
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