Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients
Bibliographic record
Abstract
Objective: To determine the role of early passive range of motion exercises in the reduction in scar formation and prevention of Contracture in sub-acute Burn Patients. Study Design: Randomized Control Trail (RCT). Place and Duration of Study: Burn Centre Pakistan Institute of Medical Sciences Islamabad, from January to December, 2010. Materials and Methods: Thirty patients were selected from the burn center at Pakistan Institute of Medical sciences (PIMS) Islamabad, age ranging from 12-60 years, and were randomly placed into two groups, 15 patients in each group. The anti-contracture positioning program was applied on group A with early passive range of motion (PROM) exercises of the involved areas and in group B only anticontracture positioning program was applied. The Vancouver Scar Scale (VSS) was used as an assessment tool and 4 variables were assessed including vascularity, height/thickness, pliability, and pigmentation. Data was analyzed on SPSS version-20 and independent t-test was applied at 90% level of significance to calculate the p-value for group A and B. Results: The results show that the anti-contracture positioning with early passive range of motion (PROM) exercises reduced scar formation and prevent contractures more significantly in group A (P-value =0.002) with average VSS score 6, as compare to the anticontracture positioning alone in group B (P-value=0.435) with VSS score 10, as assessed at the completion of physical therapy management program in all the 30 patients of subacute stage of burn. Conclusion: It was concluded that the early passive range of motion exercises with anti-contractures positing can reduce the amount of scar formation, prevent contractures and increase the quality of physical therapy management in sub-acute stage of burn patients.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".