What to do if you burn your hand? Rehabilitation gives the answer.
recovery treatment
01 Mission
1. Publicity and education of burn knowledge;
2. Put the hand in the anti-scar position (for burns on the back of the hand, place the hand in flexion of the wrist; for burns on the palm side, place the hand in dorsiflexion of the wrist);
3. Post-burn skin care education;
4. Post-burn itching and pain management education.
02 Forearm strength training
Maintain and promote the muscle activity and strength of the forearm muscles of the upper limbs, promote the sliding of tendons in the forearm and hand, and prevent adhesions. In the forearm strength training, some rehabilitation equipment or simple daily appliances can be used to assist in completion, such as flexion and extension training of each joint of the upper limbs through dumbbells; comprehensive strength training of the upper limbs through the resistance mode of the upper limb feedback training system, using an isokinetic instrument, etc. Tension contraction or progressive resistance training, using elastic bands, portable containers, fitness equipment, hand function training tables, etc. for training. Assess the problem, diverge thinking, connect with reality, and all objects may become tools for training activities.
03 Small finger joint loosening training
Reduce the adhesion of interphalangeal joints and metacarpophalangeal joints, promote the sliding of joint capsules, and improve joint mobility. Grade III/IV Maitland joint mobilization maneuvers can be used: Grade III means that the therapist pushes the joint back and forth in a large range and rhythmically within the allowable range of the joint, and touches the end of the joint every time, and can feel the soft tissue around the joint Level Ⅳ: The therapist pushes the joint back and forth rhythmically in a small range at the end of the joint movement, touching the end end of the joint movement every time, and can feel the tension of the soft tissue around the joint. The therapist can also do some stretching for the patient and then separate the small joints, combined with the Maitland maneuver to maximize the improvement of the patient's joint function, and provide structural and functional support for further improving the ability of daily living and participation in activities.
04 Hand swelling management
By wrapping the self-adhesive bandage on the finger, each time for 15-20 minutes, the pressure from the distal end to the proximal end should be gradually reduced during winding, and at the same time, the fingertip should be set aside to observe the blood supply and finger temperature, so as to prevent excessive winding and hinder blood circulation.
05 Finger dexterity training
Improve the coordination between fingers, enhance speed and finger strength, and promote the recovery of fine hand functions.
06 Practical training of hands
Eating, dressing, washing, writing, using the keyboard, grasping and placing objects, transferring objects, chess and card entertainment and other leisure training.
07 Use of orthotics
The early application of orthotics can prevent and correct hand and finger deformities, reduce the difficulty of functional rehabilitation of patients in the later stage, improve the degree of recovery, help the affected hand to maintain a certain range of motion to the greatest extent, and enhance the use of hands in daily life.
