Ann Rehabil Med.  2016 Apr;40(2):341-350. 10.5535/arm.2016.40.2.341.

Effects of a Modified Hand Compression Bandage for Treatment of Post-Burn Hand Edemas

• Park WY
• Jung SJ
• Joo SY
• Jang KU
• Seo CH
• Jun AY

• KMID: 2309935
• DOI: http://doi.org/10.5535/arm.2016.40.2.341

Abstract

OBJECTIVE
To evaluate the effect of a modified hand compression bandage in patients with a post-burn hand edema.
METHODS
Patients were recruited from burn centers. We classified the patients into two groups: the modified hand compression bandage group comprising of 22 patients who had a modified hand compression bandage and received conventional physical therapy and the conventionally treated group, comprising of 20 patients who received only conventional physical therapy during the 4-week period post-burn. Hand circumference, hand skin thickness, and hand function were evaluated by grip strength, active range of motion (ROM), Jebsen hand function test, and visual analogue scale (VAS). These assessments were used to evaluate treatment effectiveness prior to the first treatment, 2 weeks after the first treatment, 4 weeks after the first treatment, and 4 months after the first treatment.
RESULTS
As a result of repeated-measures analysis of variance on hand circumference, skin thickness, VAS, and each metacarpophalangeal joint ROM, we found significant differences that corresponded to time effect (p<0.05) and time×group (reciprocal action) effect (p<0.05). The results of grasp power, Jebsen hand function test, and each proximal interphalangeal joint ROM, show significant differences in accordance with the time effect (p<0.05), however, there was no reciprocal action effect (p>0.05).
CONCLUSION
The modified hand compression bandage will be clinically useful for the treatment of patients with post-burn hand edemas.

Keyword

Compression bandages; Burns; Edema; Rehabilitation

MeSH Terms

Burn Units
Burns
Compression Bandages*
Edema*
Hand Strength
Hand*
Humans
Joints
Metacarpophalangeal Joint
Range of Motion, Articular
Rehabilitation
Skin
Treatment Outcome

Figure

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  Fig. 1 (A–O) Method of applying modified hand compression bandage.

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  Fig. 2 Placement of tape measure for figure-eight method of measuring hand circumference, ventral surface (A) and dorsal surface of the hand (B). First, the zero mark of tape measure was placed over the distal aspect of the ulnar styloid process, and the tape was drawn across the ventral surface of the wrist to the distal aspect of the radial styloid process. Next, the tape measure was drawn diagonally across the dorsum of the hand, brought over the ventral surface of the metacarpophalangeal joints, and wrapped diagonally across the dorsum to return to the starting point.

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  Fig. 3 Hand thickness measured by using ultrasonography. *p<0.05, independent t-test.

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  Fig. 4 On repeated-measures ANOVA, variables with significant time effect (p<0.05) and reciprocal effect (p<0.05) including figure-eight hand circumference (A), Skin thickness (D), and visual analogue scale (VAS) (E). Moreover, variables with a significant time effect (p<0.05), but insignificant reciprocal effect (p>0.05) include grasp power (B) and the Jebsen hand function test (C).

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