Ms Sreedevi Sriram, Dr Sutha Sellamoni, Dr G Karthikeyan


AIM: To use various occupational therapy treatment methods in the treatment of burn victims to improve their
performance in the Activities of Daily Living (ADL).
MATERIALS AND METHODS: 280 patients with burns with hand involvement admitted in Government Kilpauk Medical College and
Hospital, Chennai were taken for the study. Various therapeutic modalities and techniques of occupational therapy were used and the patients
were analyzed for functional improvement using the FIM system of scoring.
RESULT; Occupational therapy intervention was found to be effective in improving the functional skills of the burns victims. The level of
independence in self-care ADL, leisure and return to routine had improved significantly.
CONCLUSION: Occupational therapy is given for the rehabilitation of burns victims and is found to be effective for a better quality of life
following burns.


ADL, Burns hand, rehabilitation burns, FIM

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American Journal of Occupational Therapy, 2003,57 (5), 499-506, “Outcomes in hand rehabilitation using occupational therapy services.” Jane Case-Smith concluded that hand rehabilitation by occupational therapists made clinically and statistically significant improvements in the functional performance of the patients.

Archives of Physical Medicine and Rehabilitation, August 2013, Volume 94, Issue 8, Pages 1521-1526.e4, Validity and Reliability of the FIM Instrument in the Inpatient Burn Rehabilitation Population, Paul Gerrard MD, Richard Goldstein, PhD, Margaret A.DiVita, MS, Colleen M.Ryan, MD, Jacqueline Mix, MPH, Paulette Niewczyk MPH, PhD, Lewis Kazis Sc-D, Karen Kowalske MD, Ross Zafonte DO, Jeffrey C.Schneider MD, concluded that the FIM instrument has evidence of validity and reliability as an outcome measure for the patients with burn injury, in the inpatient rehabilitation setting.

Archives of Physical Medicine and Rehabilitation, December 1996, Volume 77, Issue 12, Pages 1226 – 1232, “The reliability of the Functional Independence Measure –A quantitative review”- Kenneth J.Ottenbacher PhD, Roger C Fiedler, PhD concluded that Functional Independence Measure demonstrated acceptable reliability across a wide variety of settings, raters and patients.

Annals of Surgery, 229 (4), 1999, 558, “Acute hand burns in children: Management and long term outcome based on a 10-years’ experience with 698 injured hands.” Robert L. Sheridan, Mary J.Daryza, Monica A.Peshina, Kim M.O’Neill, Hilary M.Cipullo.

Hand Therapy,17(1), 15-24, 2012, “Efficacy of handwriting for Heroes, A novel hand dominance transfer intervention”, Kathleen E.Yancosek, William J.Calderhead.


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