Effect of Joint Motion Exercises in Reducing Pain and Joint Contractures among Burn Patient at Benha Teaching Hospital

Mahmoud Aboelfadl, Nehal; Shawky Gomea Mohamed, Walaa; Ahmed Mohamed Abd Elsamad, Ola

doi:10.21608/ejhc.2024.409586

	Effect of Joint Motion Exercises in Reducing Pain and Joint Contractures among Burn Patient at Benha Teaching Hospital
Egyptian Journal of Health Care
Volume 15, Issue 4, December 2024, Page 1780-1803 PDF (453.69 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2024.409586
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Authors
Nehal Mahmoud Aboelfadl¹; Walaa Shawky Gomea Mohamed²; Ola Ahmed Mohamed Abd Elsamad³
¹Assistant professor of Medical-Surgical Nursing, Faculty of Nursing, Benha University,Egypt
²Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Damietta University, Egypt
³Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Benha University,Egypt
Abstract
Background: *Context:* Burns are a global health issue, causing over 300,000 deaths annually and millions of disabilities. Survivors often face stigma and discrimination due to their disability. Joint contractures, a prevalent complication, can limit joint mobility and adversely affect daily activities. Extreme burns, particularly dermal and full-thickness burns, can lead to deficiency in mobility and daily activities. Despite treatment progress, scar contracture remains a challenge, and patients should receive optimal care to minimize the risk of complications. Aim: Evaluate the effect of joint motion exercises in reducing pain and joint contractures among burn patient at Benha Teaching Hospital. *Methods:* A quasi-experimental research, specifically a one-group pre/post-test design, was employed in this study. The research was conducted in burn unit at Benha Teaching Hospital, Benha, Egypt. The study included a purposive sample of 60 patients of both genders over nine months. Five assessment tools were utilized: I-A structured interview questionnaire for gathering personal data, and medical history, II-Observational check list to assess joint motion, III-Contractures assessment questionnaire, IV-Visual Analog Scale (VAS), and V-Patients’ verbal expression of the features of pain *Results:* The study found a statistically significant improvement in patients' joint mobility and strength after a joint motion exercise intervention. The percentage of patients reporting poor performance decreased from 88.3% pre-intervention to 1.7% post-intervention. The exercise also improved pain intensity from 43.30% severe pain pre-intervention to 13.30% severe pain post-intervention. The progression of contracture degree also improved from 75% moderate contractures pre intervention to 15% moderate contractures post-intervention. A highly significant positive correlation was found between joint motion exercises, pain intensity level, and joint contractures post-intervention. P=0.000. Conclusion: Based on the findings of the current study, it can be concluded that joint motion exercises has proven to be effective in reducing pain intensity level and progression of contractures for second degree burn patients, which supports the study hypotheses. Recommendations:** Simple instruction booklet should be provided for burn patients regarding joint motion exercises, in addition future research should focus on assessing factors that contribute to joint contractures in patients with severe burn injuries.
Keywords
Burn patients; joint Contracture; Joint Motion exercises; Pain


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