Disseldorp, L.M. (2011) Functional independence in Dutch pediatric patients with burns. thesis, Human Movement Sciences.
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Abstract
Although the attention for functional outcomes after burn injury has been growing, little is known about the functional independence in performing activities of daily living in children after burn injury. To study this, functional independence was measured by burn care professionals with the W eeFIM® instrument in 119 pediatric patients with burns (age: 6 months-16 years; 58.8% boys) in the Netherlands. To identify whether functional independence was affected in these participants, their total scores on the W eeFIM® instrument were compared to American norm values. Of the participants that were assessed at 2-3 weeks post burn (n=117), 3 months post burn (n=68) and/or 6 months post burn (n=38), 22, 9 and 9 participants showed affected performance, respectively. Improvements in WeeFIM® total scores for the total study population between 2-3 weeks and 6 months post burn were significant (Wilcoxon T = 2.5;p<.001, effect size= -0.59). Individual improvements were found to be significant for 30.3% of the assessed participants between 2-3 weeks and 3 months post burn, and for 12.1% between 3 and 6 months post burn. This study is unique in providing data on functional independence in this large and special population. However, a proportion of participants were lost to follow-up and there are limitations of the WeeFIM® instrument in this specific population and setting. Concluding, burn injury impacts functional independence in children, yet the vast majority of Dutch pediatric patients with burns returns to functional independence typical for age, within 6 months post burn.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Mouton L.J. (Center for Human Movement Sciences) |
| Supervisor name: | Nieuwenhuis M.K. and Niemeijer, A.S. and (Association of Dutch Bum Centers) |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:05 |
| Last Modified: | 25 Jun 2020 11:05 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2508 |
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