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VIDEOS
Rehabilitation of the Burned Hand
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12:49
Gauze Wrapping for Post-Burn Hand Edema and Scar Management: A Complete Step-by-Step Guide
This video provides a step-by-step demonstration of gauze wrapping for the fingers and palm—an effective technique for hand edema management and scar control following burn injuries. Designed for burn rehabilitation professionals, including occupational therapists (OTs) and physical therapists (PTs), this tutorial introduces a low-cost, gentle alternative to Coban for pressure therapy in both early and ongoing stages of healing. In this demonstration, you’ll learn: • How to prepare gauze strips for wrapping • Techniques for wrapping each finger safely and effectively • How to use elastic bandage to wrap the palm, wrist and forearm • Key considerations when working with fragile or healing skin • Pressure therapy tips for safe, comfortable application in diverse settings This technique is especially useful in low-resource settings, where Coban may not be readily available. It can be adapted across various clinical environments and levels of therapist experience. Content: 01:29 Material needed 02:27 Preparing the gauze 04:43 Wrapping the fingers 07:25 Wrapping the hand and forearm with elastic bandage 10:15 Final pressure considerations 11:42 Remember to monitor Whether you are new to burn rehabilitation or looking to expand your treatment options, this video offers practical guidance based on clinical experience and patient-centered care. 🔗 Related video: “Coban Finger & Palm Wrap for Post-Burn Hand Edema and Scar Control” https://youtu.be/HAK2_tT8sGg 📌 For more content on burn rehab techniques, subscribe to our channel. #burnrehabilitation #handrehabilitation #edema #scarmanagement #pressuretherapy
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Play Video
26:02
Coban Wrapping for Post-Burn Hand Edema and Scar Management: A Complete Step-by-Step Guide
Learn step-by-step how to wrap the fingers and palm using Coban to manage post-burn hand edema and provide targeted pressure for scar control. This video is designed for occupational therapists, physical therapists, and clinicians working in burn rehabilitation and hand therapy. ⏱️ Chapters 00:00 Introduction 01:02 Measuring and Preparing the Wrap 03:23 Wrapping the Fingers 06:07 Wrapping the Thumb 06:38 Wrapping the Palm 09:08 Addressing the Finger Web Spaces 11:41 Preventing Adhesion Between Fingers 14:56 Clinical Considerations 17:45 Monitoring and Safety 20:32 Contraindications and Warnings 22:55 Aftercare and Wrap Removal 🎓 Who this video is for: • Occupational therapists (OTs) • Physical therapists (PTs) • Burn rehabilitation professionals • Hand therapy students and clinicians What you’ll learn: • How to measure Coban length for each finger • Proper technique for distal-to-proximal wrapping of fingers, thumb and palm • How to apply pressure to web spaces • Preventing Coban adhesion between fingers • Monitoring for circulation and pressure safety • Contraindications and clinical warnings 💬 Let us know in the comments how you adapt this technique in your setting, or if you'd like subtitles in additional languages! 📌 Don’t forget to like, share, and subscribe for more rehab-focused instructional videos. To learn more about our online courses on burned hand management: https://www.sunshinetraining.org/ #burnrehabilitation #handrehabilitation #handtherapy #scarmanagement #edema
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Play Video
08:43
Demonstrating the Use of a Special Wedge with Elastic Bandage for Finger Extension Stretching
In this video, we demonstrate how to use a specially designed triangular wedge with elastic bandages to achieve precise passive stretching for finger extension and thumb abduction—perfect for therapists working with post-burn scar contractures on the hands. Learn step-by-step how to position the forearm, wrist, and fingers for optimal therapeutic outcomes while avoiding common pitfalls. 📌 Content: Introduction 00:00 What is the special wedge 00:47 How to use the special wedge? Material needed 01:26 Step 1: Positioning the Forearm and Wrist 02:02 Step 2: First Elastic Bandage to Secure Metacarpal Area and Stretch Thumb 03:10 Step 3: Second Elastic Bandage to Wrap Fingers 04:29 Troubleshooting to Avoid Thumb MP Hyperextension 07:23 Don’t forget to like, comment, and subscribe for more professional insights and tips for burn therapists. For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter. 🔗 Related Resources: Use of crepe elastic bandage for wrist extension passive stretching https://www.sunshinetraining.org/post/wrist-extension-passive-stretching Use of crepe elastic bandage for wrist flexion passive stretching https://www.sunshinetraining.org/post/wrist-flexion-passive-stretching 📺 Related videos: https://www.youtube.com/watch?v=FdNcfBO_v5c https://www.youtube.com/watch?v=RZZyrqfmefQ #BurnRehabilitation #HandTherapy #PassiveStretching
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Play Video
03:24
Post-Burn Claw Hand Deformity of the Little Finger: Don't Overlook This!
#burnrehabilitation #burnedhandrehabilitation Discover why the little finger's post-burn claw hand deformity should never be overlooked in rehabilitation! In this video, we delve into the causes, impact, and priorities for the management of claw hand deformity, focusing on its prevalence in the little finger post-burn injury. Physical and occupational therapists will learn how dorsal scar contracture and chronic swelling contribute to this condition, and why prioritizing the MP joint is crucial for successful intervention. We also highlight the significant role of the little finger in grip strength and overall hand function, supported by clinical insights and research findings. Read more about post-burn claw hand deformity of the little finger: https://www.sunshinetraining.org/post/why-manage-little-finger-claw-hand-deformity Read more about rehabilitation priorities for claw hand deformity: https://www.sunshinetraining.org/post/claw-hand-deformity-rehabilitation-priorities For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter.
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00:52
EDC muscle strengthening exercise for post-burn intrinsic tightness: Be careful with DIP flexion!
#burnrehabilitation #handrehabilitation #rehabilitation An EDC muscle strengthening exercise focusing on MP extension is a good intervention to address post-burn intrinsic tightness. However, because it involves bandaging the PIP and DIP joints in flexion to ensure accurate MP flexion movement, we must also make sure to assess whether DIP joint passive flexion is safe. This short video explains why and how to assess DIP joint to ensure safe execution of this exercise. Read our blog post on the topic: https://www.sunshinetraining.org/post/edc-muscle-strengthening-important-precaution Watch the video demonstration of EDC muscle strengthening exercise for post-burn intrinsic tightness: https://www.youtube.com/watch?v=enZi0fTMw3U For tips, instructions, and videos on burn rehabilitation, subscribe to our YouTube channel or visit our website at https://www.sunshinetraining.org/ to view our blog and subscribe to our monthly newsletter.
Play Video
Play Video
03:35
EDC muscle strengthening exercise for post-burn intrinsic tightness: Be careful with DIP flexion!
#burnrehabilitation #handrehabilitation #rehabilitation EDC muscle strengthening exercise focusing on MP extension is a good intervention to address post-burn intrinsic tightness. However, because it involves bandaging the PIP and DIP joints in flexion to ensure accurate MP flexion movement, we must also make sure to assess whether DIP joint passive flexion is safe. This short video explains why and how to assess DIP joint to ensure safe execution of this exercise. Read our blog post on the topic: https://www.sunshinetraining.org/post/edc-muscle-strengthening-important-precaution Watch the video demonstration of EDC muscle strengthening exercise for post-burn intrinsic tightness: https://www.youtube.com/watch?v=enZi0fTMw3U For tips, instructions, and videos on burn rehabilitation, subscribe to our YouTube channel or visit our website at https://www.sunshinetraining.org/ to view our blog and subscribe to our monthly newsletter.
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Play Video
00:57
Using Total Active Motion (TAM) to measure composite ROM of the burned hand - Part 1
Learn why measuring composite ROM is important to get a better picture of the functional performance of the burned hand in Part 1 of a series of three Shorts about using Total Active Motion (TAM) to measure composite ROM of the burned hand. Read our blog post on the topic: https://www.sunshinetraining.org/post/tam-to-measure-composite-rom Watch a full video on the topic: https://www.youtube.com/watch?v=fnGVgmILY0M&t=4s For tips, instructions, and videos on burn rehabilitation, subscribe to our YouTube channel or visit our website at https://www.sunshinetraining.org/ to view our blog and subscribe to our monthly newsletter. Music Cause I Am Coming Home (SLCT Remix) (Instrumental Version) by Duty Division, from Epidemic Sound
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Play Video
00:55
Using Total Active Motion (TAM) to measure composite ROM of the burned hand - Part 2
Learn what is Total Active Motion (TAM) and how it is used in Part 2 of a series of three Shorts about using Total Active Motion (TAM) to measure composite ROM of the burned hand. Read our blog post on the topic: https://www.sunshinetraining.org/post/tam-to-measure-composite-rom Watch a full video on the topic: https://www.youtube.com/watch?v=fnGVgmILY0M&t=4s For tips, instructions, and videos on burn rehabilitation, subscribe to our YouTube channel or visit our website at https://www.sunshinetraining.org/ to view our blog and subscribe to our monthly newsletter. Music Cause I Am Coming Home (SLCT Remix) (Instrumental Version) by Duty Division, from Epidemic Sound
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Play Video
01:00
Using Total Active Motion (TAM) to measure composite ROM of the burned hand - Part 3
Watch how Total Active Motion (TAM) is used to measure composite ROM of the burned hand in Part 3 of a series of three Shorts about using Total Active Motion (TAM) to measure composite ROM of the burned hand. Read our blog post on the topic: https://www.sunshinetraining.org/post/tam-to-measure-composite-rom Watch a full video on the topic: https://www.youtube.com/watch?v=fnGVgmILY0M&t=4s For tips, instructions, and videos on burn rehabilitation, subscribe to our YouTube channel or visit our website at https://www.sunshinetraining.org/ to view our blog and subscribe to our monthly newsletter. Music Cause I Am Coming Home (SLCT Remix) (Instrumental Version) by Duty Division, from Epidemic Sound
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Burn Scar Management
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Play Video
02:28
Pressure Garments in Burn Rehabilitation: Two Key Points for Overlapping Garments
Learn the two key points every burn therapist must know to avoid problems with overlapping pressure garments! In this video, we explain how improper garment overlapping can affect pressure therapy, potentially leading to exposed scars, excessive pressure, or patient discomfort. Discover practical tips to ensure scars remain covered and pressure stays consistent, even when multiple garments are needed. #burnrehabilitation #pressuregarments #scarmanagement #hypertrophicscars 📌 Content: Introduction 00:00 Why pay attention to pressure garment overlapping area? 00:44 Key Point 1: Ensuring scars are always covered 01:15 Key Point 2: Preventing excessive pressure in overlapping areas 01:33 Additional Consideration 01:55 🔗 Related Resources: Overlapping pressure garments: Two key points to avoid problems https://www.sunshinetraining.org/post/overlapping-pressure-garments-two-key-points-to-avoid-problems Pressure garment wearing sequence: Is sequence of wearing really important? https://www.sunshinetraining.org/post/pressure-garment-wearing-sequence-is-sequence-of-wearing-really-important Three factors to consider in regards to the “23 hours” general rule for pressure garment wear time https://www.sunshinetraining.org/post/three-factors-for-23-hours-pressure-garment-wear-time 📺 Watch Related Videos: Pressure garment wearing sequence: Is sequence of wearing really important? https://www.sunshinetraining.org/post/pressure-garment-wearing-sequence-is-sequence-of-wearing-really-important Three factors to consider in regards to the “23 hours” general rule for pressure garment wear time https://www.sunshinetraining.org/post/three-factors-for-23-hours-pressure-garment-wear-time Is it OK wearing pressure garments during rehabilitation exercises? https://www.sunshinetraining.org/post/wearing-pressure-garments-during-rehabilitation-exercises 👍 Like, comment, and subscribe for more expert tips on burn rehabilitation! Visit our website at sunshinetraining.org for more blogs and to subscribe to our monthly newsletter.
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02:32
Pressure Garment Wearing Sequence: Learn Why the Order Matters!
Did you know the order in which pressure garments are worn can impact their effectiveness? In this video, we explain the correct distal-to-proximal wearing sequence and why it matters for controlling post-burn hypertrophic scar growth and reducing edema. Perfect for burn therapists looking to optimize patient care! 📌 Content: Introduction 00:00 Quiz Time: What’s the Correct Wearing Sequence? 00:49 The Correct Sequence and Rationale 01:14 Don’t forget to like, comment, and subscribe for more professional insights and tips for burn therapists. For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter. 🔗 Related Resources: Pressure garment wearing sequence: Is sequence of wearing really important? https://www.sunshinetraining.org/post/pressure-garment-wearing-sequence-is-sequence-of-wearing-really-important Three factors to consider in regards to the “23 hours” general rule for pressure garment wear time https://www.sunshinetraining.org/post/three-factors-for-23-hours-pressure-garment-wear-time Is it OK wearing pressure garments during rehabilitation exercises? https://www.sunshinetraining.org/post/wearing-pressure-garments-during-rehabilitation-exercises 📺 Related videos: https://youtu.be/Z5O2jvmKhCo?feature=shared https://youtu.be/G0C8UnzVKMo?feature=shared https://youtu.be/UCT-NvTjLhs?feature=shared #burnrehabilitation #pressure garments #scar management #hypertrophic scars
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03:52
Should Burn Patients Remove Pressure Garments During Rehabilitation Exercises?
#burnrehabilitation #pressure garments #scar management #hypertrophic scars #rehabilitationexercises Should burn patients wear or remove pressure garments during rehabilitation exercises? Learn the dos and don’ts, plus tips to keep burn patients safe and comfortable while ensuring effective scar management. Pressure garments are essential in controlling burn hypertrophic scars, but their use during rehabilitation exercises can raise questions. In this video, we’ll explain: • When to keep pressure garments on during therapy. • When it’s better to remove them. • Key precautions therapists should follow to reduce friction, irritation, or wounds. This guide is perfect for burn therapists and healthcare professionals looking to improve their rehabilitation strategies and help patients achieve the best results in their recovery journey. 📌 Content: Introduction 00:00 General Guidelines - When to Remove Pressure Garments? When to Keep Them On? 00:49 Precautions to Reduce Risk of Problems 01:56 Key Takeaways 02:54 Don’t forget to like, comment, and subscribe for more professional insights and tips for burn therapists. Visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter. 🔗 Related Resources: Is it OK wearing pressure garments during rehabilitation exercises? https://www.sunshinetraining.org/post/wearing-pressure-garments-during-rehabilitation-exercises Three factors to consider in regards to the “23 hours” general rule for pressure garment wear time https://www.sunshinetraining.org/post/three-factors-for-23-hours-pressure-garment-wear-time Saying goodbye and letting go... Helping patients discontinue the use of pressure garments https://www.sunshinetraining.org/post/helping-patients-discontinue-use-of-pressure-garments 📺 Related videos: https://youtu.be/Z5O2jvmKhCo?feature=shared https://youtu.be/UCT-NvTjLhs?feature=shared
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05:14
How to help burn patients discontinue the use of their pressure garments?
#burnrehabilitation #pressuretherapy #scarmanagement In this video, we will discuss how the therapist can help prepare the patient’s transition towards his new pressure garment-free life by knowing when to safely discontinue the use of pressure garments, and knowing how to deal with concerns, anxiety and fear that may arise when patients have difficulty letting go of their garments. Read more about how to help patients discontinue the use of pressure garments: https://www.sunshinetraining.org/post/helping-patients-discontinue-use-of-pressure-garments-1 For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter. 📺 Related videos: https://youtu.be/Z5O2jvmKhCo?feature=shared https://youtu.be/UCT-NvTjLhs?feature=shared https://youtu.be/G0C8UnzVKMo
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Play Video
03:50
23-hour pressure garment wear time for burn scars: Three factors to consider
#burnrehabilitation Do Burn Patients Really Need to Wear Pressure Garments All Day, Every Day? In this video, we discuss whether burn patients must wear pressure garments for 23 hours a day and explore the factors that influence wear time. We cover the three key factors that therapists should consider when planning a pressure garment schedule for burn patients: the phase of scar maturation, the condition of the patient’s skin, and their age. 📌 Content: 00:00 Why "23-hour" wear time? 00:50 What are the three factors to consider? 01:04 Factor 1: Phase of scar maturation 02:00 Factor 2: Status of skin 02:21 Factor 3: Age of the patient 🔗 Related Resources: Is it OK wearing pressure garments during rehabilitation exercises? https://www.sunshinetraining.org/post/wearing-pressure-garments-during-rehabilitation-exercises Three factors to consider in regards to the “23 hours” general rule for pressure garment wear time https://www.sunshinetraining.org/post/three-factors-for-23-hours-pressure-garment-wear-time Saying goodbye and letting go... Helping patients discontinue the use of pressure garments https://www.sunshinetraining.org/post/helping-patients-discontinue-use-of-pressure-garments For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter. 📺 Related videos: https://youtu.be/Z5O2jvmKhCo?feature=shared https://youtu.be/UCT-NvTjLhs?feature=shared https://youtu.be/G0C8UnzVKMo
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04:17
How tension from adjacent scars affects skin and shoulder joint movement
#rehabilitation #burnrehabilitation This video demonstrates how skin tension caused by burn scars can affect joint movements, with a specific focus on shoulder joint. The continuous nature of the skin means that when a joint is in motion, it's not just the local skin that stretches—it's a collaborative effort involving adjacent areas. A basic concern in burn rehabilitation is the profound effect of burn scars on joint mobility. Contrary to normal skin, scars lack the ability to stretch adequately. A scar need not be directly on a joint to impede its movement. A patient may experience noticeable issues with joint mobility despite the absence of apparent scars in the surrounding skin. In the case presented here, the patient doesn't have any scars on his shoulder, yet his shoulder movement is impeded. The culprit? Uneven tension stemming from scars located elsewhere. For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter.
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02:53
How do burn hypertrophic scars on the back of fingers affect joint movements?
#rehabilitation #burnrehabilitation #handrehabilitation This video highlights the implications of hypertrophic scar growth on finger joints, showcasing how the scar's tightness manifests during movement. These scars limit joint mobility and induce a distinctive blanching, signifying insufficient extensibility. The associated challenges, ranging from altered nail bed shapes to pain during DIP joint flexion, underscore the importance of scar treatment strategies that prioritize enhancing scar flexibility and extensibility for optimal rehabilitation. For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter. ---------------------------------------------------------------------------- Music credit: Daily Beetle by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: https://incompetech.com/music/royalty-free/index.html?isrc=USUAN1500025 Artist: http://incompetech.com/
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05:38
Dealing with Hypertrophic Scars On Dorsal Aspect Of Forefoot
#rehabilitation #burnrehabilitation #pressuretherapy Hypertrophic scars on the dorsal aspect of the forefoot can be challenging to deal with. This is because the foot combines flat, convex and concave surfaces. If not dealt properly, these scars can have a serious impact on ambulation. Scar growth and contracture can cause metatarsophalangeal joint hyperextension and webspace syndactyly. In severe cases, range of motion of toe joints will be affected, which may cause pain when walking or wearing shoes. In this video, Chen-Jui HSU, Occupational Therapist at Sunshine’s Taipei Rehabilitation Center will use a patient’s case to illustrate how a pressure therapy intervention can be developed for this kind of problem.
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03:17
How to make easy and inexpensive palmar inserts
Scars on the palmar side of the hand are difficult to manage, and pressure garment gloves alone cannot give sufficient pressure. Inserts made with Otoform or silicone gel sheets are generally used underneath the pressure garment glove to fill in the concave space, but this kind of material can be expensive and is not always readily available. In this video, Yu-Li Sung (PT) explains how to make simple, inexpensive yet effective palmar inserts using jeans fabric. Author: Yu-Li SUNG (PT), Director, Medical Device Center, Sunshine Social Welfare Foundation Reference: Yu-Li Sung, Palmar insert made with jeans fabric, Burns Open, Volume 5, Issue 4, October 2021, Pages 225-227 https://doi.org/10.1016/j.burnso.2021.08.022 https://www.sciencedirect.com/science/article/pii/S2468912221000523 For more tips, how to's and videos about burn rehabilitation → Visit Sunshine Training website https://www.sunshinetraining.org/ Subscribe to Sunshine Training Youtube channel https://www.youtube.com/channel/UC3sz...
Splinting
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05:09
How to make a mouth dilator using metal wire
Scars located on the face are notoriously difficult to deal with. The reason is that they often result in contracture, it’s not easy to apply pressure on them and it’s not easy to stretch them. This is the case with scars around the mouth. Scar contracture around the mouth can result in microstomia, lower and upper lip ectropion, as well as making the shape of the mouth become skewed. People who have microstomia will have difficulty eating or carrying out oral hygiene. Lip ectropion will make it difficult to close the mouth. In severa cases, burn patients will have difficulty controlling salivation and speech will be affected. Apart from using facial exercises and scar massage, using a mouth splint can provide prolonged stretching to the scars. In this video, we will show you how to make a simple mouth dilator using metal wire to provide horizontal stretch to the mouth. Download the fabrication steps and metal wire pattern: https://www.sunshinetraining.org/post/mouth-dilator-using-metal-wire For more tips, how to's and videos about burn rehabilitation: → Visit our Sunshine Training website at https://www.sunshinetraining.org → Subscribe to our Youtube channel https://www.youtube.com/channel/UC3szizBWLcS7Mh4sq_SMGlQ.
Rehabilitation of the burned shoulder
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04:17
How tension from adjacent scars affects skin and shoulder joint movement
#rehabilitation #burnrehabilitation This video demonstrates how skin tension caused by burn scars can affect joint movements, with a specific focus on shoulder joint. The continuous nature of the skin means that when a joint is in motion, it's not just the local skin that stretches—it's a collaborative effort involving adjacent areas. A basic concern in burn rehabilitation is the profound effect of burn scars on joint mobility. Contrary to normal skin, scars lack the ability to stretch adequately. A scar need not be directly on a joint to impede its movement. A patient may experience noticeable issues with joint mobility despite the absence of apparent scars in the surrounding skin. In the case presented here, the patient doesn't have any scars on his shoulder, yet his shoulder movement is impeded. The culprit? Uneven tension stemming from scars located elsewhere. For tips, how-to's and videos on burn rehabilitation, subscribe to our Youtube channel or visit our website at https://www.sunshinetraining.org/ for our blog and to subscribe to our monthly newsletter.
Exercises
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06:17
Maximizing Post-Burn Recovery with AROM and Stretching Exercises
Active Range of Motion (AROM) and stretching exercises are essential tools in burn rehabilitation, helping patients restore mobility, reduce scar stiffness, and regain independence. In this video, we walk you through: 00:00 - Introduction 00:30 - Types of Exercises and Stretching 01:20 - Why AROM and Stretching Matter 02:20 - When to Use Each Exercise 04:05 - How to Combine AROM and Stretching 05:37 - Key Takeaways This guide will help therapists better understand how and when to apply these powerful rehab tools. Read more: Maximizing Burn Recovery with AROM Exercises and Stretching: A Guide to Burn Therapeutic Exercises https://www.sunshinetraining.org/post/maximizing-burn-recovery-with-arom-and-stretching-a-guide-to-burn-therapeutic-exercises 👉 Don’t forget to like, share, and subscribe for more burn rehab education! #BurnRehabilitation #BurnRecovery #StretchingExercises #AROM
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