A5048181656- Burn Injury Management and Outcomes
- Wound Healing and Treatments
- Bone fractures and treatments
- Traumatic Brain Injury Research
- Orthopedic Surgery and Rehabilitation
- Reconstructive Surgery and Microvascular Techniques
- Cardiac Arrest and Resuscitation
- Pressure Ulcer Prevention and Management
- Planarian Biology and Electrostimulation
- Muscle metabolism and nutrition
- Dermatologic Treatments and Research
- Intensive Care Unit Cognitive Disorders
- Surgical Sutures and Adhesives
- Heart Rate Variability and Autonomic Control
- Trauma and Emergency Care Studies
- Physical Activity and Health
- Obesity, Physical Activity, Diet
- Nerve Injury and Rehabilitation
University of Pennsylvania
2025
Diane and Bruce Halle Foundation
2025
Healthwise
2021-2024
A.T. Still University
2024
Legacy Salmon Creek Medical Center
2023
Phoenix (United States)
2023
Theodore Roosevelt High School
2023
Richard M. Fairbanks Foundation
2023
Arizona Research Center
2018-2021
Valleywise Health
2018-2020
Journal Article Summary of the 2012 ABA Burn Quality Consensus Conference Get access Nicole S. Gibran, MD, FACS, FACS Search for other works by this author on: Oxford Academic Google Scholar Shelley Wiechman, PhD, ABPP, ABPP Walter Meyer, MD Linda Edelman, RN, PhD Jim Fauerbach, Gibbons, MS, MS Radha Holavanahalli, Carly Hunt, MA, MA Kelly Keller, RN Elizabeth Kirk, MSN, APN, APN ... Show more Jacqueline Laird, BSN, Giavonni Lewis, Sidonie Moses, BSN Jill Sproul, Gretta Wilkinson, Steve...
Mild traumatic brain injury (mTBI) is common in adolescents. Magnetoencephalography (MEG) studies (primarily reporting on adult males) have demonstrated abnormal resting-state (RS) activity mTBI. The present study sought to identify RS abnormalities male and female adolescents with mTBI (no previous no DSM-5 diagnosis) identified from an outpatient specialty care concussion program setting as a basis for evaluating potential clinical utility. Visit 1 MEG data were obtained 46 (mean age: 15.4...
Abstract Introduction Point of care for burn survivors has traditionally been the inpatient unit. Advances in have resulted significantly reduced length stay or allowed to avoid admission. However, an outpatient shift within only emphasizes a growing need rehabilitation resources. This study surveyed centers United States (US) determine current clinic structure and evaluate utilization therapy. Methods A 20-question survey was electronically distributed clinicians at US. Questions included...
Abstract Introduction Although hand burns comprise a small TBSA percentage, they can have significant functional implications. Multiple studies show grip strength as predictor of health and quality life. A decrease in has been reported multiple populations with hospital admission; however, there is limited evidence concerning how affect strength. The purpose this study was to examine the impact on strength, measured at discharge. Methods This retrospective review data from prospective Burn...
Serial casting is utilized by burn rehab therapists to decrease scar contracture. Little evidence supports the use of constraint induced movement therapy (CIMT) increase active range motion (ROM) and promote function in pediatric population. The purpose this case study demonstrate effectiveness serial CIMT correct contracture developmental progression an infant following a injury hand. This report 14-week-old who sustained 4% total body surface area circumferential deep partial thickness...
Dear Editor: The American Burn Association (ABA) Therapist Certification (BT-C) program was developed in 2018 to promote and recognize occupational physical therapists with specialized knowledge, skill, experience burn rehabilitation. BT-C evolved from the 2014 National Leadership preconference where competency certification standards for surgeons, nursing, therapy were discussed. competencies had been established community expressed a desire development of certification.1,2 Currently, has...
Abstract Introduction Early mobility in intensive care unit (ICU) patients has been demonstrated effective improving functional status, range of motion, preventing complications, and decreasing length stay. There is limited data regarding the early mobilization burn ICU patients. The purpose this study was to survey providers better understand their experience with explore perceived barriers contraindications. Methods An internet-based 21-item distributed professionals at North American...
Abstract Introduction Hand edema is a common sequalae of burn injuries involving the upper extremity (UE) and larger total body surface area (TBSA) burns requiring fluid resuscitation. can be challenging to manage depending on severity injury and, if not adequately addressed, have long-term functional implications. Multiple management techniques are available for therapists treating injuries, but little known about their efficacy. A quality improvement project examined efficacy 4 strategies...
Abstract Introduction The American Burn Association (ABA) Therapist Certification (BT-C) program, developed in 2018, derived from an organizational desire to promote vetted quality burn care across the interprofessional team. Leadership positions within organizations, are responsible for formulating policy, developing education, and providing oversite ensure success of association. A previous study examining interdisciplinary representation society leadership ABA International Society...
Abstract Introduction A variety of factors affect the fit custom orthoses in those with burn injuries. resting hand orthosis (RHO) is a common device within care, yet fabrication and fitting this requires precision expert assessment. However, therapists have varying degrees education credentials previously we had noted preventable complications. Our center implemented multi-tiered protocol focused on RHOs found marked decrease complications immediately following implementation. The purpose...
With an increase in survivability from burn injuries over the past couple of decades comes challenge managing post-burn scars. When scar tissue impairs joint function, range motion (ROM) may be limited. Management offers many challenges for therapists including tolerance to ROM, particularly during proliferative phase when is vascular, contracting, and patient experiencing dysesthesia. scars this healing, we investigated alternative modality that reduce pain can applied conjunction with ROM...
Management of the burned hand is complex and can present challenges to burn therapist. The purpose this survey was describe current protocols practice patterns therapists across country examine specific complications. An anonymous, internet-based 14-item distributed at North American centers units. Descriptive statistics were performed. Incomplete surveys (n=14) excluded from analysis resulting in a sample 47. Respondents asked if they had written therapy care protocol, 32% (n=15) responded...
Multidisciplinary collaboration and communication are essential to maximize outcomes for burn survivors. However as patients move through the continuum of care, real time becomes challenging. The purpose this report is highlight importance ongoing dialogue involvement in nontraditional settings improve outcomes. This a case 20 year old female with history 95% TBSA thermal injury at 4 years age. She had recalcitrant elbow flexion contracture, requiring multiple contracture releases same area...
The critically ill burn patient requires complex rehabilitative care that must be frequently modified to respond changes in the patient’s physiological status, use of pharmacological agents and surgical interventions. In our center we routinely discontinue splints when patients are on vasopressors, however there is a lack evidence guide therapist regarding best practice this situation. purpose survey was explore current therapy practices centers for population. An anonymous, internet-based...
Regulatory and advisory bodies have published guidelines that trigger patient referral to a verified burn center. Despite these easily referenced resources, non-verified units admit manage patients who meet center criteria. This may deny access appropriate multidisciplinary care, increase their risk of complications, the cost care. The purpose this study was describe several characteristics sequelae with delayed (DR) compared were immediately referred. matched case-controlled retrospective...
Rehabilitation of pediatric hand burns can be formidable. Burn scars unyielding, and contractures develop quickly with devastating impact. On average, patients who demonstrate a need for early surgical intervention will require 3 reconstructive surgeries. Reconstructive surgery within the first year may extend scar formation timelines ultimately leading to development increased tissue, making correction problematic. Despite ramifications intervention, there is lack high level evidence best...
Management of hypertrophic scarring after burn injury can be challenging, especially in pediatric patients as it affects not only appearance and joint function but also growth acquisition or progression developmental milestones. Routinely utilized non-invasive scar management techniques applied to immature scars include pressure garments, massage, inserts. These may used alone combination modulate scars, however each have limitations related effort, location scar, presence wounds, patient...
Abstract Introduction Burns crossing over a joint can result in contracture of that joint. Axillary burns and subsequent contractures are common may impact negatively on burn survivor rehabilitation. Positioning burned extremities at the most lengthened position is ideal for maintenance function prevention, 90 degrees abduction accepted axillary injuries. However, many activities daily living require shoulder range motion (ROM) greater than degrees. The primary objective this study was to...
Recent interest in evaluating and objectively quantifying the energy expenditure associated with physical activity has spurred development of new measurement devices. One such device is motion sensor called Tritrac-R3D®. The Tritrac second generation sensors designed to quantify three planes. purpose this study was determine accuracy estimating ten healthy subjects who walked on a level treadmill at speeds 2, 3, 4, 5 mph ran 5, 6, 7, 8 while wearing attached waist ankle. Energy estimated by...
Abstract Introduction Designing and fitting orthoses is an essential component of burn care. Burn therapists fabricate fit at a high rate due to continuous changes in patient presentation. The purpose this survey was assess the current level comfort with orthosis fabrication therapists, identify trends about management quality assurance regarding orthoses, determine areas that may be improved through directed educational initiative. Methods An anonymous, internet-based, 31-item developed...
Abstract Introduction Anatomical structures of the hand are complex and delicate making burns particularly challenging to manage. Orthoses a cornerstone treatment modality unsuccessful therapeutic interventions can result in contracture deformities, which up 95% impairment upper extremity function. Therapists at our burn center have varying degrees education credentials, we had noticed increased incidence orthotic induced complications hand. The purpose this QI project was implement formal...