Abstract:
INTRODUCTION:Burns create a myriad of complications that affect the child's developmental, functional and aesthetic status. The WeeFIM is a standardized measure of functional performance developed for use in children 6-months to 8-years of age but with application through adolescence. It includes 18 domains of performance which are scored on a 7-point scale from 'total assistance' to 'complete independence'. In this study, the WeeFIM was used to evaluate the influence of burn size on functional independence and on time to recovery. METHODS:Children, 6 months to 16 years of age, with total body surface area (TBSA) bums of 10-100% burn injury were recruited for a 2-year longitudinal study. Due to unstable WeeFIM measurements on children 6 months to 6 years, analyses on normalized WeeFIM scores among subjects 6-16 years are presented. Children were evaluated at discharge from acute care, 6 months, 1 year and 2 years after burn injury. FINDINGS:In this analysis, 454 WeeFIM evaluations from 249 patients, 6-16 years of age, were reviewed. While mean WeeFIM scores varied significantly at discharge based on the size of burn, there were no significant differences in any of the WeeFIM scales at 24 months post-burn. At 24 months, the mean WeeFIM score for all children, independent of size of their bum, indicated full independence. Hands-on assistance was not required for performing activities of daily living (ADLs). The rates of improvement differed statistically by size of bum. Maximum improvement was attained by 6 months for 10-15% TBSA burns, 12 months for 16-30% burns, 12 months for 31-50% burns and 24 months for 51-100% TBSA. CONCLUSION:The WeeFIM can be utilized by burn centres to describe diminished functional capacity at discharge from acute care for severely burnt children. The tool can be used to track return to baseline independence after a major burn injury in a paediatric population.
journal_name
Dev Neurorehabiljournal_title
Developmental neurorehabilitationauthors
Serghiou MH,Rose MW,Pidcock FS,Esselman PC,Engrav LH,Kowalske KJ,Lezotte DCdoi
10.1080/17518420701520644subject
Has Abstractpub_date
2008-01-01 00:00:00pages
39-50issue
1eissn
1751-8423issn
1751-8431pii
783037832journal_volume
11pub_type
杂志文章abstract:OBJECTIVE:This exploratory study aimed to describe the self-initiated pretend play of three children who had sustained an acquired brain injury (ABI). No previous research was found. METHODS:Three children aged 3.0-6.0 years were recruited through purposive sampling. Pretend play ability was assessed using the Child-I...
journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
doi:10.3109/17518423.2012.655798
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journal_title:Developmental neurorehabilitation
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doi:10.3109/17518423.2011.629374
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pub_type: 杂志文章
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
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journal_title:Developmental neurorehabilitation
pub_type: 临床试验,杂志文章
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journal_title:Developmental neurorehabilitation
pub_type: 临床试验,杂志文章
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更新日期:2009-06-01 00:00:00
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2017-04-01 00:00:00
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章,评审
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
doi:10.3109/17518423.2014.938834
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journal_title:Developmental neurorehabilitation
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
doi:10.3109/17518423.2011.605076
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章,meta分析
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journal_title:Developmental neurorehabilitation
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journal_title:Developmental neurorehabilitation
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更新日期:2019-01-01 00:00:00
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:Developmental neurorehabilitation
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
doi:10.1080/17518423.2016.1214188
更新日期:2017-11-01 00:00:00
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
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更新日期:2018-07-01 00:00:00
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更新日期:2016-10-01 00:00:00
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journal_title:Developmental neurorehabilitation
pub_type: 杂志文章
doi:10.3109/17518423.2011.552459
更新日期:2011-01-01 00:00:00
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