Abstract
I recently read the article “The effect of positioning devices and pressure therapy on outcome after full-thickness burns of the neck” by Patricia A. Sharp and Richard J. Kagan in the May/June 2007 issue. I found this article interesting because I am an occupational therapy student and recently completed a clinical experience where I evaluated and treated many burn survivors under the supervision of my clinical educator. The original intent of this study was to identify which positioning devices and treatment strategies provide the best outcomes as determined by the need for a reconstructive neck procedure. The results of the study did not indicate that any one positioning appliance was better than another, however, the study did reveal some other interesting results. The number of obstacles preventing early pressure and positioning such as “tracheostomies, unilateral or bilateral shoulder abduction splints, a hard plastic face mask, or a combination of these factors” did significantly relate to earlier and more frequent neck reconstruction than patients without any obstacles.1
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