BackgroundBurn injuries can lead to devastating functional impairments and reduced quality of life. An important component of rehabilitation programs is the range of motion exercises, which can accelerate wound healing and prevent contractures. The present study sought to evaluate the effects of a range of motion exercises validated by thermal imagining on patients with second-degree burns. Patients and methodsThis quasi-experimental study included 47 adult patients diagnosed with second-degree burns. Data was collected using a Structured Interview Questionnaire, modified Abbreviated Burn Severity Index (ABSI), the Bates-Jensen Wound Assessment Tool (BWAT), and mobile thermal imaging to assess wound healing. ResultsThe ABSI levels showed that 46.8% of patients had moderate-severity burns, 38.3% had very low severity, and 14.9% had moderately severe burns. While the BWAT scores were 28.9 ± 4.6SD at baseline, 30.1 ± 4.7SD after one week, 19.2 ± 6.5SD after the 2nd week, and finally 17.1 ± 4.3SD on the 3rd week. The FLIR thermal imaging scores over three weeks were statistically significant (p<0.001, Kruskal-Wallis test). The study revealed high statistically significant differences in range of motion and wound healing mean scores. ConclusionsThis study demonstrated that range of motion exercises improved burn wound healing. Additionally, thermal imaging showed high validity for evaluating wound healing potential and progression. It provides viable triage technology while benefiting clinical assessment. Overall, range of motion and smartphone thermography are two evidence-based modalities that can enhance burn management, decrease healing time, lower costs, and improve outcomes.
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