title: Orofacial contracture management outcomes following partial thickness facial burns.
abstract: OBJECTIVE
  To examine clinical outcomes following non-surgical exercise for contracture management post partial thickness orofacial burn.
  
  
  METHODS
  A cohort of 229 patients with partial thickness orofacial burn was recruited over 3 years. Orofacial contracture management combining exercise and stretching was initiated within 48h of admission and continued until functional goals were consistently achieved. A second cohort of 120 healthy controls was recruited for normative comparison. Vertical and horizontal mouth opening measures were recorded at the start and completion of orofacial intervention for patients and once only for controls.
  
  
  RESULTS
  At commencement of intervention, participants with orofacial burns had significantly (p<0.001) reduced vertical and horizontal mouth opening. Treatment duration averaged 30.7 days (SD=52.3). Post treatment significant (p<0.001) improvements in vertical and horizontal opening were noted. At treatment conclusion, a significant (p<0.01) difference remained between the burns cohort and control group for vertical mouth opening, though horizontal mouth opening was now statistically comparable to the controls.
  
  
  CONCLUSIONS
  This study supports positive outcomes following orofacial contracture management for patients with partial thickness orofacial burn. Despite this, some functional loss remained with patients demonstrating persistent reduced vertical mouth opening at conclusion of treatment compared to their healthy counterparts.
authors.affiliation: Speech Pathology Department, Concord Repatriation General Hospital, Building 42, Hospital Rd, Sydney, NSW 2139, Australia; Burns Unit, Concord Repatriation General Hospital, Level 7 North, Hospital Rd, Sydney, NSW 2139, Australia. Electronic address: nicola.clayton@sswahs.nsw.gov.au.
authors.forename: N A
authors.initials: NA
authors.lastname: Clayton
authors.affiliation: School of Health & Rehabilitation Sciences, The University of Queensland, QLD 4072, Australia; Centre for Functioning and Health Research, Queensland Health, PO Box 6053, Buranda, QLD 4102, Australia.
authors.forename: E C
authors.initials: EC
authors.lastname: Ward
authors.affiliation: Burns Unit, Concord Repatriation General Hospital, Level 7 North, Hospital Rd, Sydney, NSW 2139, Australia.
authors.forename: P K M
authors.initials: PK
authors.lastname: Maitz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000150:complications / Q000534:rehabilitation*; D016022:Case-Control Studies; D015331:Cohort Studies; D003286:Contracture / Q000209:etiology / Q000534:rehabilitation*; D019468:Disease Management; D005081:Exercise Therapy / Q000379:methods; D005151:Facial Injuries / Q000150:complications / Q000534:rehabilitation*; D005152:Facial Muscles; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth; D009059:Mouth Diseases / Q000209:etiology / Q000534:rehabilitation*; D052580:Muscle Stretching Exercises / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Burns; Contracture; Orofacial; Outcomes; Treatment