title: OUTCOME OF PHYSICAL THERAPY AND SPLINTING IN HAND BURNS INJURY. OUR LAST FOUR YEARS' EXPERIENCE.
abstract: OBJECTIVE
  Burn injuries in hands are much more complex and the appearance of contractures is a common complication. Hand burn injuries often result in limited functionality, flexion and extension of fingers and present a major hindrance in rehabilitation. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results. The purpose of this study is to presents our experience of 38 children with hand burn injuries, admitted and treated at the Department of Plastic Surgery, UCCK-Pristina, Kosovo, during the years 2012-2015.
  
  
  METHODS
  Physical therapy is focused on active/passive range of motion in affected joints, management of cicatrix, strengthening exercise, coordination and use of splints for correction contractures. Patients were evaluated in three, six months and the definitive evaluation is done after 9 months of physical therapy and splinting.
  
  
  RESULTS
  We have improvement in range of motion (ROM), functionality, coordination, muscle force, decrease of keloids scars.
  
  
  CONCLUSIONS
  This study shows the importance of physical therapy and splinting, achieving good results in preventing contracture, improving range of motion, muscle force and good cosmetic results.
authors.affiliation: Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Shkurta
authors.initials: S
authors.lastname: Rrecaj
authors.affiliation: Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Hajrie
authors.initials: H
authors.lastname: Hysenaj
authors.affiliation: Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Merita
authors.initials: M
authors.lastname: Martinaj
authors.affiliation: Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Ardiana
authors.initials: A
authors.lastname: Murtezani
authors.affiliation: Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Dafina
authors.initials: D
authors.lastname: Ibrahimi-Kacuri
authors.affiliation: Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Bekim
authors.initials: B
authors.lastname: Haxhiu
authors.affiliation: Department of Plastic Surgery, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Zene
authors.initials: Z
authors.lastname: Buja
keywords: burns injuries; complications; hands; physical therapy