RESUMEN
The objective of this review was to systematically evaluate the available clinical evidence for early ambulation of burn survivors after lower extremity skin grafting procedures so that practice guidelines could be proposed. It provides evidence-based recommendations, specifically for the rehabilitation interventions required for early ambulation of burn survivors. These guidelines are designed to assist all healthcare providers who are responsible for initiating and supporting the ambulation and rehabilitation of burn survivors after lower extremity grafting. Summary recommendations were made after the literature, retrieved by systematic review, was critically appraised and the level of evidence determined according to Oxford Centre for Evidence-Based Medicine criteria. A formal consensus exercise was performed to address some of the identified gaps in the literature which were believed to be critical building blocks of clinical practice.
Asunto(s)
Quemaduras/rehabilitación , Quemaduras/cirugía , Ambulación Precoz/normas , Guías de Práctica Clínica como Asunto/normas , Trasplante de Piel/métodos , Quemaduras/diagnóstico , Medicina Basada en la Evidencia , Femenino , Estudios de Seguimiento , Rechazo de Injerto , Supervivencia de Injerto , Humanos , Puntaje de Gravedad del Traumatismo , Extremidad Inferior/fisiopatología , Extremidad Inferior/cirugía , Masculino , Cuidados Posoperatorios/métodos , Quebec , Medición de Riesgo , Sobrevivientes , Resultado del TratamientoRESUMEN
Burn rehabilitation is an essential component of successful patient care. In May 2008, a group of burn rehabilitation clinicians met to discuss the status and future needs of burn rehabilitation. Fifteen topic areas pertinent to clinical burn rehabilitation were addressed. Consensus positions and suggested future research directions regarding the physical aspects of burn rehabilitation are shared.