ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI CHỨC NĂNG VẬN ĐỘNG KHỚP VAI VÀ KHUỶU Ở BỆNH NHÂN SAU PHẪU THUẬT DI CHỨNG BỎNG CHI TRÊN

Abstract

Objectives: To evaluate the outcomes of joint range of motion (ROM) rehabilitation and the level of independence in daily activities in patients undergoing surgery for upper extremity burn sequelae. Methods: An uncontrolled randomized clinical trial was conducted on 30 patients who underwent surgery for shoulder and elbow post-burn sequelae at the Center for Plastic and Reconstructive Surgery, Le Huu Trac National Burn Hospital, from April 2025 to April 2026. Patients were managed with a 3-stage rehabilitation protocol. ROM was assessed using a goniometer, and the level of independence in activities of daily living (ADL) was evaluated using the Barthel Index at five time points (T1 - T5). Results: The early rehabilitation protocol for patients undergoing surgery for upper extremity burn sequelae significantly improved shoulder and elbow ROM (p < 0.05). Specifically, shoulder flexion increased from 57.7 ± 7.67° to 132.1 ± 6.95°, shoulder abduction increased from 58.7 ± 10.1° to 138.06 ± 7.86°, and elbow flexion increased from 45,7 ± 9,04°to 131.33 ± 8.9° (p < 0.05)." Functional independence showed substantial gain, with Barthel Index scores improving from 62.03 ± 5.54 to 94.13 ± 2.56 points. 100% of participants achieved "Good" to "Excellent" recovery outcomes. Conclusion: The 3-stage rehabilitation protocol significantly improves shoulder and elbow joint ROM and increases Barthel Index scores, with 100% of patients achieving "Good" or higher recovery outcomes.