Contracture tendency UE
Burn at anterior elbow
Elbow flexion
Burn on anterior neck
Cervical flexion
Burn on anterior neck
Remove pillows, use half mattress to extend neck; neck extension orthoric or high density foam collar
Axilla
120' glenohumeral ABduction with slight external rotation, "airplane splint"
Burn on plantar surface of foot including heel
Monitor for pressure wound on heel, elevate off surface to reduce friction forces
Burn on volar surface of the hand
Cupping of hand, flexion of MCP, PIP, DIP joints, thumb adduction
Burn at axilla
Glenohumeral adduction
Burn on dorsal surface of wrist
Wrist support in neutral
Anterior elbow
Elbow extension orthosis
Burn at axilla
Watch for signs of brachial plexus strain
Burn on dorsum of the hand
MCP hyperextension with PIP and DIP flexion ("claw hand")
Burn to anterior hip
Hip flexion
Burn to posterior knee
Supine, to support knee extension
Volar wrist
Dorsal wrist immobilization orthosis
Positioning for inhalation burn
Head of bed elevated 30-45' to facilitate lung expansion and secretion clearance
Burn on dorsum of the wrist
Wrist extension
Burn to posterior knee
Knee flexion
Burn to anterior hip
Prone position, knee immobilizers
Dorsal wrist
Volar wrist immobilization orthosis
Mouth
Microstomia orthosis with traction. Can be static, static progressive, or dynamic.
Burn on volar surface of the wrist
Wrist flexion
Burn on plantar surface of foot
Dropped foot, plantar flexion (pointed toe)
Burn to plantar surface of the foot
Ankle at 90'
Dorsal hand
Intrinsic plus "safe position" "antideformity" orthosis
Activity tolerance considerations and strategies
Energy conservation techniques (pacing, pursed lip breathing, prioritizing) during ADL due to higher metabolic demand