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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Lu Bo,Ma Xiaohong,Fu Qingqing,et al.Effect of the hand function assessment and training system on hand function rehabilitation in patients with burns[J].Chin J Burns Wounds,2026,42(11):1-9.DOI: 10.3760/cma.j.cn501225-20250715-00306.
Citation: Lu Bo,Ma Xiaohong,Fu Qingqing,et al.Effect of the hand function assessment and training system on hand function rehabilitation in patients with burns[J].Chin J Burns Wounds,2026,42(11):1-9.DOI: 10.3760/cma.j.cn501225-20250715-00306.
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Effect of the hand function assessment and training system on hand function rehabilitation in patients with burns

doi: 10.3760/cma.j.cn501225-20250715-00306

  • Institute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing Key Laboratory for Wound Repair and Tissue Regeneration, Chongqing 400038, China

Funds:

General Program of National Natural Science Foundation of China 82072188

Chongqing Science and Technology Communication and Popularization Project CSTB2025KJCBPJKPHDYB10X0054

More Information
  • Corresponding author: Tan Jianglin, Email: tanjl@tmmu.edu.cn
  • Received Date: 2025-07-15
    Available Online: 2026-11-02
    Abstract
  •   Objective  To investigate the effect of the hand function assessment and training system on hand function rehabilitation in patients with burns.  Methods  This was a retrospective cohort study. From January 2021 to December 2024, 32 patients with hand burns who met the inclusion criteria were admitted to the Institute of Burn Research, the First Affiliated Hospital of Army Medical University (Third Military Medical University). According to the rehabilitation method, patients were divided into routine rehabilitation group (13 males and 3 females, aged (43±14) years) receiving routine rehabilitation training and system rehabilitation group (15 males and 1 female, aged (38±12) years) receiving additional training with the hand function assessment and training system on the basis of routine rehabilitation training, with 30 affected hands in each group. The total active motion (TAM) method was used to assess the range of motion of finger joints of affected hands before treatment and at 4 weeks after treatment, and the improvement degree of affected hands was recorded at 4 weeks after treatment. Before treatment and at 4 weeks after treatment, grip strength and pinch strength of affected hands were recorded; the severity of pain and pruritus of affected hands was scored using the Visual Analogue Scale; activities of daily living were assessed using the modified Barthel Index (MBI) and the Functional Independence Measure (FIM); and the scores of each dimension of the self-care subscale of FIM (eating, grooming, bathing, dressing upper body, dressing lower body, and toileting) were further recorded to reflect upper limb function.  Results  Within-group comparison showed that the total TAM of affected hands in routine rehabilitation group and system rehabilitation group at 4 weeks after treatment was (726±192)° and (709±242)°, respectively, both significantly higher than (633±208)° and (564±244)° before treatment (with t values of -7.25 and -7.65, respectively, P<0.05). At 4 weeks after treatment, the improvement degree of affected hands in system rehabilitation group was significantly better than that in routine rehabilitation group (RR=4.50, with a 95%CI value of 1.06–19.11, Z=-1.99, P<0.05). Within-group comparison showed that grip strength and pinch strength of affected hands in routine rehabilitation group at 4 weeks after treatment were significantly higher than those before treatment (with t values of -6.90 and -6.61, respectively, P<0.05), and grip strength and pinch strength of affected hands in system rehabilitation group at 4 weeks after treatment were significantly higher than those before treatment (with t values of -11.89 and -14.98, respectively, P<0.05); between-group comparison showed that grip strength and pinch strength of affected hands in system rehabilitation group at 4 weeks after treatment were significantly higher than those in routine rehabilitation group (with t values of 3.07 and 2.97, respectively, P<0.05). Within-group comparison showed that compared with before treatment, the pruritus score of affected hands in routine rehabilitation group and the pain score of affected hands in system rehabilitation group were significantly increased at 4 weeks after treatment (with Z values of -2.31 and -2.17, respectively, P<0.05); between-group comparison showed that the pain score of affected hands in system rehabilitation group at 4 weeks after treatment was significantly higher than that in routine rehabilitation group (Z=-2.53, P<0.05). Within-group comparison showed that the MBI score and FIM score of affected hands in routine rehabilitation group at 4 weeks after treatment were significantly higher than those before treatment (with t values of -3.62 and -3.72, respectively, P<0.05), and the MBI score and FIM score of affected hands in system rehabilitation group at 4 weeks after treatment were significantly higher than those before treatment (with t values of -3.83 and -4.29, respectively, P< 0.05); between-group comparison showed that the FIM score of affected hands in system rehabilitation group at 4 weeks after treatment was significantly higher than that in routine rehabilitation group (t=-1.02, P<0.05). Within-group comparison showed that the scores of eating, grooming, bathing, dressing upper body, dressing lower body, and toileting dimensions of the self-care subscale of FIM of affected hands in routine rehabilitation group at 4 weeks after treatment were significantly higher than those before treatment (with t values of -5.57, -5.67, -5.44, -4.56, -3.71, and -4.03, respectively, P<0.05), and the scores of eating, grooming, bathing, dressing upper body, dressing lower body, and toileting dimensions of the self-care subscale of FIM of affected hands in system rehabilitation group at 4 weeks after treatment were significantly higher than those before treatment (with t values of -6.96, -9.52, -12.48, -4.68, -7.07, and -7.11, respectively, P<0.05); between-group comparison showed that the scores of bathing, dressing upper body, dressing lower body, and toileting dimensions of the self-care subscale of FIM of affected hands in system rehabilitation group at 4 weeks after treatment were significantly higher than those in routine rehabilitation group (with t values of -3.90, -2.89, -3.38, and -4.19, respectively, P<0.05).  Conclusions  The hand function assessment and training system can improve the range of motion of affected hand joints, increase grip strength and pinch strength, enhance activities of daily living, and improve upper limb function in patients with burns, thus providing assistance for hand function recovery in burn patients.

     

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