Range of Motion Following Intraoperative Coban Dressing Application in Hand Burns

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01027520
Recruitment Status : Terminated (Insufficient enrollment numbers)
First Posted : December 8, 2009
Last Update Posted : September 11, 2017
Information provided by (Responsible Party):
Cathy Barrow, University of Missouri-Columbia

Brief Summary:

Participants of this study will include burns requiring skin graft to hand(s). After informed consent, an occupational therapy evaluation will be performed. Participants will consent to surgery, in which skin graft will be applied by physician during surgery, occupational therapy will apply coban dressing. Participant will seen daily by occupational therapist during hospitalization for active range of motion to hand(s). Occupational therapist will measure range of motion of hand(s) and physician will assess graft success at one and four days after surgery and at three out patient clinic visits. Hand strength will also be measured at three out patient visits.

Does the initiation of range of motion on post operative day kone with coban dressing improve hand function without compromising graft success?

Condition or disease Intervention/treatment Phase
Burns Hand Injuries Other: application of coban dressing Not Applicable

Detailed Description:
The participant will be evaluated by occupational therapist prior to surgery. The coban dressing will be applied to the participant's hand(s)during surgery for a skin graft. This portion will occur whether the participant agrees to participate or not. The participant will begin range of motion exercises the day after surgery (post operative day one) with and occupational therapist. The occupational therapist will see the participant daily for supervised range of motion while in the hospital. The coban dressing will be removed on post operative day one if a sheet graft is placed to assess bleeding under graft. The coban dressing will be reapplied and removed again on post operative day four. When a meshed graft is placed, coban dressing will be removed on post operative day four only. All skin grafts (meshed and sheet grafts) and range of motion will be assessed on post operative day four. Coban dressing will be reapplied. The participant will continue range of motion exercise program at home. An appointment will be scheduled for 3 consecutive weeks in out patient burn clinic. During clinic visits, skin graft, range of motion, and grip strength will be measured. The participant will seen in out patient burn clinic whether they choose to participate in the study or not as a standard of burn care.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 6 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Day One Post Operative Range of Motion Following Skin Graft to Hand With Intraoperative Coban Dressing
Study Start Date : January 2010
Actual Primary Completion Date : December 2011
Actual Study Completion Date : December 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Burns

Arm Intervention/treatment
Experimental: Intervention
Application of Coban dressing
Other: application of coban dressing
application of a intraoperative coban dressing with reapplications following dressing removal.
Other Name: 3M Coban Self-Adherent wrap

Primary Outcome Measures :
  1. hand function(range of motion, grip and pinch strength) [ Time Frame: post operative day four, first, second and third clinic visits ]

Secondary Outcome Measures :
  1. graft success [ Time Frame: post operative day 4 and first, second and third clinic visits ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Less than 15% burn, burn requires skin graft to dorsum of hand, burn involves at least 2 metacarpophalangeal joints
  • 18 and older

Exclusion Criteria:

  • Latex allergy
  • Documented diagnoses of mental illness that interferes with patients ability to participate

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01027520

United States, Missouri
University of Missouri Health Care - George David Peak Memorial Burn Center
Columbia, Missouri, United States, 65212
Sponsors and Collaborators
University of Missouri-Columbia
Principal Investigator: Catherine L Barrow, BS OT University of Missouri-Columbia

Responsible Party: Cathy Barrow, Occupational Therapist, University of Missouri-Columbia Identifier: NCT01027520     History of Changes
Other Study ID Numbers: cobandressing
First Posted: December 8, 2009    Key Record Dates
Last Update Posted: September 11, 2017
Last Verified: September 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Cathy Barrow, University of Missouri-Columbia:
Hand burn
skin graft
coban dressing
range of motion

Additional relevant MeSH terms:
Hand Injuries
Wounds and Injuries
Antifungal Agents
Anti-Infective Agents
Antiprotozoal Agents
Antiparasitic Agents
Proton Ionophores
Uncoupling Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Membrane Transport Modulators
Sodium Ionophores