{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T16:14:23Z","timestamp":1782836063594,"version":"3.54.5"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Scar contractures are a common complication after burn injuries. These contractures are characterized by impairment of joint mobility, leading to a risk for limitations during daily activities, and restrictions in participation in society. Qualifying its severity is not well established in burn care. This study, therefore, examined different approaches to determine the severity of limited mobility in the knee joint due to scar contracture.<\/jats:p>\n                  <jats:p>To determine the severity of burn scar contractures development of the knee over time, the following approaches were analyzed: prevalence, the degree of limitation, the ability to perform basic daily activities, and the need for reconstructive surgery. Range of motion data of the knee joint was extracted from a 12-month prospective multicenter cohort study in the Netherlands.<\/jats:p>\n                  <jats:p>Based on prevalence, mean degree of limitation, and the classification based on mathematical division, limitations in knee flexion would be seen as giving the most problems. On the other hand, when classified in terms of impact on function, limitations in extension were found to be giving most problems, although flexion limitations interfered slightly longer with the basic activities of standing, walking, and climbing stairs.<\/jats:p>\n                  <jats:p>Depending on the chosen approach, the severity of burn scar contractures is projected differently. Interpreting the severity of a burn scar contracture of the knee, preferably should be based on a function-based classification system of the degree of range of motion impairment, activity limitations and participation restrictions in society. Because that does justice to the real impact of burn scar contracture on the individual burn survivor.<\/jats:p>","DOI":"10.1093\/jbcr\/irad016","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T10:44:29Z","timestamp":1675853069000},"page":"810-816","source":"Crossref","is-referenced-by-count":6,"title":["Considerations in Determining the Severity of Burn Scar Contractures With Focus on the Knee Joint"],"prefix":"10.1093","volume":"44","author":[{"given":"Hennie","family":"Schouten","sequence":"first","affiliation":[{"name":"Association of Dutch Burn Centers, Burn Centre, Red Cross Hospital Beverwijk , Beverwijk ,","place":["The Netherlands"]},{"name":"Burn Centre, Department of Plastic & Reconstructive Surgery, Red Cross Hospital , Beverwijk ,","place":["The Netherlands"]},{"name":"Department of Physiotherapy, Red Cross Hospital , Beverwijk ,","place":["The Netherlands"]},{"name":"Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Science\u2019s Amsterdam UMC (Location VUmc) , Amsterdam ,","place":["The Netherlands"]},{"name":"The Dutch Working Group on Burn Rehabilitation , Beverwijk ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5632-3333","authenticated-orcid":false,"given":"Marianne","family":"Nieuwenhuis","sequence":"additional","affiliation":[{"name":"Association of Dutch Burn Centers, Burn Centre, Martini Hospital Groningen , Groningen ,","place":["The Netherlands"]},{"name":"Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen , Groningen ,","place":["The Netherlands"]},{"name":"The Dutch Working Group on Burn Rehabilitation , Beverwijk ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cees","family":"van der Schans","sequence":"additional","affiliation":[{"name":"Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences , Groningen ,","place":["The Netherlands"]},{"name":"Department of Rehabilitation Medicine"},{"name":"Health Psychology, University Medical Center Groningen, University of Groningen , Groningen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4618-395X","authenticated-orcid":false,"given":"Anuschka","family":"Niemeijer","sequence":"additional","affiliation":[{"name":"Association of Dutch Burn Centers, Burn Centre, Martini Hospital Groningen , Groningen ,","place":["The Netherlands"]},{"name":"Research Institute, Martini Hospital Groningen , Groningen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3461-8848","authenticated-orcid":false,"given":"Paul","family":"van Zuijlen","sequence":"additional","affiliation":[{"name":"Burn Centre, Department of Plastic & Reconstructive Surgery, Red Cross 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