{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:29:26Z","timestamp":1762867766214},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,4,5]],"date-time":"2019-04-05T00:00:00Z","timestamp":1554422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Australian Government Research Training Program Scholarship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Scar contracture is a significant complication of burn injury. This study aimed to describe outcomes of early axilla orthotic use at end of range abduction in children, following a burn to the axilla region. A retrospective review of 76 children (mean age 3.9 years [SD 3.6]) treated at a tertiary children\u2019s hospital from 2006 to 2016 was conducted. No child developed axilla contracture for the duration of the 2-year study follow-up with no adverse events recorded. If orthotic use was ceased &lt;60 days post-burn, it was considered not an essential intervention to maintain range of movement, leaving 49 children using the orthotic \u226560 days. Compared with the children who ceased orthotic use in &lt;60 days, children who required the orthotic \u226560 days had a significantly higher frequency of deep-dermal burn (59 vs 25%, p = .01), flame mechanism (25 vs 5%, p = .03), and burn injury distribution involving the anterior trunk, flank, and arm (18 vs 3%, p = .03). Early signs of contracture, considered loss of full axilla range or significant banding, developed in nine children within 3 months post-burn. With intensive therapy, all returned to full axilla range by 9 months post-burn. Children with skin tension at end of range shoulder movement at the 1-month clinical assessment were 11 times more likely to develop early signs of contracture (95% confidence interval [CI]: 1.9\u201362.1, p = .007). Intensive orthotic use at end of range shoulder abduction in children with axilla burns is well tolerated. When undertaken with ongoing therapist review, full axilla range can be maintained.<\/jats:p>","DOI":"10.1093\/jbcr\/irz058","type":"journal-article","created":{"date-parts":[[2019,4,5]],"date-time":"2019-04-05T10:33:12Z","timestamp":1554460392000},"page":"678-688","source":"Crossref","is-referenced-by-count":10,"title":["Outcomes of Early Use of an End of Range Axilla Orthotic in Children Following Burn Injury"],"prefix":"10.1093","volume":"40","author":[{"given":"Rhianydd","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, New South Wales, Australia"},{"name":"Physiotherapy Department, The Children\u2019s Hospital at Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Wicks","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, The Children\u2019s Hospital at Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Toose","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, The Children\u2019s Hospital at Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verity","family":"Pacey","sequence":"additional","affiliation":[{"name":"Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,4,5]]},"reference":[{"key":"2019081416350095700_CIT0001","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1111\/j.1524-475X.2012.00820.x","article-title":"Outcome after burns: an observational study on burn scar maturation and predictors for severe scarring","volume":"20","author":"van der Wal","year":"2012","journal-title":"Wound Repair 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