1-Phase of recovery
- Acute or pre grafting phase the aim is to preserve ROM and strength and decrease the intensity of exercise due to pain .
- In post acute phase increase the intensity and perform functional and independent as the pain decrease
2-intent of exercise.
- Aim of exercise determine the type of exercise
- Design the therapeutic method to match with goal will be achieved.
3-Patient medical statue
- If patient alert and able to assist mentally and physical active exercise may be used .
- If patient unconscious passive exercise is appropriate.
4-Age
- Extreme of the young and aged unreliable to actively participate in an independent exercise need outside assistance.
- Do not give more instruction to the young and old age.
- After age 25:30 the physical capacity of the adult to exercise decline approximately 8:10% each decade.
5- Social support
- By the relative to participate in the program of treatment .
6- Frequency of treatment
- During painful recovery patient exercise frequency for short period and then with improvement increase the time and decrease the frequency.
7- Location of burn
- Exercise should focus on the area most likely to develop scar tissue (near joint, crease
8- Extent of burn
- Increase the extent ------- increase the contracture ----------- increase the need to exercise.
9-Depth of burn
- The deeper the burn the greater chance of scar tissue so should emphasize on exercise.
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