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A Child With a Burn-Related Foot and Ankle Contracture Treated With Multiple Modalities

Yelvington, Miranda MS, OTR/L, BCPR; Scoggins, Michelle PT, DPT; White, Leslie PT, DPT

doi: 10.1097/PEP.0000000000000346
Case Report

Purpose: The presence of hypertrophic scars, which cross lower extremity joints, can often result in decreased range of motion, limitations in functional mobility, and gait deviations. This article reviews a case and describes a multimodal treatment approach.

Summary of Key Points: A 6-year-old girl developed aggressive hypertrophic scars following a burn injury. A multimodal treatment approach, including splinting, elastomers, and physical therapy, was developed.

Conclusions: Rapid improvements were demonstrated in measured objective outcomes.

Recommendations for Clinical Practice: Early multimodal intervention, in addition to range of motion, stretching, massage, and compression garments, is recommended when treating hypertrophic scars. This case suggests that further study into a multimodal treatment approach may be beneficial to develop a standardized protocol for more efficient scar management.

A case report featuring a multi-modal intervention to address functional mobility limitations and gait deviations related to hypertrophic scars in a child burn survivor.

Arkansas Children's Hospital, Little Rock.

Correspondence: Miranda Yelvington, MS, OTR/L, BCPR, Arkansas Children's Hospital, 1 Children's Way, Slot 104, Little Rock, AR 72202 (yelvingtonml@archildrens.org).

At the time this article was written, all authors were practicing at Arkansas Children's Hospital, Little Rock, Arkansas.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.pedpt.com).

The authors declare no conflicts of interest.

Copyright © 2017 Wolters Kluwer Health, Inc. and Section on Pediatrics of the American Physical Therapy Association. All rights reserved.