Authors: (including presenting author): :
Lo PY(1), Tao PW(1), Wong TW(2), Chuk MY(2), Tang LM(1), Tsui YC(1)
Affiliation: :
(1)Physiotherapy Department, Prince of Wales Hospital
(2)Burns Centre Nursing, Prince of Wales Hospital
Keyword 1: :
Burns recovery
Keyword 3: :
Video-based exercise
Keyword 4: :
Functional outcomes
Introduction: :
Even with successful immediate management, functional outcomes of burn patients can be seriously affected due to reduced muscle mass, hypertrophic scar formation and sensory disturbances across the recovery journey (Seyyah et al., 2021). Therefore, a structured exercise prescription plan should be considered. The Physiotherapy Department and Burns Centre Nursing cooperatively launched a preliminary exercise video prescription program at the Burns Centre of the Prince of Wales Hospital. Through HA-Go App, therapists prescribe customized exercise module with clear video instructions and daily notification reminders to patients. Nursing staff also reinforce patients to perform prescribed exercise on daily basis during hospital stay. In this context, safe and easily accessible rehabilitation can be provided not only during hospital stay, but also after discharge with compliance tracking.
Objectives: :
To review the effect of the structured video-based exercise prescription program on functional outcomes, including QuickDASH and Lower Extremity Functional Scale (LEFS). Patients’ satisfaction questionnaires and feedback were collected as well.
Methodology: :
Upper limb and lower limb burns patients were recruited from May 2025 to November 2025. Pediatric patients (≤ 12 years old) and patients with cognitive impairment were excluded. Exercise videos were prescribed by physiotherapists via HA-GO app. QR code exercise videos were supplemented for patients without HA-GO app. Self-reported functional outcomes (QuickDASH for upper limbs, LEFS for lower limbs) were collected at admission, upon discharge and 2 weeks after discharge. Functional outcomes at 2 weeks after discharge were collected during follow-up in Surgical Nurse Clinic (Burns) by nursing staff. Besides, patient satisfaction questionnaires were completed upon discharge.
Result & Outcome: :
12 upper limb burns patients and 10 lower limb burns patients participated in the program. Lower score in QuickDASH refers to reduced upper limb disability whereas higher score in LEFS refers to better lower limb function. Regarding QuickDASH, it decreased by 13.67 points in average upon discharge. At 2 weeks after discharge, it decreased by 23.31 points in average, exceeding the MCID 15.91 points (Franchignoni et al., 2014). Regarding LEFS, it increased by 6.6 points in average upon discharge. At 2 weeks after discharge, it increased by 32.5 points
in average, exceeding the MCID 9 points (Zhang et al., 2025). 97% of patients found the exercise program beneficial to their recovery with positive feedback including home-based rehabilitation facilitation, clear exercise instructions and self-regulation encouragement.
