PROPER POSITIONING
BURN ON KNEE
Proper anti-contracture positioning for a knee burn is full extension (straight leg) to prevent flexion contractures. Keep the leg straight when lying down or sitting to counteract the natural tendency to flex the knee for comfort.
You may need to elevate the leg to reduce edema, but ensure the knee remains straight. You must always perform active ROM exercises frequently (e.g., once an hour) once permitted in order to keep the joint flexible.
BURN ON AXILA
Proper anti-contracture positioning for an axila burn is to maintain 90–120 degrees of shoulder abduction, often using pillows, foam wedges, or an airplane splint. Make sure the arm is slightly externally rotated to prevent internal rotation contractures. Maintain the elbow in extension to prevent secondary elbow contractures, which often occur alongside axillary burns
BURN ON ANTERIOR NECK
Proper anti-contracture positioning for neck burns involves maintaining the neck in strict extenson to prevent flexion contracture. You must sleep in a supine (flat on back) position without any pillows under the head. Place a small, narrow pillow, foam block, or rolled towel under the shoulder blades to allow the head to tilt back naturally, stretching the anterior neck. In cases of severe burns or non-compliance with positioning, an anterior neck splint may be used to hold the neck in maximum extension
Proper anti-contracture positioning for neck burns involves maintaining the neck in strict extenson to prevent flexion contracture. You must sleep in a supine (flat on back) position without any pillows under the head. Place a small, narrow pillow, foam block, or rolled towel under the shoulder blades to allow the head to tilt back naturally, stretching the anterior neck. In cases of severe burns or non-compliance with positioning, an anterior neck splint may be used to hold the neck in maximum extension