Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients

Main Article Content

Aleena Ishfaq
Samreen Sadiq
Shazia Rizwan
Hafiz Muhammad Asim
Sana Imdad


Background: Burn injuries are among the most severe types of child injuries, leading to significant functional, social, and psychological disabilities. Physiotherapy plays a crucial role in the rehabilitation of pediatric burn patients, and caregivers are essential in facilitating the treatment process. Understanding caregivers' perceptions and adherence to physiotherapy treatment can inform better care strategies.

Objective: This study aimed to assess the perceptions of caregivers towards physiotherapy treatment for pediatric burn patients and to evaluate adherence to prescribed exercise regimens.

Methods: A descriptive cross-sectional study was conducted from June 2023 to December 2023. Data were collected from caregivers at two public hospitals and one private rehabilitation center using a non-probability convenience sampling method. The sample included 53 caregivers of children aged 1-5 years with burn injuries covering more than 20% of their total body surface area and who had been undergoing physiotherapy for 3-4 weeks. Exclusion criteria were caregivers not actively involved in daily care, those unable to communicate in English or Urdu, and patients without a caregiver. Data were collected using a semi-structured questionnaire based on the Measure of Processes of Care (MPOC). The questionnaire was validated and had a Cronbach’s alpha of 0.703. Data were analyzed using SPSS version 25, with descriptive statistics presented as frequencies, percentages, means, and standard deviations.

Results: Among the caregivers, 64.2% were mothers, 15.1% were fathers, and 20.8% were other relatives. A total of 81.1% of caregivers agreed and 18.9% strongly agreed that the physiotherapist encouraged active participation in decision-making. Comfort in discussing concerns was reported by 69.3% agreeing and 18.9% strongly agreeing. Emotional and social aspects were adequately addressed according to 39.6% of caregivers, with 41.5% neutral and 15.5% disagreeing. Clear communication of treatment plans was reported by 75.5% agreeing and 24.5% neutral. Adherence to exercise routines varied, with 47.2% often, 32.1% always, and 20.8% sometimes helping with exercises. However, 39.6% reported that the child always refused to do exercises, and 64.2% noted the child always complained of pain during therapy.

Conclusion: The study concluded that caregivers generally have a positive perception of physiotherapy for pediatric burn patients and actively participate in their care. Challenges such as pain during exercises and time constraints highlight the need for enhanced support and communication to improve adherence and outcomes.

Article Details

How to Cite
Ishfaq, A., Sadiq, S., Rizwan, S., Asim, H. M., & Imdad, S. (2024). Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients. Journal of Health and Rehabilitation Research, 4(2), 971–978.
Author Biographies

Aleena Ishfaq, Lahore University of Biological & Applied Sciences Lahore Pakistan.

DPT Student, Department of Physical Therapy, Lahore University of Biological & Applied Sciences Lahore, Pakistan.

Samreen Sadiq, Lahore University of Biological & Applied Sciences Lahore Pakistan.

Associate Professor, Department of Physical Therapy, Lahore University of Biological & Applied Sciences Lahore Pakistan.

Shazia Rizwan, Ghurki Trust Hospital Lahore Pakistan.

Associate Professor, Department of Paediatric Medicine, Ghurki Trust Hospital Lahore, Pakistan.

Hafiz Muhammad Asim, Lahore University of Biological & Applied Sciences Lahore Pakistan.

Chairman, Department of Physical Therapy, Lahore University of Biological & Applied Sciences Lahore Pakistan.

Sana Imdad, Lahore General Hospital Lahore Pakistan.

Plastic Surgery Ward, Lahore General Hospital Lahore, Pakistan.


Snider MD, Young S, Enlow PT, Ahrabi-Nejad C, Aballay AM, Duncan CL. Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept. Frontiers in Psychology. 2021;12:695369.

Khazaei S, Shirani F, Afshari M, Jenabi E, Hamzei Z, Torabi M, et al. Etiology and Outcome of Burns in Hamadan, Iran: A Registry-Based Study. Archives of Trauma Research. 2019;8(3):144-8.

Roth DL, Fredman L, Haley WE. Informal Caregiving and Its Impact on Health: A Reappraisal from Population-Based Studies. The Gerontologist. 2015;55(2):309-19.

Yakupu A, Zhang J, Dong W, Song F, Dong J, Lu S. The Epidemiological Characteristic and Trends of Burns Globally. BMC Public Health. 2022;22(1):1596.

Gibson C, Bessey PQ, Gallagher JJ. The Global Burn Registry: A Work in Progress. Journal of Burn Care & Research. 2020;41(5):929-34.

Lasi S, Rafique G, Peermohamed H. Childhood Injuries in Pakistan: Results from Two Communities. Journal of Health, Population, and Nutrition. 2010;28(4):392.

Penatzer JA, Wala SJ, Barash B, Alexander R, Hensley J, Wolfe A, et al. Demographics to Define Pediatric Burn Patients at Risk of Adverse Outcomes. Shock. 2023;59(2):135-44.

Ghorbel I, Bouaziz F, Loukil K, Moalla S, Gassara M, Ennouri K. Epidemiological Profile of Burns in Children in Central and Southern Tunisia: A 67-Case Series. Archives de Pédiatrie. 2019;26(3):158-60.

Enns J, Gawaziuk JP, Khan S, Chateau D, Bolton JM, Sareen J, et al. Mental and Physical Health Outcomes in Parents of Children with Burn Injuries as Compared with Matched Controls. Journal of Burn Care & Research. 2016;37(1)


Peck MD. Epidemiology of Burns Throughout the World. Part I: Distribution and Risk Factors. Burns. 2011;37(7):1087-100.

Atiyeh B, Janom H. Physical Rehabilitation of Pediatric Burns. Annals of Burns and Fire Disasters. 2014;27(1):37.

Vasli P, Salsali M. Parents’ Participation in Taking Care of Hospitalized Children: A Concept Analysis with Hybrid Model. Iranian Journal of Nursing and Midwifery Research. 2014;19(2):139.

Hanson KT, Carlson KF, Friedemann-Sanchez G, Meis LA, Van Houtven CH, Jensen AC, et al. Family Caregiver Satisfaction with Inpatient Rehabilitation Care. PLoS One. 2019;14(3)


Brett L, Traynor V, Stapley P, Meedya S. Exercise and Dementia in Nursing Homes: Views of Staff and Family Carers. Journal of Aging and Physical Activity. 2018;26(1):89-96.

Alzaabi MM, Bairapareddy KC, Alaparthi GK, Hegazy F. Caregiver Perspectives on Physiotherapy Treatment for Pediatric Burns in the United Arab Emirates. Patient Preference and Adherence. 2022;16:1477-86.

Chiwaridzo M, Zinyando VJ, Dambi JM, Kaseke F, Munambah N, Mudawarima T. Perspectives of Caregivers Towards Physiotherapy Treatment for Children with Burns in Harare, Zimbabwe: A Cross-Sectional Study. Burns & Trauma. 2016;4:1-7.

Brown EA, De Young A, Kimble R, Kenardy J. Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care. Journal of Clinical Psychology in Medical Settings. 2019;26:516-29.

Brown EA, De Young A, Kimble R, Kenardy J. Review of a Parent’s Influence on Pediatric Procedural Distress and Recovery. Clinical Child and Family Psychology Review. 2018;21(2):224-45.

Bailes AF, Gannotti M, Bellows DM, Shusterman M, Lyman J, Horn SD. Caregiver Knowledge and Preferences for Gross Motor Function Information in Cerebral Palsy. Developmental Medicine & Child Neurology. 2018;60(12):1264-70.

Cunningham BJ, Rosenbaum PL. Measure of Processes of Care: A Review of 20 Years of Research. Developmental Medicine & Child Neurology. 2014;56(5):445-52.

Jordan KC, Di Gennaro JL, von Saint André-von Arnim A, Stewart BT. Global Trends in Pediatric Burn Injuries and Care Capacity from the World Health Organization Global Burn Registry. Frontiers in Pediatrics. 2022;10:954995.

Gan C, Chernodon K, Wright FV. Development and Evaluation of the Family Needs Questionnaire for Pediatric Rehabilitation. Child: Care, Health and Development. 2024;50(1)


Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal. 2019;11(2):49-54.

Bujang MA, Omar ED, Baharum NA. A Review on Sample Size Determination for Cronbach’s Alpha Test: A Simple Guide for Researchers. The Malaysian Journal of Medical Sciences. 2018;25(6):85.

Pai MS, Kumar V, Prabhu SP, Sundeep P. Socio-Demographic Characteristics of Mothers of Hospitalized Children in Surgical Ward. International Journal of Current Research. 2015;7(9):20676-9.

Outwater AH, Ismail H, Mgalilwa L, Temu MJ, Mbembati NA. Burns in Tanzania: Morbidity and Mortality, Causes and Risk Factors: A Review. International Journal of Burns and Trauma. 2013;3(1):18.

Aslam MR, Rizvi TA, Munawar MT, Maqbool A, Naqvi S. A Ghastly Rising Rate of Preventable Pediatric Burns: We Need to Act. Pediatric Burns. Pakistan Armed Forces Medical Journal. 2020;70(6):1622-8.

Lernevall LS, Moi AL, Cleary M, Kornhaber R, Dreyer P. Support Needs of Parents of Hospitalised Children with a Burn Injury: An Integrative Review. Burns. 2020;46(4):771-81.

Rimmer RB, Bay RC, Alam NB, Sadler IJ, Richey KJ, Foster KN, et al. Measuring the Burden of Pediatric Burn Injury for Parents and Caregivers: Informed Burn Center Staff Can Help to Lighten the Load. Journal of Burn Care & Research. 2015;36(3):421-7.

Thein M, Lee B, Bun P. Knowledge, Attitude and Practices of Childhood Injuries and Their Prevention by Primary Caregivers in Singapore. Singapore Medical Journal. 2005;46(3):122.

Most read articles by the same author(s)