Physiotherapy in third degree burns Fisioterapia en quemaduras de tercer grado Strategies with high scientific evidence from a narrative analysis

Abstract

Physical therapy plays a key role in the rehabilitation of patients with third-degree burns. This narrative review analyzes physiotherapeutic strategies with high scientific evidence and alternative approaches that can contribute in an interdisciplinary way to pain management and patient recovery. To achieve the objective, a search for articles with high evidence according to the Oxford Scale was carried out in databases such as Dialnet, Scielo, Web of Science, Scopus and PubMed, using DeCS and MeSH search terms. Among the results, approaches such as transcutaneous electrical stimulation, therapeutic ultrasound with kerosene and resistance training are highlighted, which have been shown to improve functionality, reduce pain and optimize healing. In addition, the importance of early rehabilitation and interdisciplinary work, including occupational therapy and psychological support to prevent disabling sequelae, is emphasized. In conclusion, technological advances have led to improved treatments, but there are still gaps in literature, highlighting the need for standardized protocols based on solid evidence. Further research is recommended to evaluate the long-term effectiveness of physiotherapeutic interventions and their impact on patients' quality of life. Additionally, this review contributes to the understanding of best practices in physical therapy for burn treatment, promoting interdisciplinary and personalized approaches that facilitate functional recovery and social reintegration of those affected.