Which preventive strategy reduces contractures in burn injuries?

• A. Early wound coverage and physical therapy
• B. Prolonged immobilization
• C. Delayed wound coverage
• D. Inadequate nutrition

Answer: (A)

Preventing burn-related contractures comes down to preserving joint motion as the wound heals. When skin is burned, scar tissue tends to contract as it forms, shortening surrounding tissues if movement is restricted and the wound takes time to close. Getting the wound covered early stabilizes the skin barrier, reduces prolonged inflammation and edema, and lowers infection risk, which together create a more favorable environment for healing. Once coverage is achieved, starting physical therapy right away allows gentle range-of-motion exercises and stretching to be performed, helping to maintain tissue length and prevent the tight, fixed positions that become contractures.

Prolonged immobilization worsens the problem because the joints stay in a fixed position, promotional of stiffness and shortening of connective tissue. Delayed wound coverage prolongs the inflammatory phase and edema, increasing scar formation and the potential for contractures. While good nutrition supports overall healing, it by itself does not specifically prevent contractures; the direct preventive strategy is about timely coverage and active rehabilitation to maintain mobility.