Clinical Research Directory

Inclusion Criteria: * Patients of all age groups and both sexes having less than sixty percent TBSA thermal burns and involves the hand. * Patients with second-degree (superficial or deep) burn on the hand. * Patients with third-degree burns * Patients with complete wound healing * Patients without any defects at tendons * Patients without burning at cubital fossa (cuff placement) * participants were required to have a resting (systolic and diastolic) blood pressure of \<140/90 mmHg and a resting heart rate of \<90 bpm * A decreased grip strength. * Patients without cognitive impairments and actively cooperating with treatment and measurements Exclusion Criteria: * Any patient who has previous injury or congenital deformity of the hand with restricted hand function. * Resting systolic BP (BP) \<140 mmHg and/or diastolic BP\< 90 mmHg * Self-reported cardiovascular, metabolic, or pulmonary conditions or signs and symptoms suggestive of these diseases * Associated injuries affecting participation in exercise training, including fracture, amputation, acquired brain injury or peripheral neural injury or any pre-existing medical condition which may affect exercise participation. * patients that had fourth degree burns * patients that had first degree burns * Patients with burn at cubital fossa (cuff placement) * Patients without complete wound healing * patient who is taking medications that affect hemodynamic responses * Patients with severe hand burns leading to muscle and tendon damage, or those who have undergone finger amputation surgery * Patients who were not compliant for following up for at least once a month following discharge from hospital.