Hand burns are classified as serious injuries, even if they cover less than 5% of the total surface area of ​​the body. This is because hand burns can cause disabling deformities and disabilities, including loss of digits, loss of sensation, pain, and decreased range of motion. (cite2) Children With Burn Injuries: Purposeful Activity Versus Rote Exercise as well as the article Influences of Purposeful Activity Versus Rote Exercise on Improving Pain and Hand Function in Pediatric Burn both studied the use of a purposeful activity versus the 'exercise. Intentional activity is the term most often used in the occupational therapy literature to identify therapeutic activities that are goal-directed and characterized by a purpose and meaning determined by the person participating in the activity. (AOTA) The first article, Children with Burn Injuries: Purposeful Activity Versus Rote Exercise (Melchert-McKearnan, Deitz, Engel, & White, 2000), included two 6-year-old boys who underwent second- to third-degree examinations. burn that involved one or more extremities with the potential for reduced mobility in at least one joint. Both participants were recruited from the burn unit of a West Coast medical center. Participants both had unremarkable medical histories and had been referred for range of motion therapy services to improve functional performance. Boys were involved in alternative treatment conditions with focused activities and rote exercises. In condition one; each child and their parents were interviewed to determine which activities were useful and meaningful to the child. For each child, eight to ten play activities were modified and designed by the investigator to promote mobility...... middle of paper ...... -established activity quotas, this may lead to exacerbation pain, which was usually delayed for several hours. This delayed pain can lead to activity avoidance, distress and anxiety, increased use of painkillers, and lack of motivation for further physical retraining. (Omar et al., 2012). The authors of both papers said that if future research demonstrates that this is a finding that also holds true for children, then the pacing of the activity could be beneficial. Works CitedMelchert-McKearnan, K., Deitz, J., Engel, J.M., & White, O. (2000). Burned children: targeted activity versus rote exercise. American Journal of Occupational Therapy, 54(4), 381-390. Omar, MTA, Hegazy, FA and Mokashi, SP (2012). Influences of focused activity versus rote exercise on improving pain and hand function in pediatric burns. Burns, 38(2), 261-268.