Exercise After Burn Injury

Exercise After Burn Injury
Study / Main Purpose / Research Design / Sample / Outcome
Measures / Results / Study Category / Level of Evidence
Celis, 200319 / To determine the effect of exercise after severe burn injury. / Design the same as Cucuzzo, 200122. / 53 children ages 6-19 with >40% TBSA. 27 in experimental group and 26 in control group. / Need for surgical scar release at 6, 9, 12, 18, and 24 months after the injury. Outcome evaluation blinded. / Significantly fewer surgeries in experimental group at 12, 18 and 24 month follow-up. / Therapeutic / I
Cucuzzo, 200122 / To determine the effect of exercise on strength after severe burn injury. / Randomized, prospective. Subjects randomized on first day of acute admission. Intervention started at 6 months post-burn. Experimental group completed 12-week hospital based rehabilitation program with individualized and structured exercise training program. Program was aerobic and progressive resistance exercises. Control group completed a 12-week home-based physical therapy program. / 21 children with average age of 10.6 years with average %TBSA burn of 60% (range 40-87%). / Strength as measured by 3 repetition maximum. 6 minute walk test. Outcome evaluation not blinded but outcome assessment is objective measure. / Significantly improved strength and distance walked in exercise group. / Therapeutic / I
Suman, 200120 / To determine the effect of exercise after severe burn injury on strength and lean body mass. / Design the same as Cucuzzo, 200122. / 35 children with >40% TBSA. 19 in hospital based exercise group and 16 in control group. / Isokinetic knee extensor strength testing, peak torque, total work and average power. Isometric knee extensor strength. Lean body mass measurement. Resting energy expenditure measurement. Outcome evaluation not blinded but outcome assessment is objective measure. / Significant increase in peak torque, total work and average power, lean body mass and VO2 peak in experimental group. / Therapeutic / I
Suman, 200223 / To determine the effect of exercise on pulmonary function after severe burn injury. / Design the same as Cucuzzo, 200122. / 31 children ages 7-17 with >40% TBSA. 17 subjects in exercise group and 14 in control group. / Pulmonary function testing – forced expiratory volume of are in the first second (FEV1), forced vital capacity (FEV), and Maximal voluntary ventilation (MVV). Isokinetic knee extensor strength testing, peak torque and total work. Treadmill exercise test with peak O2 consumption (VO2peak). Outcome evaluation not blinded but outcome assessment is objective measure. / Results: significant increase in FEV1, FVC, MVV, and VO2peak in exercise group. / Therapeutic / I