Augmented Exercise in the Treatment of Deconditioning From Major Burn Injury

Lateur, Barbara J. de; Magyar‐Russell, Gina; Bresnick, Melissa G.; Bernier, Faedra A.; Ober, M S.; Krabak, Brian J.; Ware, Linda; Hayes, Michael; Fauerbach, James A.

doi:10.1016/j.apmr.2007.09.003

Cited by 62 publications

(38 citation statements)

References 24 publications

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“…28 High quality research is available on the effects of exercise in pediatric burn patients in regards to aerobic capacity and muscle strength. 29,30 Some studies investigate the impact of exercise on functional outcome as well. [31][32][33] However, to the best of our knowledge, there are few randomized controlled studies (pediatric or adult) that examine the effects of exercise on ROM.…”

Section: Discussionmentioning

confidence: 99%

A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy

Parry

Painting

Bagley

et al. 2015

Journal of Burn Care & Research

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The objective of this study was to assess current practice patterns and attitudes toward pediatric sedation and analgesia in United States (US) burn centers for critically ill patients. Survey-based questionnaire was sent to 119 Directors at US burn centers that care for pediatric patients. Forty-one surveys (34%) were analyzed. 48.8% of responding centers mandate pediatric consultation for pediatric burn patients based on factors such as age and burn size. The most common sedation and analgesic agents used were midazolam, fentanyl, morphine, ketamine, and diphenhydramine. Written sedation policies exist at 63.4% of centers. 90.2% of centers employ scoring systems to guide agent titration. 60.9% of respondents practice sedation holidays "always" or "usually." 90.2% of centers perceive the medications they routinely use are "always" or "often" efficacious in pediatric sedation and analgesia. 53.7% of respondents reported the presence of withdrawal signs and symptoms in their patient population. The lack of consensus guidelines for sedation and analgesia delivery to pediatric intensive care unit patients results in practice variation. The majority of centers perceive their sedation and analgesia strategies to be efficacious despite the heavy reliance on propofol and midazolam, both of which have questionable safety profiles in critically ill children.

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Section: Discussionmentioning

confidence: 99%

A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy

Parry

Painting

Bagley

et al. 2015

Journal of Burn Care & Research

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“…In this study, 35 adults with burns that required hospitalization (mean TBSA burned of 19%) were randomized to receive either SoC treatment or participate in a 12-week aerobic exercise program, beginning on average 38 days post burn, and consisting of three treadmill sessions per week at an intensity of approximately 60% of heart rate reserve. While control patients’ aerobic capacity (VO 2 max) marginally improved (P>0.05), VO 2 max significantly (P<0.05) improved in patients that exercised (6), further suggesting that exercise improves functional restoration in burned adults to a greater degree than SoC treatment alone.…”

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 96%

“…In a cohort of severely burned adults, de Lateur and colleagues (6) compared the effects of aerobic training and SoC treatment (control) on exercise performance. In this study, 35 adults with burns that required hospitalization (mean TBSA burned of 19%) were randomized to receive either SoC treatment or participate in a 12-week aerobic exercise program, beginning on average 38 days post burn, and consisting of three treadmill sessions per week at an intensity of approximately 60% of heart rate reserve.…”

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

The Role of Exercise in the Rehabilitation of Patients with Severe Burns

Porter

Hardee

Herndon

et al. 2015

Exercise and Sport Sciences Reviews

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“…1 Adult burn survivors have a lower aerobic capacity compared to non-burned adults when evaluated 38±23 days post-injury. 2 However, it is unknown if burn survivors with well-healed skin grafts (i.e., multiple years post injury), also have low aerobic capacity. This project tested the hypothesis that aerobic fitness, as measured by maximal aerobic capacity (VO 2max ), is reduced in well-healed adult burn survivors when compared to normative values from non-burned individuals.…”

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confidence: 99%

Aerobic Fitness Is Disproportionately Low in Adult Burn Survivors Years After Injury

Ganio

Pearson

Schlader

et al. 2015

Journal of Burn Care & Research

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Objective A maximal aerobic capacity below the 20th percentile is associated with an increased risk of all-cause mortality.1 Adult burn survivors have a lower aerobic capacity compared to non-burned adults when evaluated 38±23 days post-injury.2 However, it is unknown if burn survivors with well-healed skin grafts (i.e., multiple years post injury), also have low aerobic capacity. This project tested the hypothesis that aerobic fitness, as measured by maximal aerobic capacity (VO2max), is reduced in well-healed adult burn survivors when compared to normative values from non-burned individuals. Methods Twenty-five burn survivors (36 ± 12 years old; 13 females) with well-healed split thickness grafts (median: 16 years post-injury, range: 1 to 51 years) covering at least 17% of their body surface area (mean: 40±16%; range: 17 to 75%) performed a graded cycle ergometry exercise test to volitional fatigue. Expired gases and minute ventilation were measured via a metabolic cart for the determination of VO2max. Each subject’s VO2max was compared with sex- and age-matched normative values from population data published by the American College of Sports Medicine (ACSM), the American Heart Association (AHA), and recent epidemiological data.3 Results Subjects had a VO2max of 29.4 ± 10.1 ml O2/kg body mass/min (median: 27.5; range: 15.9 to 53.3). Using ACSM normative values, mean VO2max of the subjects was in the lower 24th percentile (median: 10th percentile). 88% of the subjects had a VO2max below AHA age-adjusted normative values. Similarly 20 of the 25 subjects had a VO2max in the lower 25% percentile of recent epidemiological data. Conclusions Relative to non-grafted subjects, 80–88% of the evaluated skin graft subjects had a very low aerobic capacity. Based upon these findings, adult burn survivors are disproportionally unfit relative to the general U.S. population, and this puts them at an increased risk of all-cause mortality.1

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Augmented Exercise in the Treatment of Deconditioning From Major Burn Injury

Cited by 62 publications

References 24 publications

A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy

A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy

The Role of Exercise in the Rehabilitation of Patients with Severe Burns

Aerobic Fitness Is Disproportionately Low in Adult Burn Survivors Years After Injury

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