Resistance training for rehabilitation after burn injury: A systematic literature review &amp; meta-analysis

Gittings, Paul; Grisbrook, Tiffany L.; Edgar, Dale W.; Wood, Fiona; Wand, Benedict M; O’Connell, Neil E

doi:10.1016/j.burns.2017.08.009

Cited by 19 publications

(19 citation statements)

References 53 publications

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“…Additionally, PR programs using individually targeted exercises provide opportunities to improve PF, exercise tolerance, dyspnea symptoms, and skeletal muscles dysfunction in patients with chronic respiratory disorders (such as asthma and interstitial lung disease) [ 12 ]. Recent studies with thermal injury have shown that resistive exercises combined with aerobic exercises improve PF and muscle strength of the lower extremities [ 13 , 14 , 15 ]. Ozkal et al provides a strong suggestion for a personalized PR, including respiratory muscle strengthening [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Pulmonary Rehabilitation on Lung Function and Exercise Capacity in Patients with Burn: A Prospective Randomized Single-Blind Study

Won

Cho

Joo

et al. 2020

JCM

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We performed pulmonary function (PF) tests and factors affecting PF evaluation in 120 patients with inhalation injury to evaluate the effects of pulmonary rehabilitation (PR) in burn patients with inhalation injury. Patients were randomized into pulmonary rehabilitation (PR) group and conventional rehabilitation (CON) group. PF tests, including forced vital capacity (FVC), 1-s forced expiratory volume FEV1), maximum voluntary ventilation (MVV), and respiratory muscles strength (maximal expiratory pressure (MEP) and maximal inspiratory pressure (MIP)), were measured by mouth pressure meter in the sitting position. Diffusing capacity for carbon monoxide (DLco) was determined by the single-breath carbon monoxide technique. Peak cough flow (PCF) was measured by a peak flow meter. Diaphragmatic mobility (DM) was evaluated on anteroposterior fluoroscopy. All evaluations were performed in all groups at baseline and after 12 weeks. There were no differences in evaluations between the PR group and CON group before the intervention. There were significant improvements in the PCF and MIP (%) changes, taken before and after rehabilitation in the PR group, compared with the changes in the CON group (p = 0.01, and p = 0.04). There were no significant changes in the other parameters in the PR group compared with the changes in the CON group (p > 0.05). There were significant differences in DLco (%), MIP, MIP (%), and DM between the PR group and the CON group (p = 0.02, p = 0.005, and p = 0.001) after 12 weeks of rehabilitation. There were no differences between the PR group and CON group after 12 weeks rehabilitation in the other parameters (p > 0.05). PR for patients with major burns and smoke inhalation induced improved PCF, MIP, MIP (%), DLco (%), and DM. These results show that PR should be a fundamental component of the treatment program for patients with burns.

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Section: Introductionmentioning

confidence: 99%

The Effect of a Pulmonary Rehabilitation on Lung Function and Exercise Capacity in Patients with Burn: A Prospective Randomized Single-Blind Study

Won

Cho

Joo

et al. 2020

JCM

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“…Physical performance disorders can cause limitations of daily physical activities too. 11 Severe burns and the influences they have in the form of disability, defect, death and social and economic costs for the society are justified reasons for health care and society's paying particular attentions to this group of burn victims. 12 Nowadays, huge, predominantly patient-centered, progresses have been made in health care, treatment and prevention of burns and improvements of survival and quality of life.…”

mentioning

confidence: 99%

The Effect of Self-Care Compact Disk-Based Instruction Program on Physical Performance and Quality of Life of Patients with Burn At-Dismissal

Mamashli

Ardebili

Bozorgnejad

et al. 2019

wjps

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BACKGROUNDBurn injuries still negatively influence the various aspects of life like physical performance and quality of life. This study was conducted to investigate at-dismissal self-care compact disk-based instruction program on the physical performance life quality of the patients with burns. METHODS One-hundred burn patients in Shahid Motahhari Burn Center, Tehran, Iran were randomly assigned to two equal groups of intervention (n=50) and control (n=50). The latter received only routine dismissal self-care program and the former an instruction compact disc plus the routine self-care program at dismissal. The demographic information and burn patients' quality of life questionnaires were completed before and at months three and six after the intervention self-report program. RESULTSThe physical performance of the intervention and control groups before intervention was 1.61±0.71 and 1.45±0.47, respectively (p=0.41). The physical performance of the intervention group was higher than the control group at three and six months after the intervention (p<0.001). CONCLUSION At-dismissal self-care compact disk-based instruction program can increase physical performance and quality of life in patients with burns. Therefore, the burn patients can be instructed based on selfcare compact disk-based instruction program as an easy, available and less-costly method to take part in more satisfied treatment.

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“…113 A recent meta-analysis on the effects of resistance training during burn rehabilitation found no significant overall improvement in lean muscle mass or muscle strength. 114 Although this result may seem surprising, it is rather a reflection of the limitations of current burn rehabilitation research; among the studies included in the meta-analysis, nine involved children and only two adult patients. Sample sizes were small, ranging from 20 to 40 patients, increasing heterogeneity.…”

Section: The Role Of Nutrition and Exercise In Mitigating Cachexia Anmentioning

confidence: 99%

The Long-Term Impact of Severe Burn Trauma on Musculoskeletal Health

Polychronopoulou

Herndon

Porter

2018

Journal of Burn Care &Amp; Research

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Severe burn injury causes a profound stress response that leads to muscle and bone cachexia. Evidence suggests that these deficits persist for several months or even years after injury and are associated with growth delay, increased incidence of fractures, and increased hospital admissions for musculoskeletal disorders. Thus, there is an overwhelming need to determine the optimal acute and rehabilitative strategies to mitigate these deficits and improve quality of life for burn survivors. To date, there is limited research on the long-term impact of cachexia on functional performance and overall health, as well as on the lasting impact of pharmacological, nutritional, and exercise interventions. The aim of this review is to emphasize the long-term consequences of musculoskeletal cachexia and determine the best evidence-based strategies to attenuate it. We also underline important knowledge gaps that need to be addressed in order to improve care of burn survivors.

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Resistance training for rehabilitation after burn injury: A systematic literature review & meta-analysis

Abstract: Further research with robust methodology is recommended to assess the potential benefit suggested in this review.

Cited by 19 publications

References 53 publications

The Effect of a Pulmonary Rehabilitation on Lung Function and Exercise Capacity in Patients with Burn: A Prospective Randomized Single-Blind Study

The Effect of a Pulmonary Rehabilitation on Lung Function and Exercise Capacity in Patients with Burn: A Prospective Randomized Single-Blind Study

The Effect of Self-Care Compact Disk-Based Instruction Program on Physical Performance and Quality of Life of Patients with Burn At-Dismissal

The Long-Term Impact of Severe Burn Trauma on Musculoskeletal Health

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