Intensive exercise after thermal injury improves physical, functional, and psychological outcomes

Paratz, Jennifer D., Stockton, Kellie, Plaza, Anita, Muller, Michael and Boots, Robert J. (2012) Intensive exercise after thermal injury improves physical, functional, and psychological outcomes. Journal of Trauma and Acute Care Surgery, 73 1: 186-194.

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Author Paratz, Jennifer D.
Stockton, Kellie
Plaza, Anita
Muller, Michael
Boots, Robert J.
Title Intensive exercise after thermal injury improves physical, functional, and psychological outcomes
Journal name Journal of Trauma and Acute Care Surgery   Check publisher's open access policy
Publication date 2012-07
Sub-type Article
DOI 10.1097/TA.0b013e31824baa52
Volume number 73
Issue number 1
ISSN 2163-0755
Start page 186
End page 194
Total pages 9
Place of publication Baltimore, MD, U.S.A.
Publisher Lippincott Williams & Wilkins
Collection year 2013
Language eng
Formatted abstract BACKGROUND: Although exercise programs after burns are considered a standard of care, there is limited evidence for efficacy in adult patients.
This study aimed to investigate the effects of an exercise program on physical, functional, and quality of life measures.

METHODS: A quasi-experimental controlled trialwas instituted after final grafting. Both groups completed stretching, and the intervention
group underwent a supervised high-intensity (80% maximal heart rate and 70% three repetition maximum) combined aerobic
or resisted exercise program for 6 weeks, with outcome measures at baseline, 6 weeks, and 3 months by a blinded assessor.
Analysis was by intention to treat.

RESULTS: Thirty patients (24 men) with a mean age of 34.3 years (T 13.1 years) and mean total body surface area 42.9% (T 13.3%) were
enrolled. Inequalities at baseline (age and total body surface area %) were adjusted statistically. A between within repeated
measures analysis of variance found significant group x time effects between the groups. Mean change scores from baseline to
12 weeks between control and intervention groups, respectively, were strength (kg): quadriceps (17.5 vs. 66.87), latissimus
dorsi (6.07 vs. 27.82), right (4.86 vs. 14.86) and left (7.26 vs. 16.83) hand grip; fitness: peak oxygen consumption (L/min; 0.11
vs. 0.93) and shuttle walk distance (m; 168.93 vs. 459); function: lower extremity function score (8.87 vs. 27.31) and
QuickDash (j5.7 vs. j23.98); and health-related quality of life: Burns-Specific Health ScaleVAbbreviated (j7.64 vs. 35.13).
There were no adverse events during either testing or training.

CONCLUSION: A high-intensity cardiovascular or resisted exercise program resulted in significant improvements in functional, physical, and
psychologic measures and should be mandatory for all burns patients. Larger multicenter trials with longer follow-up periods
are required. (J Trauma Acute Care Surg 2012;73: 186Y194. Copyright * 2012 by Lippincott Williams & Wilkins)

LEVEL OF EVIDENCE: Therapeutic study, level III.
Keyword Exercise
Resistance exercise
Burns
Physical fitness
psychosocial factors
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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