Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Clayton, RP; Wurzer, P; Andersen, CR; Mlcak, RP; Herndon, DN; Suman, OE.
Effects of different duration exercise programs in children with severe burns.
Burns. 2017; 43(4):796-803
Doi: 10.1016/j.burns.2016.11.004
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- Co-Autor*innen der Med Uni Graz
- Wurzer Paul
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- Abstract:
- Burns lead to persistent and detrimental muscle breakdown and weakness. Standard treatment at our institution includes a voluntary 12-week rehabilitative exercise program to limit and reverse the effects of increased muscle catabolism. In the present work, we investigated if different durations of exercise, 6 or 12 weeks, produce comparable improvements in muscle strength, body composition, and cardiopulmonary fitness. We prospectively enrolled and randomized patients with ≥30% total body surface area (TBSA) burned to receive 6 or 12 weeks of exercise rehabilitation. Patients were evaluated for muscle strength, oxygen consumption capacity, and lean body mass at discharge (n=42) and after exercise. After 6 weeks (n=18) or 12 weeks (n=24) of exercise training, leg muscle strength was assessed as peak torque per body weight using a Biodex isokinetic dynamometer. Oxygen consumption capacity, measured as peak VO2, was studied using a standard treadmill-based test, and lean body mass was determined using dual-energy X-ray absorptiometry. Significant improvements in muscle strength, peak VO2, and lean body mass were seen after 6 weeks of exercise training (p<0.001), with only significant improvements in peak VO2 being seen after 6 weeks more of training. These data suggest that a 6-week rehabilitative exercise program is sufficient for improving muscle strength, body composition, and cardiopulmonary fitness in pediatric burn patients. However, continuation of at- or near-home cardiopulmonary training following the 6 weeks of at-hospital rehabilitation may be useful. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Absorptiometry, Photon -
- Adolescent -
- Burns - diagnostic imaging
- Burns - physiopathology
- Burns - rehabilitation
- Cardiorespiratory Fitness -
- Child -
- Exercise Test -
- Exercise Therapy - methods
- Female -
- Humans -
- Male -
- Muscle Strength -
- Muscle, Skeletal - diagnostic imaging
- Oxygen Consumption -
- Time Factors -
- Trauma Severity Indices -
- Find related publications in this database (Keywords)
- Resistance exercise
- Burns
- Children
- Rehabilitation