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Effects of community-based exercise in adults with severe burns: a randomized controlled trial
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January 31 2018
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Source: Arch Phys Med Rehabil. 101(1 Suppl):S36-S41
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Details:
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Alternative Title:Arch Phys Med Rehabil
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Personal Author:
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Description:Objective:
To investigate the efficacy of community-based exercise programs (COMBEX) in the rehabilitation of adult burn patients as compared to standard of care (SOC).
Design:
Randomized controlled trial, with 2:1 randomization.
Setting:
Assessments were performed in a hospital setting. The intervention was performed in a community setting.
Participants:
Adult patients with ≥ 30% total body surface area burns were randomized to participate in COMBEX (N = 31) or standard of care (SOC) (N = 14). Patient sampling was consecutive and referred.
Interventions:
The COMBEX program consisted of 12 weeks of exercise with a community-based trainer after hospital discharge. The SOC group did not receive exercise training.
Main Outcome Measures:
Change in lean body mass index, peak torque, and VO2 max from discharge to 12 weeks post discharge, presented as mean ± SE.
Results:
The COMBEX group showed a significant increase in VO2 max compared to SOC (COMBEX: Δ = 7.723 ± 1.522 mL/kg/min, p = 0.0006; SOC: Δ = 2.200 ± 1.150 mL/kg/min, p = 0.0765; COMBEX vs SOC, p = 0.0236). The COMBEX group exhibited a significant within group increase in lean body mass index (Δ = 1.107 ± 0.431 kg/m2, p = 0.0003; SOC: Δ = 1.323 ± 0.873 kg/m2, p = 0.2808). Both groups showed significant within group increases in peak torque (COMBEX: Δ = 35.645 ± 7.566 N m, p = 0.0003; SOC: Δ = 34.717 ± 11.029 N m, p = 0.0082). No significant differences were noted between the 2 groups for LBMI or peak torque.
Conclusions:
Patients who participate in a community-based exercise program show significant improvements in cardiopulmonary fitness compared to standard of care, supporting the use of COMBEX as an alternative therapy to SOC in adults with severe burns.
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Source:
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Pubmed ID:29366724
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Pubmed Central ID:PMC6092257
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