343 Mental and Physical Changes After an Exercise Program in Burn Children with Extensive Limb Amputations
Abstract Introduction Amputations are a frequent complication in patients with burn and electrical injury. High voltage injuries have a 50% incidence of amputations. An important treatment intervention in many areas of rehabilitation is exercise. However, the benefits of exercise in burn amputees ha...
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| Veröffentlicht in: | Journal of burn care & research 2018-04, Vol.39 (suppl_1), p.S141-S141 |
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| container_title | Journal of burn care & research |
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| creator | Foncerrada, G Capek, K D Peña, R Zapata-Sirvent, R Herndon, D N Finnerty, C C Meyer, W J Suman, O E |
| description | Abstract
Introduction
Amputations are a frequent complication in patients with burn and electrical injury. High voltage injuries have a 50% incidence of amputations. An important treatment intervention in many areas of rehabilitation is exercise. However, the benefits of exercise in burn amputees have not been explored. The purpose of this study was to assess the benefits of an In-hospital Exercise Program on long term physical and psychosocial outcomes of burn amputees.
Methods
We assessed the physiologic and psychosocial effects of early aerobic and resistance exercise training in burn patients with amputations. Our study included 4 patients with bilateral limb amputations and 1 with quadruple amputations who sustained severe burns to more than 30% of their total body surface area, from 10 to 18 years old who participated in an In-hospital exercise program. After discharge from the intensive care unit, patients began aerobic and resistance exercise training, performed 5 days a week for at least one hour for 12 weeks. Body composition was evaluated by dual-image x-ray absorptiometry, muscle strength via isokinetic dynamometry, and maximal oxygen consumption determined by indirect calorimetry before and after the 12-week exercise training. The Child Health Questionnaire (CHQ-Child-87) was used to assess quality of life. Higher scores indicated better health and quality of life. Whole-person impairment for each patient was calculated in accordance with the 6th edition guide to the evaluation of permanent impairment pre and post-exercise training. Percent change between pre and post-exercise was calculated and were compared using paired T-tests and significance set at p |
| doi_str_mv | 10.1093/jbcr/iry006.265 |
| format | Article |
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Introduction
Amputations are a frequent complication in patients with burn and electrical injury. High voltage injuries have a 50% incidence of amputations. An important treatment intervention in many areas of rehabilitation is exercise. However, the benefits of exercise in burn amputees have not been explored. The purpose of this study was to assess the benefits of an In-hospital Exercise Program on long term physical and psychosocial outcomes of burn amputees.
Methods
We assessed the physiologic and psychosocial effects of early aerobic and resistance exercise training in burn patients with amputations. Our study included 4 patients with bilateral limb amputations and 1 with quadruple amputations who sustained severe burns to more than 30% of their total body surface area, from 10 to 18 years old who participated in an In-hospital exercise program. After discharge from the intensive care unit, patients began aerobic and resistance exercise training, performed 5 days a week for at least one hour for 12 weeks. Body composition was evaluated by dual-image x-ray absorptiometry, muscle strength via isokinetic dynamometry, and maximal oxygen consumption determined by indirect calorimetry before and after the 12-week exercise training. The Child Health Questionnaire (CHQ-Child-87) was used to assess quality of life. Higher scores indicated better health and quality of life. Whole-person impairment for each patient was calculated in accordance with the 6th edition guide to the evaluation of permanent impairment pre and post-exercise training. Percent change between pre and post-exercise was calculated and were compared using paired T-tests and significance set at p<0.05. Values are mean ± SD.
Results
The mean age of the patients was 15 ± 3 years, TBSA 59 ± 26%, TBSA 3rd 58 ± 26% and length of hospital stay 63 ± 31 days. Results are shown in Table 1. Briefly, significant improvement was seen in muscle strength and VO2 max. Similarly, the CHQ-CF 87 results showed that the patients improved significantly between pre-exercise and post-exercise. Post-exercise assessments had a higher mean score than the pre-exercise assessments on CHQ-CF 87 in all categories (variables); the overall improvement was 86%.
Conclusions
A clinical exercise program implemented at discharge which consists of aerobic and weight resistance exercises is helpful to improve overall physical fitness, as well as mental health. The program should be implemented early, even if the individual circumstances of the patient with multiple amputations seems futile.
Applicability of Research to Practice
This study demonstrates that an exercise rehabilitation program is feasible and beneficial for improving physical and maintaining psychosocial and mental health in severely burned children with bilateral lower limb amputations.</description><identifier>ISSN: 1559-047X</identifier><identifier>EISSN: 1559-0488</identifier><identifier>DOI: 10.1093/jbcr/iry006.265</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><ispartof>Journal of burn care & research, 2018-04, Vol.39 (suppl_1), p.S141-S141</ispartof><rights>American Burn Association 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1215-73aa697637cbb7a455ed3ee0dadfbae72fe246e18d7f047bccafe46dcd97938c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27903,27904</link.rule.ids></links><search><creatorcontrib>Foncerrada, G</creatorcontrib><creatorcontrib>Capek, K D</creatorcontrib><creatorcontrib>Peña, R</creatorcontrib><creatorcontrib>Zapata-Sirvent, R</creatorcontrib><creatorcontrib>Herndon, D N</creatorcontrib><creatorcontrib>Finnerty, C C</creatorcontrib><creatorcontrib>Meyer, W J</creatorcontrib><creatorcontrib>Suman, O E</creatorcontrib><title>343 Mental and Physical Changes After an Exercise Program in Burn Children with Extensive Limb Amputations</title><title>Journal of burn care & research</title><description>Abstract
Introduction
Amputations are a frequent complication in patients with burn and electrical injury. High voltage injuries have a 50% incidence of amputations. An important treatment intervention in many areas of rehabilitation is exercise. However, the benefits of exercise in burn amputees have not been explored. The purpose of this study was to assess the benefits of an In-hospital Exercise Program on long term physical and psychosocial outcomes of burn amputees.
Methods
We assessed the physiologic and psychosocial effects of early aerobic and resistance exercise training in burn patients with amputations. Our study included 4 patients with bilateral limb amputations and 1 with quadruple amputations who sustained severe burns to more than 30% of their total body surface area, from 10 to 18 years old who participated in an In-hospital exercise program. After discharge from the intensive care unit, patients began aerobic and resistance exercise training, performed 5 days a week for at least one hour for 12 weeks. Body composition was evaluated by dual-image x-ray absorptiometry, muscle strength via isokinetic dynamometry, and maximal oxygen consumption determined by indirect calorimetry before and after the 12-week exercise training. The Child Health Questionnaire (CHQ-Child-87) was used to assess quality of life. Higher scores indicated better health and quality of life. Whole-person impairment for each patient was calculated in accordance with the 6th edition guide to the evaluation of permanent impairment pre and post-exercise training. Percent change between pre and post-exercise was calculated and were compared using paired T-tests and significance set at p<0.05. Values are mean ± SD.
Results
The mean age of the patients was 15 ± 3 years, TBSA 59 ± 26%, TBSA 3rd 58 ± 26% and length of hospital stay 63 ± 31 days. Results are shown in Table 1. Briefly, significant improvement was seen in muscle strength and VO2 max. Similarly, the CHQ-CF 87 results showed that the patients improved significantly between pre-exercise and post-exercise. Post-exercise assessments had a higher mean score than the pre-exercise assessments on CHQ-CF 87 in all categories (variables); the overall improvement was 86%.
Conclusions
A clinical exercise program implemented at discharge which consists of aerobic and weight resistance exercises is helpful to improve overall physical fitness, as well as mental health. The program should be implemented early, even if the individual circumstances of the patient with multiple amputations seems futile.
Applicability of Research to Practice
This study demonstrates that an exercise rehabilitation program is feasible and beneficial for improving physical and maintaining psychosocial and mental health in severely burned children with bilateral lower limb amputations.</description><issn>1559-047X</issn><issn>1559-0488</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkE1LAzEQhoMoWKtnrzkL2yabZLN7rKV-wIo9KHhbssmkTelmS7JV--9NqXj1NDPM8w7Mg9AtJRNKKjbdtDpMXTgQUkzyQpyhERWiyggvy_O_Xn5coqsYN4RwTqQYoQ3jDL-AH9QWK2_wcn2ITqdhvlZ-BRHP7AAhrfDiG4J2EfAy9KugOuw8vt8Hn0i3NQE8_nLDOmED-Og-Adeua_Gs2-0HNbjex2t0YdU2ws1vHaP3h8Xb_CmrXx-f57M60zSnIpNMqaKSBZO6baXiQoBhAMQoY1sFMreQ8wJoaaRND7VaKwu8MNpUsmKlZmM0Pd3VoY8xgG12wXUqHBpKmqOq5qiqOalqkqqUuDsl-v3uX_gH1_ZuHg</recordid><startdate>20180409</startdate><enddate>20180409</enddate><creator>Foncerrada, G</creator><creator>Capek, K D</creator><creator>Peña, R</creator><creator>Zapata-Sirvent, R</creator><creator>Herndon, D N</creator><creator>Finnerty, C C</creator><creator>Meyer, W J</creator><creator>Suman, O E</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20180409</creationdate><title>343 Mental and Physical Changes After an Exercise Program in Burn Children with Extensive Limb Amputations</title><author>Foncerrada, G ; Capek, K D ; Peña, R ; Zapata-Sirvent, R ; Herndon, D N ; Finnerty, C C ; Meyer, W J ; Suman, O E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1215-73aa697637cbb7a455ed3ee0dadfbae72fe246e18d7f047bccafe46dcd97938c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foncerrada, G</creatorcontrib><creatorcontrib>Capek, K D</creatorcontrib><creatorcontrib>Peña, R</creatorcontrib><creatorcontrib>Zapata-Sirvent, R</creatorcontrib><creatorcontrib>Herndon, D N</creatorcontrib><creatorcontrib>Finnerty, C C</creatorcontrib><creatorcontrib>Meyer, W J</creatorcontrib><creatorcontrib>Suman, O E</creatorcontrib><collection>CrossRef</collection><jtitle>Journal of burn care & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Foncerrada, G</au><au>Capek, K D</au><au>Peña, R</au><au>Zapata-Sirvent, R</au><au>Herndon, D N</au><au>Finnerty, C C</au><au>Meyer, W J</au><au>Suman, O E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>343 Mental and Physical Changes After an Exercise Program in Burn Children with Extensive Limb Amputations</atitle><jtitle>Journal of burn care & research</jtitle><date>2018-04-09</date><risdate>2018</risdate><volume>39</volume><issue>suppl_1</issue><spage>S141</spage><epage>S141</epage><pages>S141-S141</pages><issn>1559-047X</issn><eissn>1559-0488</eissn><abstract>Abstract
Introduction
Amputations are a frequent complication in patients with burn and electrical injury. High voltage injuries have a 50% incidence of amputations. An important treatment intervention in many areas of rehabilitation is exercise. However, the benefits of exercise in burn amputees have not been explored. The purpose of this study was to assess the benefits of an In-hospital Exercise Program on long term physical and psychosocial outcomes of burn amputees.
Methods
We assessed the physiologic and psychosocial effects of early aerobic and resistance exercise training in burn patients with amputations. Our study included 4 patients with bilateral limb amputations and 1 with quadruple amputations who sustained severe burns to more than 30% of their total body surface area, from 10 to 18 years old who participated in an In-hospital exercise program. After discharge from the intensive care unit, patients began aerobic and resistance exercise training, performed 5 days a week for at least one hour for 12 weeks. Body composition was evaluated by dual-image x-ray absorptiometry, muscle strength via isokinetic dynamometry, and maximal oxygen consumption determined by indirect calorimetry before and after the 12-week exercise training. The Child Health Questionnaire (CHQ-Child-87) was used to assess quality of life. Higher scores indicated better health and quality of life. Whole-person impairment for each patient was calculated in accordance with the 6th edition guide to the evaluation of permanent impairment pre and post-exercise training. Percent change between pre and post-exercise was calculated and were compared using paired T-tests and significance set at p<0.05. Values are mean ± SD.
Results
The mean age of the patients was 15 ± 3 years, TBSA 59 ± 26%, TBSA 3rd 58 ± 26% and length of hospital stay 63 ± 31 days. Results are shown in Table 1. Briefly, significant improvement was seen in muscle strength and VO2 max. Similarly, the CHQ-CF 87 results showed that the patients improved significantly between pre-exercise and post-exercise. Post-exercise assessments had a higher mean score than the pre-exercise assessments on CHQ-CF 87 in all categories (variables); the overall improvement was 86%.
Conclusions
A clinical exercise program implemented at discharge which consists of aerobic and weight resistance exercises is helpful to improve overall physical fitness, as well as mental health. The program should be implemented early, even if the individual circumstances of the patient with multiple amputations seems futile.
Applicability of Research to Practice
This study demonstrates that an exercise rehabilitation program is feasible and beneficial for improving physical and maintaining psychosocial and mental health in severely burned children with bilateral lower limb amputations.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/jbcr/iry006.265</doi></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current) |
| title | 343 Mental and Physical Changes After an Exercise Program in Burn Children with Extensive Limb Amputations |
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