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Citation
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Voigt CD, Foncerrada G, Peña R, Guillory AN, Andersen CR, Crandall CG, Wolf SE, Herndon DN, Suman OE. Arch. Phys. Med. Rehabil. 2018; ePub(ePub): ePub. |
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Affiliation
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Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States; Shriners Hospitals for Children, Galveston, TX, United States. Electronic address: oesuman@utmb.edu. |
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Abstract
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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.
Copyright © 2018. Published by Elsevier Inc.
Language: en |