Effects of different duration exercise programs in children with severe burns
Robert P Clayton1, Paul Wurzer2, Clark R Andersen3
1Shriners Hospitals for Children(®)-Galveston, University of Texas Medical Branch, Galveston, TX, USA; The Institute for Translational Sciences, University of Texas Medical Branch, Galveston, TX, USA.
Burns : Journal of the International Society for Burn Injuries
|December 3, 2016
Summary
A 6-week exercise program significantly improves muscle strength, body composition, and cardiopulmonary fitness in pediatric burn survivors. Longer exercise durations did not yield additional benefits for these key recovery metrics.
Area of Science:
- Burn Rehabilitation
- Exercise Physiology
- Pediatric Critical Care
Background:
- Severe burns cause significant muscle breakdown and weakness.
- Standard rehabilitation involves a 12-week exercise program to counteract muscle catabolism.
- The study aimed to compare 6-week vs. 12-week exercise durations for recovery.
Purpose of the Study:
- To determine if 6 weeks of exercise rehabilitation is as effective as 12 weeks.
- To assess improvements in muscle strength, body composition, and cardiopulmonary fitness.
- To optimize exercise duration for pediatric burn patients.
Main Methods:
- Prospective randomized trial of burn patients with ≥30% total body surface area (TBSA) burned.
- Patients received either 6 or 12 weeks of exercise rehabilitation.
- Evaluations included muscle strength (peak torque/body weight), peak oxygen consumption (VO2), and lean body mass (DXA).
Main Results:
- Six weeks of exercise significantly improved muscle strength, peak VO2, and lean body mass (p<0.001).
- No significant additional improvements were observed by extending exercise to 12 weeks, except for peak VO2.
- This suggests a 6-week program is sufficient for substantial recovery.
Conclusions:
- A 6-week rehabilitative exercise program effectively enhances muscle strength, body composition, and cardiopulmonary fitness in pediatric burn patients.
- Extended exercise beyond 6 weeks showed limited additional benefits.
- Continued cardiopulmonary training post-rehabilitation may be beneficial.
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