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Burn Injuries

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

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The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation

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Treadmill Versus Overground Gait Training in Patients with Lower Limb Burn Injury: A Comparative Study.

Zunera Arshad¹, Muhammad Rehan², Tariq Iqbal³

¹Burn Care Centre (BCC), Pakistan Institute of Medical Sciences (PIMS), Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan.

Journal of Burn Care & Research : Official Publication of the American Burn Association

|March 25, 2023

Summary

Treadmill training significantly improves walking ability and reduces fear of movement in lower limb burn patients compared to traditional overground training. This method enhances functional mobility and overall gait progress post-injury.

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Area of Science:

Rehabilitation Medicine
Burn Care
Physical Therapy

Background:

Lower limb burn injuries significantly impair gait function, necessitating effective rehabilitation strategies.
Conventional overground gait training and treadmill training are primary methods for improving mobility.
Existing literature suggests treadmill training enhances walking ease, prompting comparative investigation.

Purpose of the Study:

To compare the effectiveness of treadmill training versus traditional physical therapy for improving gait in patients with lower limb burns.
To evaluate the impact of treadmill gait training on functional mobility and fear of movement.

Main Methods:

A comparative study involving 30 adult patients with lower limb burns (20-30% TBSA) was conducted.
Participants received standard burn rehabilitation, with random assignment to either treadmill training (experimental) or conventional overground training (control).
Outcome measures included the Time Up and Go test, Tampa Kinesiophobia scale, and gait distance/velocity assessments.

Main Results:

The experimental group showed significantly lower Time Up and Go scores (11.86 ± 3.58) compared to the control group (12.78 ± 4.41).
Treadmill training led to a significant reduction in kinesiophobia (fear of movement) scores.
Both groups showed improved gait distance and velocity, but the experimental group demonstrated more favorable outcomes, particularly in post-intervention velocity.

Conclusions:

Treadmill training offers a significant advantage over traditional overground training for improving gait function in lower limb burn patients.
This method not only enhances walking ability but also effectively reduces the psychological barrier of kinesiophobia.
Treadmill training should be considered a valuable component of burn rehabilitation programs to optimize patient recovery and mobility.