Augmented Exercise in the Treatment of Deconditioning From Major Burn Injury

Barbara J. de Lateur, Gina Magyar-Russell, Melissa G. Bresnick, Faedra A. Bernier, Michelle S. Ober, Brian J. Krabak, Linda Ware, Michael P. Hayes, James A. Fauerbach

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49 Scopus citations

Abstract

de Lateur BJ, Magyar-Russell G, Bresnick MG, Bernier FA, Ober MS, Krabak BJ, Ware L, Hayes MP, Fauerbach JA. Augmented exercise in the treatment of deconditioning from major burn injury. Objective: To investigate the efficacy of a 12-week exercise program in producing greater improvement in aerobic capacity in adult burn survivors, relative to usual care. Design: Randomized, controlled, double-blinded trial. Setting: Burn center. Participants: A population-based sample of 35 adult patients admitted to a burn center for treatment of a serious burn injury. Intervention: A 12-week, 36-session, aerobic treadmill exercise program where work to quota (WTQ) participants intensified their exercise according to preset quotas and work to tolerance (WTT) participants continued to their tolerance. Participants completed a maximal stress test at baseline and 12 weeks to measure physical fitness. Main Outcome Measure: Maximal aerobic capacity. Results: The WTT and the WTQ exercise groups both made significant improvements in aerobic capacity from baseline to 12 weeks (t=-3.60, P≤.01; t=-3.17, P≤.01, respectively). The control group did not (t=-1.39, P=.19). WTT and WTQ participants demonstrated significantly greater improvements in aerobic capacity in comparison to the control group members (F=4.6, P≤.05). The WTT and WTQ groups did not differ significantly from each other with regard to their respective improvements in aerobic capacity (F=.014, P=.907). Conclusions: The aerobic capacity of adult burn survivors can be improved with participation in a structured, 12-week exercise program after injury.

Original languageEnglish (US)
Pages (from-to)S18-S23
JournalArchives of physical medicine and rehabilitation
Volume88
Issue number12 SUPPL. 2
DOIs
StatePublished - Dec 2007

Keywords

  • Aerobic exercise
  • Burns
  • Cardiovascular deconditioning
  • Exercise
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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