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Volume 39 Issue 12
Dec.  2023
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(12): 1131-1139
Huo T,Ruan JJ,Jiang MJ,et al.Prospective study on the effects of resistance training with elastic band at home on muscle function and walking ability of severely burned children[J].Chin J Burns Wounds,2023,39(12):1131-1139.DOI: 10.3760/cma.j.cn501225-20230729-00022.
Citation: Huo T,Ruan JJ,Jiang MJ,et al.Prospective study on the effects of resistance training with elastic band at home on muscle function and walking ability of severely burned children[J].Chin J Burns Wounds,2023,39(12):1131-1139.DOI: 10.3760/cma.j.cn501225-20230729-00022.
shu

Prospective study on the effects of resistance training with elastic band at home on muscle function and walking ability of severely burned children

doi: 10.3760/cma.j.cn501225-20230729-00022
  • 1.

    Department of Burns, Tongren Hospital of Wuhan UniversityWuhan Third Hospital, Wuhan 430060, China

  • 2.

    Department of Radiology, Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China

  • 3.

    College of Sports Medicine, Wuhan Sports University, Wuhan 430079, China

Funds:

National Key Research and Development Program of China 2019YFE0196800

Knowledge Innovation Special Project of Wuhan Science and Technology Bureau 2023020201010190

More Information
    Abstract
  •   Objective   To explore the effects of resistance training with elastic band at home on muscle function and walking ability of severely burned children.   Methods   A prospective non-randomized controlled study was conducted. From January 2022 to April 2023, 40 children with severe burns who met the inclusion criteria were admitted to Tongren Hospital of Wuhan University ＆ Wuhan Third Hospital. According to the willingness of the children or their families, the children were assigned to conventional rehabilitation group and combined rehabilitation group. During the study, 8 children dropped out of the study, 17 children were finally included in the conventional rehabilitation group with 6 males and 11 females, aged (8.5±2.4) years, and 15 children were included in the combined rehabilitation group with 5 males and 10 females, aged (9.6±2.5) years. The children in the 2 groups received conventional burn rehabilitation treatment in the hospital, including active and passive activity training, scar massage, and pressure therapy. The children in combined rehabilitation group received resistance training with elastic band of 3 to 5 times per week after discharge, and the children in conventional rehabilitation group received daily activity ability training after discharge. Before home rehabilitation training (1 week before discharge) and 12 weeks after home rehabilitation training, the grip strength was measured using a handheld grip dynamometer, the muscle strengths of the upper and lower limbs were measured using a portable dynamometer for muscle strength, lean body mass was measured by bioelectrical impedance measuring instrument, and the 6-min walking distance was measured. Data were statistically analyzed with independent sample t test, paired sample t test, Mann-Whitney Utest, or Fisher's exact probability test.   Results   After 12 weeks of home rehabilitation training, the grip strengths of children in combined rehabilitation group and conventional rehabilitation group were (15±4) and (11±4) kg, respectively, which were significantly higher than (10±4) and (9±4) kg before home rehabilitation training (with t values of -9.99 and -11.89, respectively, Pvalues all <0.05); the grip strength of children in combined rehabilitation group was significantly higher than that in conventional rehabilitation group ( t=3.24, P<0.05). After 12 weeks of home rehabilitation training, the muscle strengths of upper and lower limbs of children in combined rehabilitation group (with t values of -11.39 and -3.40, respectively, P<0.05) and the muscle strengths of upper and lower limbs of children in conventional rehabilitation group (with t values of -7.59 and -6.69, respectively, P<0.05) were significantly higher than those before home rehabilitation training, and the muscle strengths of upper and lower limbs of children in combined rehabilitation group were significantly higher than those in conventional rehabilitation group (with t values of 3.80 and 7.87, respectively, P<0.05). After 12 weeks of home rehabilitation training, the lean body mass of children in combined rehabilitation group was significantly higher than that before home rehabilitation training ( t=0.21, P<0.05). After 12 weeks of home rehabilitation training, the 6-min walking distances of children in conventional rehabilitation group and combined rehabilitation group were significantly longer than those before home rehabilitation training (with t values of -5.33 and -3.40, respectively, P<0.05), and the 6-min walking distance of children in combined rehabilitation group was significantly longer than that in conventional rehabilitation group ( t=3.81, P<0.05).   Conclusions   Conventional burn rehabilitation treatment in hospital and home resistance training with elastic band for 12 weeks after discharge can significantly improve the muscle function and walking ability of severely burned children.

     

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    • References(36)
  • [1]
    CuijpersMD,BaartmansM,van ZuijlenP,et al.Children's growth and motor development following a severe burn: a systematic review[J/OL].Burns Trauma,2023,11:tkad011[2023-07-29].https://pubmed.ncbi.nlm.nih.gov/37663674/.DOI: 10.1093/burnst/tkad011.
    [2]
    Cambiaso-DanielJ,RivasE,CarsonJS,et al.Cardiorespiratory capacity and strength remain attenuated in children with severe burn injuries at over 3 years postburn[J].J Pediatr,2018,192:152-158.DOI: 10.1016/j.jpeds.2017.09.015.
    [3]
    RivasE,TranJ,GutierrezIL,et al.Rehabilitation exercise increases physical activity levels in severely burned children while improving aerobic exercise capacity and strength[J].J Burn Care Res,2018,39(6):881-886.DOI: 10.1093/jbcr/irx045.
    [4]
    PalackicA,SumanOE,PorterC,et al.Rehabilitative exercise training for burn injury[J].Sports Med,2021,51(12):2469-2482.DOI: 10.1007/s40279-021-01528-4.
    [5]
    FloresO,TyackZ,StocktonK,et al.Exercise training for improving outcomes post-burns: a systematic review and meta-analysis[J].Clin Rehabil,2018,32(6):734-746.DOI: 10.1177/0269215517751586.
    [6]
    PorterC,HardeeJP,HerndonDN,et al.The role of exercise in the rehabilitation of patients with severe burns[J].Exerc Sport Sci Rev,2015,43(1):34-40.DOI: 10.1249/JES.0000000000000029.
    [7]
    ConnAS,HallMS,QuinnK,et al.An examination of a yoga intervention with pediatric burn survivors[J].J Burn Care Res,2017,38(1):e337-e342.DOI: 10.1097/BCR.0000000000000385.
    [8]
    KamelFAH,BashaMA.Effects of virtual reality and task-oriented training on hand function and activity performance in pediatric hand burns: a randomized controlled trial[J].Arch Phys Med Rehabil,2021,102(6):1059-1066.DOI: 10.1016/j.apmr.2021.01.087.
    [9]
    ElnaggarRK,OsailanAM,AlsubaieSF,et al.Graded aerobic exercise (GAEx): an effective exercise regimen to improve cardio-respiratory fitness and physical and psychosocial functioning in children with burn sequelae of the chest[J].Burns,2022,48(2):337-344.DOI: 10.1016/j.burns.2021.05.004.
    [10]
    苏媛媛,张伟宏,宋晓月,等.弹力带抗阻运动对老年人健康促进生活方式的研究进展[J].中国康复医学杂志,2018,33(1):105-108.DOI: 10.3969/j.issn.1001-1242.2018.01.024.
    [11]
    唐红斌,姚明焰,朱艳.有氧弹性阻抗练习的设计及其对青少年体质影响效果的实验研究[J].北京体育大学学报,2013(7):79-82.
    [12]
    SumanOE,SpiesRJ,CelisMM,et al.Effects of a 12-wk resistance exercise program on skeletal muscle strength in children with burn injuries[J].J Appl Physiol (1985),2001,91(3):1168-1175.DOI: 10.1152/jappl.2001.91.3.1168.
    [13]
    ChoYS,JeonJH,HongA,et al.The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: a randomized controlled trial[J].Burns,2014,40(8):1513-1520.DOI: 10.1016/j.burns.2014.02.005.
    [14]
    中华医学会烧伤外科学分会,中国医师协会烧伤科医师分会.烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504.DOI: 10.3760/cma.j.issn.1009-2587.2013.06.001.
    [15]
    田凌云,李映兰,吴英,等.压力疗法治疗增生性瘢痕患者有效性的荟萃分析[J].中华烧伤杂志,2019,35(9):668-675.DOI: 10.3760/cma.j.issn.1009-2587.2019.09.005.
    [16]
    Garnacho-CastañoMV,DomínguezR,Muñoz GonzálezA,et al.Exercise prescription using the Borg rating of perceived exertion to improve fitness[J].Int J Sports Med,2018,39(2):115-123.DOI: 10.1055/s-0043-120761.
    [17]
    GittingsPM,HinceDA,WandBM,et al.Grip and muscle strength dynamometry in acute burn injury: evaluation of an updated assessment protocol[J].J Burn Care Res,2018,39(6):939-947.DOI: 10.1093/jbcr/iry010.
    [18]
    GittingsP,SaletM,BurrowsS,et al.Grip and muscle strength dynamometry are reliable and valid in patients with unhealed minor burn wounds[J].J Burn Care Res,2016,37(6):388-396.DOI: 10.1097/BCR.0000000000000414.
    [19]
    GittingsPM,WandBM,HinceDA,et al.The efficacy of resistance training in addition to usual care for adults with acute burn injury: a randomised controlled trial[J].Burns,2021,47(1):84-100.DOI: 10.1016/j.burns.2020.03.015.
    [20]
    de FigueiredoTB,UtsunomiyaKF,deOliveira AMRR,et al.Mobilization practices for patients with burn injury in critical care[J].Burns,2020,46(2):314-321.DOI: 10.1016/j.burns.2019.07.037.
    [21]
    PalackicA,AbazieS,ParryI,et al.Comparison of six-minute walk test and modified Bruce treadmill test in paediatric patients with severe burns: a cross-over study[J].J Rehabil Med,2022,54:jrm00305.DOI: 10.2340/jrm.v54.1064.
    [22]
    MudawarimaT,ChiwaridzoM,JelsmaJ,et al.A systematic review protocol on the effectiveness of therapeutic exercises utilised by physiotherapists to improve function in patients with burns[J].Syst Rev,2017,6(1):207.DOI: 10.1186/s13643-017-0592-6.
    [23]
    AboodardaSJ,PagePA,BehmDG.Muscle activation comparisons between elastic and isoinertial resistance: a meta-analysis[J].Clin Biomech (Bristol, Avon),2016,39:52-61.DOI: 10.1016/j.clinbiomech.2016.09.008.
    [24]
    霍婷,徐向阳,谢卫国,等.运动康复训练在小儿烧伤康复中应用的研究进展[J].中华烧伤与创面修复杂志,2023,39(3):275-279.DOI: 10.3760/cma.j.cn501225-20220116-00008.
    [25]
    RivasE,HerndonDN,Cambiaso-DanielJ,et al.Quantification of an exercise rehabilitation program for severely burned children: the standard of care at Shriners Hospitals for Children®-Galveston[J].J Burn Care Res,2018,39(6):889-896.DOI: 10.1093/jbcr/iry001.
    [26]
    CucuzzoNA,FerrandoA,HerndonDN.The effects of exercise programming vs traditional outpatient therapy in the rehabilitation of severely burned children[J].J Burn Care Rehabil,2001,22(3):214-220.DOI: 10.1097/00004630-200105000-00006.
    [27]
    WurzerP,VoigtCD,ClaytonRP,et al.Long-term effects of physical exercise during rehabilitation in patients with severe burns[J].Surgery,2016,160(3):781-788.DOI: 10.1016/j.surg.2016.04.028.
    [28]
    PrelackK,YuYM,SheridanRL.Nutrition and metabolism in the rehabilitative phase of recovery in burn children: a review of clinical and research findings in a speciality pediatric burn hospital[J/OL].Burns Trauma,2015,3:7[2023-07-29].https://pubmed.ncbi.nlm.nih.gov/27574653/.DOI: 10.1186/s41038-015-0004-x.
    [29]
    RivasE,HerndonDN,PorterC,et al.Short-term metformin and exercise training effects on strength, aerobic capacity, glycemic control, and mitochondrial function in children with burn injury[J].Am J Physiol Endocrinol Metab,2018,314(3):E232-E240.DOI: 10.1152/ajpendo.00194.2017.
    [30]
    GittingsPM,GrisbrookTL,EdgarDW,et al.Resistance training for rehabilitation after burn injury: a systematic literature review & meta-analysis[J].Burns,2018,44(4):731-751.DOI: 10.1016/j.burns.2017.08.009.
    [31]
    ChaoT,PorterC,HerndonDN,et al.Propranolol and oxandrolone therapy accelerated muscle recovery in burned children[J].Med Sci Sports Exerc,2018,50(3):427-435.DOI: 10.1249/MSS.0000000000001459.
    [32]
    RomeroSA,MoralezG,JafferyMF,et al.Progressive exercise training improves maximal aerobic capacity in individuals with well-healed burn injuries[J].Am J Physiol Regul Integr Comp Physiol,2019,317(4):R563-R570.DOI: 10.1152/ajpregu.00201.2019.
    [33]
    YangS,QiuL,XiaoJ,et al.The effects of resistance training on children with burns: a meta-analysis[J].Pediatr Surg Int,2021,37(10):1323-1332.DOI: 10.1007/s00383-021-04947-6.
    [34]
    谢卫国.烧伤康复的普及与提高任重道远[J].中华烧伤与创面修复杂志,2022,38(12):1105-1109.DOI: 10.3760/cma.j.cn501225-20221111-00484.
    [35]
    贾赤宇,邹晓防.中国烧伤康复的发展现状[J].中华烧伤杂志,2015,31(3):161-163.DOI: 10.3760/cma.j.issn.1009-2587.2015.03.001.
    [36]
    FloresO,TyackZ,StocktonK,et al.The use of exercise in burns rehabilitation: a worldwide survey of practice[J].2020,46(2):322-332.DOI: 10.1016/j.burns.2019.02.016.
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