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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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