Barriers to Return to Work After Burn Injuries

Esselman, Peter C.; Askay, Shelley Wiechman; Carrougher, Gretchen J.; Lezotte, Dennis C.; Holavanahalli, Radha; Magyar‐Russell, Gina; Fauerbach, James A.; Engrav, Loren H.

doi:10.1016/j.apmr.2007.09.009

Cited by 84 publications

(37 citation statements)

References 27 publications

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“…As in previous studies (Brych et al, 2001;Esselman et al, 2007), most of the patients who were working before the burning event returned to work successfully, as in the present study, where 69% returned to work. Esselman et al (2007) found that the barriers to return to work are diverse, resulting not only from burns, but also from physical and psychological limitations.…”

Section: Discussionsupporting

confidence: 74%

“…Esselman et al (2007) found that the barriers to return to work are diverse, resulting not only from burns, but also from physical and psychological limitations. Mackey et al (2009) report that the pain is a major reason for not returning to work.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the physical deconditioning caused by the combination of different factorsm such as changes in metabolism, long bedridden period, frequent surgeries, medications and psychological problems (Esselman et al, 2007;Disseldorp, Nieuwenhuis, Van Baar, & Mouton, 2011). Baldwin and Li (2013) argue that walking is the most frequently performed activities, as a form of affordable and practical aerobic activity.…”

Section: Discussionmentioning

confidence: 99%

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<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Itakussu

Valenciano

Fujisawa

et al. 2017

Acta Sci. Health Sci.

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ABSTRACT. Burns cause different impacts on the individual life. Many are the problems faced by survivors, such as hypermetabolism that may persist years after the event. The aim was to assess aerobic capacity, level of physical activity and pain in adult burn victims after hospital discharge. This is a descriptive, cross-sectional study. Participants (n = 60) were adult victims of moderate to severe burns, evaluated by six-minute walk test (6MWT), Pain Scale and International Physical Activity Questionnaire (IPAQ). We applied Student's t-test for independent samples and Mann-Whitney test for comparisons between medium and large burned; Chi-square test to compare the level of physical activity. Large burned (73%) patients prevailed among the 60 participants; there was a statistically significant trend in the distance predicted between groups (p = 0.066), with no change in performance of the aerobic capacity. 60% reported physical activity practice at least three times a week: walking, cycling and soccer. As for the level of pain, 40% reported moderate to severe persistent pain, even after complete healing of wounds. Most participants showed aerobic capacity within the normal range, despite the high body mass index reported, they reported doing physical activities of moderate intensity.Keywords: physical therapy, walking, exercise test, assessment.Capacidade aeróbica, atividade física e dor em adultos vítimas de queimaduras moderadas a graves após alta hospitalar RESUMO. As queimaduras causam diversos impactos na vida do indivíduo. Inúmeros são os problemas enfrentados pelos sobreviventes, como o hipermetabolismo, que pode persistir por anos após o evento. O objetivo deste estudo foi avaliar a capacidade aeróbica, o nível de atividade física e a dor em adultos, vítimas de queimaduras após alta hospitalar. Neste estudo descritivo e transversal, participaram 60 adultos, vítimas de queimaduras moderadas a graves, avaliados pelo teste de caminhada de seis minutos (TC6min), pela Escala de Dor e pelo Questionário Internacional de Atividade Física (IPAQ). Utilizou-se Teste t Student independente e Mann-Whitney para comparações entre médios e grandes queimados; o Qui quadrado para comparação do nível de atividade física. Dos 60 pacientes, predominaram os grandes queimados (73%) e encontrou-se tendência estatística na distância predita entre os grupos (p = 0,066), sem alteração no desempenho da capacidade aeróbica. 60% referiram praticar atividade física pelo menos três vezes por semana: caminhadas, bicicleta e futebol. Quanto ao nível de dor, 40% dos avaliados mencionaram dores persistentes de moderadas a intensas, mesmo após a cicatrização total das feridas. A maioria dos adultos, vítimas de queimaduras moderadas a graves, encontra-se com a sua capacidade aeróbica dentro da normalidade e, apesar do elevado índice de massa corpórea, afirma realizar atividades físicas de moderada intensidade.Palavras-chave: fisioterapia, caminhada, teste de esforço, avaliação.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Itakussu

Valenciano

Fujisawa

et al. 2017

Acta Sci. Health Sci.

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show abstract

“…Thus far, research in this vein has tended to focus on barriers to (2)(3)(4)(5)(6) and/or facilitators of (7-10) a return to the workplace. Although this is an important milestone in the return-to-work process, it is only a step toward the achievement of a safe and sustainable employment outcome.…”

mentioning

confidence: 99%

Return to work following disabling occupational injury – facilitators of employment continuation

Young¹

2010

Scand J Work Environ Health

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“…O cirurgião plástico é solicitado para realizar tratamentos cirúrgicos e complementares visando à melhora da aparência 1,2,72 e o retorno do paciente ao convívio social e ao mercado de trabalho visto que as principais barreiras para o não retorno ao trabalho são as habilidades físicas perdidas, as condições de trabalho e os fatores psicossociais como problemas com relação à aparência 73 .…”

Section: Discussionunclassified

Análise mecânica e histológica do tegumento facial com seqüela de queimadura após tratamento tópico com tretinoína

Belico¹

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Barriers to Return to Work After Burn Injuries

Cited by 84 publications

References 27 publications

<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Return to work following disabling occupational injury – facilitators of employment continuation

Análise mecânica e histológica do tegumento facial com seqüela de queimadura após tratamento tópico com tretinoína

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