The effect of exercise training on pulmonary function and aerobic capacity in adults with burn

Grisbrook, Tiffany L.; Wallman, Karen; Elliott, Catherine; Wood, Fiona; Edgar, Dale W.; Reid, Sharon J.

doi:10.1016/j.burns.2011.11.004

Cited by 47 publications

(66 citation statements)

References 23 publications

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“…In this study, pulmonary function, determined as the ratio of FEV 1 to FVC, was significantly lower in burn patients than in controls, but 12 weeks of exercise training did not alter pulmonary function in either group, despite increasing VO 2 peak (13). One reason for such a discrepancy may relate to the fact that Grisbrook et al .…”

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 50%

“…Burns, particularly flame-related burns, are often accompanied by inhalation injury. It is perhaps not surprising then that compromised pulmonary function is a component of the pathophysiology of major burns (7, 13, 33, 34). Adults with severe burns have recently been shown to have impaired pulmonary function, as determined by spirometry, for up to 7 years post injury (13).…”

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

“…It is perhaps not surprising then that compromised pulmonary function is a component of the pathophysiology of major burns (7, 13, 33, 34). Adults with severe burns have recently been shown to have impaired pulmonary function, as determined by spirometry, for up to 7 years post injury (13). Further, Willis et al (34) reported that adults with severe burns have lower peak oxygen uptake (VO 2 peak), have less exercise tolerance, and participate in less physical activity than unburned controls.…”

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

“…(13) determined the effect of RET on pulmonary function at an average post-burn time of 6.6 years, whereas Suman and colleagues (31) studied pediatric patients within the first year post injury. Indeed, baseline peak VO 2 was not different between burned and unburned groups in the study by Grisbrook and coworkers (13), which in our view suggests that this patient group may have largely recovered their cardio-respiratory function by the time of the intervention. This suggests that the timing of exercise post injury may influence the magnitude of the response, particularly with regard to pulmonary function.…”

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

See 3 more Smart Citations

The Role of Exercise in the Rehabilitation of Patients with Severe Burns

Porter

Hardee

Herndon

et al. 2015

Exercise and Sport Sciences Reviews

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Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 50%

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

Section: The Impact Of Rehabilitative Exercise On Cardiopulmonary Funmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Exercise in the Rehabilitation of Patients with Severe Burns

Porter

Hardee

Herndon

et al. 2015

Exercise and Sport Sciences Reviews

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“…Lung function may also be impaired, resulting in decreased aerobic capacity remaining so for long periods (Grisbook et al, 2012). The impact on the cardiovascular system is known, with increase in cardiac output and the minute ventilation (Johnson, 1994); heart rate may be elevated for up to two years after the initial event (Jeschke et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

<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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Rehabilitative Exercise Training for Burn Injury

et al. 2021

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Due to improvements in acute burn care over the last few decades, most patients with severe burns (up to 90% of the total body surface) survive. However, the metabolic and cardiovascular complications that accompany a severe burn can persist for up to three years post injury. Accordingly, there is now a greater appreciation of the need for strategies that can hasten recovery and reduce long-term morbidity post burn. Rehabilitation exercise training (RET) is a proven effective treatment to restore lean body mass, glucose and protein metabolism, cardiorespiratory fitness, and muscle strength in burn survivors. Despite this, very few hospitals incorporate RET in programs to aid the rehabilitation of patients with severe burns. Given that RET is a safe and efficacious treatment that restores function and reduces post burn morbidity, we propose that a long-term exercise prescription plan should be considered for all patients with severe burns. In this literature review, we discuss the current understanding of burn trauma on major organ systems, and the positive benefits of incorporating RET as a part of the long-term rehabilitation of severely burned individuals. We also provide burn-specific exercise prescription guidelines for clinical exercise physiologists.

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The effect of exercise training on pulmonary function and aerobic capacity in adults with burn

Cited by 47 publications

References 23 publications

The Role of Exercise in the Rehabilitation of Patients with Severe Burns

The Role of Exercise in the Rehabilitation of Patients with Severe Burns

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

Rehabilitative Exercise Training for Burn Injury

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