Document Detail


Effect of exercise training on pulmonary function in children with thermal injury.
MedLine Citation:
PMID:  12142585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Severe thermal injury in children results in a decrease in pulmonary function (PF) which lasts well into convalescence. Exercise has been used successfully to improve PF in other populations exhibiting a compromised PF such as in chronic obstructive pulmonary disease. Yet, whether exercise training will induce improvements in PF in burned children is presently unknown. We therefore evaluated if an exercise program improved PF in severely burned children (BC). Twenty healthy controls, nonburn children (NB) age 7 to <18 and 31 severely burned children; ages 7 to <18 years old, with greater than 40% of total body surface area burned were enrolled in the study. Burned children were randomized into two groups. One to participate in a 12-week in-hospital physical rehabilitation program supplemented with an exercise-training program (REX, n = 17) and the other nonexercising group (R, n = 14) to participate in a 12-week, home-based physical rehabilitation program without exercise. Pulmonary function tests were performed for all groups at baseline, but only the REX and R groups were tested after 12 weeks of either exercise or no exercise. Baseline PF for the NB group was normal and no differences in PF were found between the R vs REX groups. However, PF was decreased in BC compared to NB children. There was a significant improvement in PF in the REX group. In contrast, PF in the R group remained relatively unchanged. Severely burned children improve PF as a result of an exercise program and such should be a fundamental component of a multidisciplinary outpatient treatment program for victims of thermal injury.
Authors:
Oscar E Suman; Robert P Mlcak; David N Herndon
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of burn care & rehabilitation     Volume:  23     ISSN:  0273-8481     ISO Abbreviation:  J Burn Care Rehabil     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2002-07-26     Completed Date:  2002-09-06     Revised Date:  2006-08-15    
Medline Journal Info:
Nlm Unique ID:  8110188     Medline TA:  J Burn Care Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  288-93; discussion 287     Citation Subset:  IM    
Affiliation:
Medical Staff Administration, Shriners Hospitals for Children, Department of Surgery, The University of Texas Medical Branch, Galveston, Texas 77550, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Burns / complications*,  rehabilitation*
Child
Exercise Therapy*
Female
Humans
Male
Physical Therapy Modalities
Respiratory Function Tests
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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