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Randomized Controlled Trial
. 2007 Dec;88(12 Suppl 2):S18-23.
doi: 10.1016/j.apmr.2007.09.003.

Augmented exercise in the treatment of deconditioning from major burn injury

Barbara J de Lateur  1 , Gina Magyar-Russell, Melissa G Bresnick, Faedra A Bernier, Michelle S Ober, Brian J Krabak, Linda Ware, Michael P Hayes, James A Fauerbach
Affiliations
Randomized Controlled Trial

Augmented exercise in the treatment of deconditioning from major burn injury

Barbara J de Lateur et al. Arch Phys Med Rehabil. 2007 Dec.

Abstract

Objective: To investigate the efficacy of a 12-week exercise program in producing greater improvement in aerobic capacity in adult burn survivors, relative to usual care.

Design: Randomized, controlled, double-blinded trial.

Setting: Burn center.

Participants: A population-based sample of 35 adult patients admitted to a burn center for treatment of a serious burn injury.

Intervention: A 12-week, 36-session, aerobic treadmill exercise program where work to quota (WTQ) participants intensified their exercise according to preset quotas and work to tolerance (WTT) participants continued to their tolerance. Participants completed a maximal stress test at baseline and 12 weeks to measure physical fitness.

Main outcome measure: Maximal aerobic capacity.

Results: The WTT and the WTQ exercise groups both made significant improvements in aerobic capacity from baseline to 12 weeks (t=-3.60, P< or =.01; t=-3.17, P< or =.01, respectively). The control group did not (t=-1.39, P=.19). WTT and WTQ participants demonstrated significantly greater improvements in aerobic capacity in comparison to the control group members (F=4.6, P< or =.05). The WTT and WTQ groups did not differ significantly from each other with regard to their respective improvements in aerobic capacity (F=.014, P=.907).

Conclusions: The aerobic capacity of adult burn survivors can be improved with participation in a structured, 12-week exercise program after injury.

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