Assessment of muscle function in severely burned children

Shashi M. Alloju, David Herndon, Serina J. McEntire, Oscar Suman

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Introduction: The posttraumatic response to a severe burn leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated the degree to which the prolonged skeletal muscle catabolism affects the muscle function of children 6 months after severe burn. Methods: Burned children, with >40% total body surface area burned, were assessed at 6 months after burn in respect to lean body mass and leg muscle strength at 150°/s. Lean body mass was assessed using dual-energy X-ray absorptiometry. Leg muscle strength was assessed using isokinetic dynamometry. Nonburned children were assessed similarly, and served as controls. Results: We found that severely burned children (n = 33), relative to nonburned children (n = 46) had significantly lower lean body mass. Additionally they had significantly lower peak torque as well total work performance using the extensors of the thigh. Conclusions: Our results serve as an objective and a practical clinical approach for assessing muscle function and also aid in establishing potential rehabilitation goals, and monitoring progress towards these goals in burned children.

Original languageEnglish (US)
Pages (from-to)452-459
Number of pages8
JournalBurns
Volume34
Issue number4
DOIs
StatePublished - Jun 2008

Fingerprint

Muscles
Muscle Strength
Leg
Skeletal Muscle
Rehabilitation
Occupational Therapy
Body Surface Area
Muscle Weakness
Photon Absorptiometry
Torque
Thigh

Keywords

  • Burns
  • Lean mass
  • Peak torque
  • Total work

ASJC Scopus subject areas

  • Emergency Medicine
  • Surgery

Cite this

Assessment of muscle function in severely burned children. / Alloju, Shashi M.; Herndon, David; McEntire, Serina J.; Suman, Oscar.

In: Burns, Vol. 34, No. 4, 06.2008, p. 452-459.

Research output: Contribution to journalArticle

Alloju, SM, Herndon, D, McEntire, SJ & Suman, O 2008, 'Assessment of muscle function in severely burned children', Burns, vol. 34, no. 4, pp. 452-459. https://doi.org/10.1016/j.burns.2007.10.006
Alloju, Shashi M. ; Herndon, David ; McEntire, Serina J. ; Suman, Oscar. / Assessment of muscle function in severely burned children. In: Burns. 2008 ; Vol. 34, No. 4. pp. 452-459.
@article{1d3eef0667d4423abb8ecd0e072c351c,
title = "Assessment of muscle function in severely burned children",
abstract = "Introduction: The posttraumatic response to a severe burn leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated the degree to which the prolonged skeletal muscle catabolism affects the muscle function of children 6 months after severe burn. Methods: Burned children, with >40{\%} total body surface area burned, were assessed at 6 months after burn in respect to lean body mass and leg muscle strength at 150°/s. Lean body mass was assessed using dual-energy X-ray absorptiometry. Leg muscle strength was assessed using isokinetic dynamometry. Nonburned children were assessed similarly, and served as controls. Results: We found that severely burned children (n = 33), relative to nonburned children (n = 46) had significantly lower lean body mass. Additionally they had significantly lower peak torque as well total work performance using the extensors of the thigh. Conclusions: Our results serve as an objective and a practical clinical approach for assessing muscle function and also aid in establishing potential rehabilitation goals, and monitoring progress towards these goals in burned children.",
keywords = "Burns, Lean mass, Peak torque, Total work",
author = "Alloju, {Shashi M.} and David Herndon and McEntire, {Serina J.} and Oscar Suman",
year = "2008",
month = "6",
doi = "10.1016/j.burns.2007.10.006",
language = "English (US)",
volume = "34",
pages = "452--459",
journal = "Burns",
issn = "0305-4179",
publisher = "Elsevier Limited",
number = "4",

}

TY - JOUR

T1 - Assessment of muscle function in severely burned children

AU - Alloju, Shashi M.

AU - Herndon, David

AU - McEntire, Serina J.

AU - Suman, Oscar

PY - 2008/6

Y1 - 2008/6

N2 - Introduction: The posttraumatic response to a severe burn leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated the degree to which the prolonged skeletal muscle catabolism affects the muscle function of children 6 months after severe burn. Methods: Burned children, with >40% total body surface area burned, were assessed at 6 months after burn in respect to lean body mass and leg muscle strength at 150°/s. Lean body mass was assessed using dual-energy X-ray absorptiometry. Leg muscle strength was assessed using isokinetic dynamometry. Nonburned children were assessed similarly, and served as controls. Results: We found that severely burned children (n = 33), relative to nonburned children (n = 46) had significantly lower lean body mass. Additionally they had significantly lower peak torque as well total work performance using the extensors of the thigh. Conclusions: Our results serve as an objective and a practical clinical approach for assessing muscle function and also aid in establishing potential rehabilitation goals, and monitoring progress towards these goals in burned children.

AB - Introduction: The posttraumatic response to a severe burn leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated the degree to which the prolonged skeletal muscle catabolism affects the muscle function of children 6 months after severe burn. Methods: Burned children, with >40% total body surface area burned, were assessed at 6 months after burn in respect to lean body mass and leg muscle strength at 150°/s. Lean body mass was assessed using dual-energy X-ray absorptiometry. Leg muscle strength was assessed using isokinetic dynamometry. Nonburned children were assessed similarly, and served as controls. Results: We found that severely burned children (n = 33), relative to nonburned children (n = 46) had significantly lower lean body mass. Additionally they had significantly lower peak torque as well total work performance using the extensors of the thigh. Conclusions: Our results serve as an objective and a practical clinical approach for assessing muscle function and also aid in establishing potential rehabilitation goals, and monitoring progress towards these goals in burned children.

KW - Burns

KW - Lean mass

KW - Peak torque

KW - Total work

UR - http://www.scopus.com/inward/record.url?scp=41949139247&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41949139247&partnerID=8YFLogxK

U2 - 10.1016/j.burns.2007.10.006

DO - 10.1016/j.burns.2007.10.006

M3 - Article

VL - 34

SP - 452

EP - 459

JO - Burns

JF - Burns

SN - 0305-4179

IS - 4

ER -