Effects of Community-Based Exercise in Adults With Severe Burns

A Randomized Controlled Trial

Charles D. Voigt, Guillermo Foncerrada, Raquel Peña, Ashley Guillory, Clark R. Andersen, Craig G. Crandall, Steven Wolf, David Herndon, Oscar Suman

Research output: Contribution to journalArticle

Abstract

Objective: To investigate the efficacy of community-based exercise programs in the rehabilitation of adult patients with burns compared with standard of care (SOC). Design: Randomized controlled trial, with 2:1 randomization. Setting: Assessments were performed in a hospital setting. The intervention was performed in a community setting. Participants: Adult patients (N=45) with ≥30% total body surface area burns were randomized to participate in a community-based exercise program (n=31) or SOC (n=14). Patient sampling was consecutive and referred. Interventions: The community-based exercise program consisted of 12 weeks of exercise with a community-based trainer after hospital discharge. The SOC group did not receive exercise training. Main Outcome Measures: Change in lean body mass index, peak torque, and peak oxygen consumption from discharge to 12 weeks postdischarge, presented as mean ± SE. Results: The community-based exercise program group showed a significant increase in peak oxygen consumption compared with SOC (community-based exercise program: Δ=7.723±1.522mL/kg/min, P=.0006; SOC: Δ=2.200±1.150mL/kg/min, P=.0765; community-based exercise program vs SOC, P=.0236). The community-based exercise program group exhibited a significant within group increase in lean body mass index (Δ=1.107±0.431kg/m2, P=.0003; SOC: Δ=1.323±0.873kg/m2, P=.2808). Both groups showed significant within-group increases in peak torque (community-based exercise program: Δ=35.645±7.566Nm, P=.0003; SOC: Δ=34.717±11.029Nm, P=.0082). No significant differences were noted between the 2 groups for lean body mass index or peak torque. Conclusions: Patients who participate in a community-based exercise program show significant improvements in cardiopulmonary fitness compared with SOC, supporting the use of a community-based exercise program as an alternative therapy to SOC in adults with severe burns.

Original languageEnglish (US)
JournalArchives of Physical Medicine and Rehabilitation
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Burns
Standard of Care
Randomized Controlled Trials
Exercise
Torque
Body Mass Index
Oxygen Consumption
Body Surface Area
Complementary Therapies
Random Allocation
Rehabilitation
Outcome Assessment (Health Care)

Keywords

  • Body composition
  • Oxygen consumption
  • Physical fitness
  • Rehabilitation
  • Torque

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Effects of Community-Based Exercise in Adults With Severe Burns : A Randomized Controlled Trial. / Voigt, Charles D.; Foncerrada, Guillermo; Peña, Raquel; Guillory, Ashley; Andersen, Clark R.; Crandall, Craig G.; Wolf, Steven; Herndon, David; Suman, Oscar.

In: Archives of Physical Medicine and Rehabilitation, 01.01.2018.

Research output: Contribution to journalArticle

Voigt, Charles D. ; Foncerrada, Guillermo ; Peña, Raquel ; Guillory, Ashley ; Andersen, Clark R. ; Crandall, Craig G. ; Wolf, Steven ; Herndon, David ; Suman, Oscar. / Effects of Community-Based Exercise in Adults With Severe Burns : A Randomized Controlled Trial. In: Archives of Physical Medicine and Rehabilitation. 2018.
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abstract = "Objective: To investigate the efficacy of community-based exercise programs in the rehabilitation of adult patients with burns compared with standard of care (SOC). Design: Randomized controlled trial, with 2:1 randomization. Setting: Assessments were performed in a hospital setting. The intervention was performed in a community setting. Participants: Adult patients (N=45) with ≥30{\%} total body surface area burns were randomized to participate in a community-based exercise program (n=31) or SOC (n=14). Patient sampling was consecutive and referred. Interventions: The community-based exercise program consisted of 12 weeks of exercise with a community-based trainer after hospital discharge. The SOC group did not receive exercise training. Main Outcome Measures: Change in lean body mass index, peak torque, and peak oxygen consumption from discharge to 12 weeks postdischarge, presented as mean ± SE. Results: The community-based exercise program group showed a significant increase in peak oxygen consumption compared with SOC (community-based exercise program: Δ=7.723±1.522mL/kg/min, P=.0006; SOC: Δ=2.200±1.150mL/kg/min, P=.0765; community-based exercise program vs SOC, P=.0236). The community-based exercise program group exhibited a significant within group increase in lean body mass index (Δ=1.107±0.431kg/m2, P=.0003; SOC: Δ=1.323±0.873kg/m2, P=.2808). Both groups showed significant within-group increases in peak torque (community-based exercise program: Δ=35.645±7.566Nm, P=.0003; SOC: Δ=34.717±11.029Nm, P=.0082). No significant differences were noted between the 2 groups for lean body mass index or peak torque. Conclusions: Patients who participate in a community-based exercise program show significant improvements in cardiopulmonary fitness compared with SOC, supporting the use of a community-based exercise program as an alternative therapy to SOC in adults with severe burns.",
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