The effect of lower body burns on physical function

Nicole C. Benjamin, Clark R. Andersen, David Herndon, Oscar Suman

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective To attenuate burn-induced catabolism, patients are often enrolled in a resistance exercise program as part of their physical rehabilitation. This study assessed how lower body burn locations affected strength and cardiopulmonary function. Methods Children enrolled in an exercise study between 2003 and 2013, were 7-18 years of age, and burned ≥30% of their total body surface area were included. Analysis of variance was used to model the relationship of lower body strength (PTW) and cardiopulmonary function (VO2peak) due to burns which traverse the subject's lower body joints. Results There was a significant relationship between PTW and burns at the hip and toe joints, showing a 26 N m/kg (p = 0.010) and 33 N m/kg (p = 0.013) decrease in peak torque, respectively. Burns at the hip joint corresponded to a significant decrease in VO2peak by 4.9 ml kg-1 min-1 (p = 0.010) in peak cardiopulmonary function. Conclusion Physical function and performance are detrimentally affected by burns that traverse specific lower body joints. The most significant relationship on exercise performance was that of hip joint burns as it affected both strength and cardiopulmonary measurements. Ultimately, burns at hip and toe joints need to be considered when interpreting exercise test results involving the lower body.

Original languageEnglish (US)
Pages (from-to)1653-1659
Number of pages7
JournalBurns
Volume41
Issue number8
DOIs
StatePublished - 2015

Fingerprint

Burns
Hip Joint
Toe Joint
Exercise
Joints
Body Surface Area
Torque
Exercise Test
Analysis of Variance
Rehabilitation

Keywords

  • Burn
  • Exercise
  • Joint
  • Lower body

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Benjamin, N. C., Andersen, C. R., Herndon, D., & Suman, O. (2015). The effect of lower body burns on physical function. Burns, 41(8), 1653-1659. https://doi.org/10.1016/j.burns.2015.05.020

The effect of lower body burns on physical function. / Benjamin, Nicole C.; Andersen, Clark R.; Herndon, David; Suman, Oscar.

In: Burns, Vol. 41, No. 8, 2015, p. 1653-1659.

Research output: Contribution to journalArticle

Benjamin, NC, Andersen, CR, Herndon, D & Suman, O 2015, 'The effect of lower body burns on physical function', Burns, vol. 41, no. 8, pp. 1653-1659. https://doi.org/10.1016/j.burns.2015.05.020
Benjamin, Nicole C. ; Andersen, Clark R. ; Herndon, David ; Suman, Oscar. / The effect of lower body burns on physical function. In: Burns. 2015 ; Vol. 41, No. 8. pp. 1653-1659.
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AB - Objective To attenuate burn-induced catabolism, patients are often enrolled in a resistance exercise program as part of their physical rehabilitation. This study assessed how lower body burn locations affected strength and cardiopulmonary function. Methods Children enrolled in an exercise study between 2003 and 2013, were 7-18 years of age, and burned ≥30% of their total body surface area were included. Analysis of variance was used to model the relationship of lower body strength (PTW) and cardiopulmonary function (VO2peak) due to burns which traverse the subject's lower body joints. Results There was a significant relationship between PTW and burns at the hip and toe joints, showing a 26 N m/kg (p = 0.010) and 33 N m/kg (p = 0.013) decrease in peak torque, respectively. Burns at the hip joint corresponded to a significant decrease in VO2peak by 4.9 ml kg-1 min-1 (p = 0.010) in peak cardiopulmonary function. Conclusion Physical function and performance are detrimentally affected by burns that traverse specific lower body joints. The most significant relationship on exercise performance was that of hip joint burns as it affected both strength and cardiopulmonary measurements. Ultimately, burns at hip and toe joints need to be considered when interpreting exercise test results involving the lower body.

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