Exercise training for improving outcomes post-burns: a systematic review and meta-analysis
Author(s)
Flores, Orlando
Tyack, Zephanie
Stockton, Kellie
Ware, Robert
Paratz, Jennifer D
Year published
2018
Metadata
Show full item recordAbstract
Objectives:
To determine the effectiveness of different modalities of exercise and to evaluate the safety of exercise-based interventions post-burns.
Data sources:
Six databases were searched from inception to October 2017 using “burn,” “exercise” and synonyms as keywords. Relevant authors, key journals and reference lists of included studies were hand-searched.
Review methods:
Articles reporting on exercise interventions in patients post-burn and considering physical, physiological or psychological outcomes were considered. Two authors independently screened 2253 records and selected 19 articles for inclusion. The quality ...
View more >Objectives: To determine the effectiveness of different modalities of exercise and to evaluate the safety of exercise-based interventions post-burns. Data sources: Six databases were searched from inception to October 2017 using “burn,” “exercise” and synonyms as keywords. Relevant authors, key journals and reference lists of included studies were hand-searched. Review methods: Articles reporting on exercise interventions in patients post-burn and considering physical, physiological or psychological outcomes were considered. Two authors independently screened 2253 records and selected 19 articles for inclusion. The quality of the evidence was assessed at the study level and at the outcome level. Results: Unbiased effect size estimators (pooled Hedges’ g) with 95% confidence intervals (CIs) were calculated if there were two or more trials with homogeneous outcomes. There were no significant differences post-exercise training in VO2peak (g = 0.99; 95% CI: −0.4 to 2.4: P = 0.18), resting energy expenditure (g = −0.51; 95% CI: −1.99 to 0.97: P = 0.5) and muscle strength (g = 0.51; 95% CI: −0.03 to 1.05: P = 0.07) between groups. Evidence suggested exercise had a beneficial effect on body composition (g = 0.59; 95% CI: 0.05 to 1.14: P = 0.03), need of surgical release of contractures (risk ratio = 0.34; 95% CI: 0.2 to 0.7; P = 0.004) and health-related quality of life. However, a lack of evidence existed regarding the safety of exercise training post-burns. Conclusion: Limited evidence suggests that exercise has a beneficial effect on physical and physiological outcomes in patients post-burn. Further trials using high-quality methodology are required, with focus on reporting of adverse events, health-related quality of life and psychological outcomes.
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View more >Objectives: To determine the effectiveness of different modalities of exercise and to evaluate the safety of exercise-based interventions post-burns. Data sources: Six databases were searched from inception to October 2017 using “burn,” “exercise” and synonyms as keywords. Relevant authors, key journals and reference lists of included studies were hand-searched. Review methods: Articles reporting on exercise interventions in patients post-burn and considering physical, physiological or psychological outcomes were considered. Two authors independently screened 2253 records and selected 19 articles for inclusion. The quality of the evidence was assessed at the study level and at the outcome level. Results: Unbiased effect size estimators (pooled Hedges’ g) with 95% confidence intervals (CIs) were calculated if there were two or more trials with homogeneous outcomes. There were no significant differences post-exercise training in VO2peak (g = 0.99; 95% CI: −0.4 to 2.4: P = 0.18), resting energy expenditure (g = −0.51; 95% CI: −1.99 to 0.97: P = 0.5) and muscle strength (g = 0.51; 95% CI: −0.03 to 1.05: P = 0.07) between groups. Evidence suggested exercise had a beneficial effect on body composition (g = 0.59; 95% CI: 0.05 to 1.14: P = 0.03), need of surgical release of contractures (risk ratio = 0.34; 95% CI: 0.2 to 0.7; P = 0.004) and health-related quality of life. However, a lack of evidence existed regarding the safety of exercise training post-burns. Conclusion: Limited evidence suggests that exercise has a beneficial effect on physical and physiological outcomes in patients post-burn. Further trials using high-quality methodology are required, with focus on reporting of adverse events, health-related quality of life and psychological outcomes.
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Journal Title
Clinical Rehabilitation
Volume
32
Issue
6
Subject
Medical and Health Sciences not elsewhere classified
Medical and Health Sciences