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  • 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
    Griffith University Author(s)
    Paratz, Jenny D.
    Ware, Robert
    Year published
    2018
    Metadata
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    Abstract
    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 ...
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    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
    DOI
    https://doi.org/10.1177/0269215517751586
    Subject
    Medical and Health Sciences not elsewhere classified
    Medical and Health Sciences
    Publication URI
    http://hdl.handle.net/10072/379952
    Collection
    • Journal articles

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