Cucuzzo N A, Ferrando A, Herndon D N
Shriners Hospitals for Children, Galveston, Texas 77550, USA.
J Burn Care Rehabil. 2001 May-Jun;22(3):214-20. doi: 10.1097/00004630-200105000-00006.
The purpose of this study was to compare the efficacy and effects of exercise programming (Study group, n = 11) vs traditional outpatient therapy (Home group, n = 10) in burned children (> 40% body surface area). This was a prospective, randomized, controlled trial in a hospital-based children's wellness center. Twenty-one patients (13 boys and 8 girls) averaging 10.6 +/- 0.9 years and TBSA = 59.7 +/- 3.1% were evaluated 6 and 9 months postburn. Moderate intensity, progressive resistance and aerobic exercise conducted 3 times weekly for 1 hour were a supplement to standard therapy over 12 weeks. Muscular strength and functional outcome significantly increased in both groups (P < .05). Improvements in strength (80.1 vs 37.7%) and distance walked (39.5 vs 12.5%) were significantly greater for Study vs Home groups, respectively, P < .05. We conclude that exercise programming may be safely included in rehabilitation programs for severely burned children and can be effective in increasing muscular strength and functional outcome.
本研究旨在比较运动方案（研究组，n = 11）与传统门诊治疗（居家组，n = 10）对烧伤儿童（体表面积> 40%）的疗效和影响。这是一项在一家医院儿童健康中心进行的前瞻性、随机对照试验。21例患者（13名男孩和8名女孩），平均年龄10.6±0.9岁，烧伤总面积为59.7±3.1%，在烧伤后6个月和9个月进行了评估。在12周内，每周进行3次、每次1小时的中等强度、渐进性抗阻和有氧运动作为标准治疗的补充。两组的肌肉力量和功能结局均显著增加（P < 0.05）。研究组与居家组相比，力量改善（80.1%对37.7%）和行走距离改善（39.5%对12.5%）分别显著更大，P < 0.05。我们得出结论，运动方案可安全纳入重度烧伤儿童的康复计划，并且在增加肌肉力量和功能结局方面可能有效。
