Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Arch Phys Med Rehabil. 2011 Sep;92(9):1501-10. doi: 10.1016/j.apmr.2011.03.025.
To gain insight into the physical fitness of people after burn injury compared with healthy subjects, and to present an overview of the effectiveness of exercise training programs in improving physical fitness in people after burn injury.
Electronic databases EMBASE, PubMed, and Web of Science were searched for relevant publications. Additionally, references from retrieved publications were checked.
The review includes studies that provide quantitative data from objective measures of physical fitness of both the intervention group and the control group.
Characteristics of each study such as study design, institution, and intervention are reported, as well as mean ages and burn sizes of the subjects. Results are divided into 5 components of physical fitness-muscular strength, muscular endurance, body composition, cardiorespiratory endurance, and flexibility-and reported for each component separately.
Eleven studies met the inclusion criteria, and their methodological quality was assessed using the PEDro score and a modified Sackett scale. Six studies were used for the comparison of physical fitness in burned and nonburned subjects, and 9 studies for evaluating the effectiveness of exercise training programs.
Physical fitness is affected in people with extensive burns, and exercise training programs can bring on relevant improvements in all components. However, because of the great similarities in the subjects and protocols used in the included studies, the current knowledge is incomplete. Future research should include people of all ages with a broad range of burn sizes, for both short-term and long-term outcomes.
了解烧伤患者与健康受试者的身体适应性差异，并概述运动训练方案对改善烧伤患者身体适应性的有效性。
检索电子数据库 EMBASE、PubMed 和 Web of Science，以获取相关出版物。此外，还检查了检索出版物中的参考文献。
综述纳入提供干预组和对照组客观身体适应性测量定量数据的研究。
报告了每项研究的特征，如研究设计、机构和干预措施，以及受试者的平均年龄和烧伤面积。结果分为身体适应性的 5 个组成部分——肌肉力量、肌肉耐力、身体成分、心肺耐力和柔韧性，并分别报告每个组成部分的结果。
11 项研究符合纳入标准，并使用 PEDro 评分和改良 Sackett 量表评估其方法学质量。6 项研究用于比较烧伤和非烧伤受试者的身体适应性，9 项研究用于评估运动训练方案的有效性。
广泛烧伤会影响患者的身体适应性，运动训练方案可以使所有组成部分都得到相关改善。但是，由于纳入研究中受试者和方案非常相似，目前的知识并不完整。未来的研究应包括不同年龄和烧伤面积的患者，评估短期和长期的效果。
