Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, PO Box 196, 9700 AD, Groningen, The Netherlands.
BMC Pediatr. 2012 Dec 20;12:195. doi: 10.1186/1471-2431-12-195.
Burn injuries have a major impact on the patient's physical and psychological functioning. The consequences can, especially in pediatric burns, persist long after the injury. A decrease in physical fitness seems logical as people survive burn injuries after an often extensive period of decreased activity and an increased demand of proteins leading to catabolism, especially of muscle mass. However, knowledge on the possibly affected levels of physical fitness in children and adolescents after burn injury is limited and pertains only to children with major burns. The current multidimensional study aims to determine the level of physical fitness, the level of physical activity, health-related quality of life and perceived fatigue in children after a burn injury. Furthermore, interrelations between those levels will be explored, as well as associations with burn characteristics.
METHODS/DESIGN: Children and adolescents in the age range of 6 up to and including 18 years are invited to participate in this cross-sectional descriptive study if they have been admitted to one of the three Dutch burn centers between 6 months and 5 years ago with a burn injury involving at least 10% of the total body surface area and/or were hospitalized ≥ 6 weeks. Physical fitness assessments will take place in a mobile exercise lab. Quantitative measures of cardiorespiratory endurance, muscular strength, body composition and flexibility will be obtained. Outcomes will be compared with Dutch reference values. Physical activity, health-related quality of life and fatigue will be assessed using accelerometry and age-specific questionnaires.
The findings of the current study will contribute to a better understanding of the long-term consequences of burn injury in children and adolescents after burns. The results can guide rehabilitation to facilitate a timely and optimal physical recovery.
The study is registered in the National Academic Research and Collaborations Information System of the Netherlands (OND1348800).
烧伤对患者的身体和心理功能有重大影响。这些后果，尤其是在儿科烧伤中，会在受伤后很长一段时间持续存在。由于人们在烧伤后通常会经历一段活动减少和蛋白质需求增加导致分解代谢的时期，特别是肌肉质量的分解代谢，因此身体适应性下降似乎是合乎逻辑的。然而，关于烧伤后儿童和青少年身体适应性可能受到影响的程度的知识是有限的，并且仅涉及大面积烧伤的儿童。目前的多维研究旨在确定烧伤后儿童的身体适应性水平、身体活动水平、健康相关生活质量和感知疲劳。此外，还将探讨这些水平之间的相互关系，以及与烧伤特征的关联。
方法/设计：如果儿童和青少年在过去 6 个月至 5 年前因烧伤受伤面积至少达到总身体表面积的 10%且/或住院时间≥6 周，曾被邀请到荷兰的三个烧伤中心之一住院，那么他们将被邀请参加这项横断面描述性研究。将邀请年龄在 6 岁至 18 岁之间的儿童和青少年参加这项研究。身体适应性评估将在移动运动实验室进行。心肺耐力、肌肉力量、身体成分和柔韧性的定量测量将获得。结果将与荷兰参考值进行比较。使用加速度计和特定年龄的问卷评估身体活动、健康相关生活质量和疲劳。
本研究的结果将有助于更好地了解烧伤后儿童和青少年烧伤的长期后果。研究结果可以指导康复，以促进及时和最佳的身体恢复。
该研究在荷兰国家学术研究与合作信息系统（OND1348800）中注册。
