下半身烧伤对身体功能的影响。
The effect of lower body burns on physical function.
作者信息
Benjamin Nicole C, Andersen Clark R, Herndon David N, Suman Oscar E
机构信息
Department of Surgery, University of Texas Medical Branch, Galveston, TX 77555, USA; Shriners Hospitals for Children, Galveston, TX 77550, USA.
Department of Surgery, University of Texas Medical Branch, Galveston, TX 77555, USA; Shriners Hospitals for Children, Galveston, TX 77550, USA.
出版信息
Burns. 2015 Dec;41(8):1653-1659. doi: 10.1016/j.burns.2015.05.020. Epub 2015 Oct 1.
OBJECTIVE
To attenuate burn-induced catabolism, patients are often enrolled in a resistance exercise program as part of their physical rehabilitation. This study assessed how lower body burn locations affected strength and cardiopulmonary function.
METHODS
Children enrolled in an exercise study between 2003 and 2013, were 7-18 years of age, and burned ≥30% of their total body surface area were included. Analysis of variance was used to model the relationship of lower body strength (PTW) and cardiopulmonary function (VO2peak) due to burns which traverse the subject's lower body joints.
RESULTS
There was a significant relationship between PTW and burns at the hip and toe joints, showing a 26 N m/kg (p=0.010) and 33 N m/kg (p=0.013) decrease in peak torque, respectively. Burns at the hip joint corresponded to a significant decrease in VO2peak by 4.9 ml kg(-1) min(-1) (p=0.010) in peak cardiopulmonary function.
CONCLUSION
Physical function and performance are detrimentally affected by burns that traverse specific lower body joints. The most significant relationship on exercise performance was that of hip joint burns as it affected both strength and cardiopulmonary measurements. Ultimately, burns at hip and toe joints need to be considered when interpreting exercise test results involving the lower body.
目的
为减轻烧伤引起的分解代谢，患者在身体康复过程中常参加抗阻运动项目。本研究评估了下半身烧伤部位如何影响力量和心肺功能。
方法
纳入2003年至2013年间参加一项运动研究、年龄在7至18岁、全身烧伤面积≥30%的儿童。采用方差分析来模拟因烧伤穿过受试者下半身关节而导致的下半身力量（PTW）和心肺功能（峰值摄氧量）之间的关系。
结果
PTW与髋关节和脚趾关节烧伤之间存在显著关系，峰值扭矩分别下降26 N m/kg（p = 0.010）和33 N m/kg（p = 0.013）。髋关节烧伤对应着峰值心肺功能时峰值摄氧量显著下降4.9 ml kg⁻¹ min⁻¹（p = 0.010）。
结论
穿过特定下半身关节的烧伤会对身体功能和表现产生不利影响。对运动表现影响最显著的是髋关节烧伤，因为它同时影响力量和心肺测量指标。最终，在解读涉及下半身的运动测试结果时，需要考虑髋关节和脚趾关节的烧伤情况。
Zotero 插件