Disseldorp Laurien M, Mouton Leonora J, Van der Woude Lucas H V, Van Brussel Marco, Nieuwenhuis Marianne K
Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; Association of Dutch Burn Centers, Burn Center Martini Hospital, Groningen, The Netherlands.
Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Burns. 2015 Dec;41(8):1839-1846. doi: 10.1016/j.burns.2015.08.025. Epub 2015 Oct 17.
Physical functioning is of major importance after burns in many areas of life, in both the short and the long term. This cross-sectional study aimed to describe anthropometry, muscular strength and aerobic capacity in children and adolescents between 0.5-5 years after burns over 10% TBSA.
Assessments took place in a mobile exercise lab. Demographics, burn characteristics and anthropometrics were recorded. Muscular strength in six muscle groups was measured using hand-held dynamometry and aerobic capacity was measured with a graded cardiopulmonary exercise test. Subjects' scores were compared with Dutch age- and gender-matched norm values and converted to Z-scores.
The assessments were completed by 24 subjects with pediatric burns ranging from 10 to 41% TBSA and time after burn from 1 to 5 years (58.3% male; 6-18 years). On group level, no significant differences between the subjects' scores and norm values were found. No trends were seen indicating an effect of extent of burn or time after burn. Individually, eight subjects (33.3%), mostly aged 6 or 7, showed significantly low performance on at least one variable: seven for strength, one for aerobic capacity and one for both.
Anthropometry, muscular strength and aerobic capacity are adequate in the majority of Dutch children and adolescents 1-5 years after 10-41% TBSA burns.
烧伤后，身体功能在生活的许多方面无论短期还是长期都至关重要。这项横断面研究旨在描述烧伤面积超过10%体表面积的儿童和青少年在烧伤后0.5至5年的人体测量学、肌肉力量和有氧能力情况。
评估在一个移动运动实验室进行。记录人口统计学信息、烧伤特征和人体测量数据。使用手持式测力计测量六个肌肉群的肌肉力量，通过分级心肺运动试验测量有氧能力。将受试者的得分与荷兰年龄和性别匹配的标准值进行比较，并转换为Z分数。
24名儿童烧伤患者完成了评估，烧伤面积为10%至41%体表面积，烧伤后时间为1至5年（男性占58.3%；年龄6至18岁）。在组水平上，未发现受试者得分与标准值之间存在显著差异。未观察到烧伤程度或烧伤后时间有影响的趋势。个体方面，八名受试者（33.3%），大多为6岁或7岁，至少在一个变量上表现显著低下：七名在力量方面，一名在有氧能力方面，一名在两者方面。
对于烧伤面积为10%至41%体表面积的大多数荷兰儿童和青少年，在烧伤后1至5年，人体测量学、肌肉力量和有氧能力状况良好。
