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物理治疗康复方案结合音乐对下肢烧伤患儿的影响:为期十二周的随机对照研究。

Effect of physical therapy rehabilitation program combined with music on children with lower limb burns: A twelve-week randomized controlled study.

机构信息

Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia; Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia; Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt.

出版信息

Burns. 2021 Aug;47(5):1146-1152. doi: 10.1016/j.burns.2020.11.006. Epub 2020 Nov 27.

Abstract

BACKGROUND

Burn injuries cause significant physical impairments that need comprehensive rehabilitation and coordination with the acute burn care team. Music had been shown to increase positive mood during exercise, which may result in motivation for participation in exercise programs. The current study aimed to evaluate the effect of physical therapy rehabilitation program combined with music therapy on children with lower limb burns.

METHODS

A twelve-week randomized controlled study including thirty pediatrics with lower limb burns. They were randomly assigned into two equal groups, 15 children per each. Group A received a physical therapy rehabilitation program combined with music therapy in addition to routine medical care. However, Group B received a physical therapy rehabilitation program without music therapy. Assessment of pain was by visual analogue scale (VAS), assessment of the range of motion (ROM) by goniometer, and gait assessed by GAIT Rite. The evaluation was carried before and after the interventions.

RESULTS

Before starting the study, no significant differences were detected between the two study groups (p < 0.05). The study results reported statistically significant improvement in VAS, ROM, and GAIT Rite in both groups after the intervention (p < 0.05). Group A showed greater improvement than group B in all outcome measures (p < 0.05).

CONCLUSION

Physical therapy program combined with music therapy is an effective and safe modality for improving pain, range of motion, and gait parameters in pediatrics with lower limb burn. Also, physical therapy combined with music therapy is more effective than physical therapy alone in the treatment of pediatrics with lower limb burns.

摘要

背景

烧伤会导致严重的身体损伤,需要全面的康复治疗,并与急性烧伤护理团队协调。音乐已被证明可以在运动中增加积极的情绪,从而提高参与运动计划的动力。本研究旨在评估物理治疗康复计划结合音乐治疗对下肢烧伤儿童的影响。

方法

一项为期 12 周的随机对照研究,共纳入 30 名下肢烧伤儿童。他们被随机分为两组,每组 15 名儿童。A 组接受物理治疗康复计划结合音乐治疗,同时接受常规医疗护理。B 组接受物理治疗康复计划,但不进行音乐治疗。疼痛评估采用视觉模拟评分法(VAS),关节活动度评估采用量角器,步态评估采用步态分析系统。在干预前后进行评估。

结果

在研究开始前,两组之间没有显著差异(p<0.05)。研究结果报告,两组在干预后 VAS、ROM 和步态分析系统评分均有统计学意义的改善(p<0.05)。A 组在所有结局指标上的改善均优于 B 组(p<0.05)。

结论

物理治疗康复计划结合音乐治疗是改善下肢烧伤儿童疼痛、关节活动度和步态参数的有效且安全的方法。此外,与单纯物理治疗相比,物理治疗结合音乐治疗在下肢烧伤儿童的治疗中更有效。

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