Santos Edward, Chacon Kaitlyn L, Shepler Lauren J, McMullen Kara A, Slavin Mary D, van de Rijn Marc, Kowalske Karen J, Ryan Colleen M, Schneider Jeffrey C
Department of Physical Medicine and Rehabilitation, Schoen Adams Research Institute, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02129, USA.
Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98104, USA.
Eur Burn J. 2024;5(3):238-248. doi: 10.3390/ebj5030023.
Balance is an important component of daily function and impairments can lead to injury and quality-of-life limitations. Balance is not well studied in the burn population. This study examines the frequency of long-term balance impairments and associated factors after a burn injury. The Burn Model System National Database was analyzed. Trouble with balance was self-reported at discharge, 6, 12, 24, and 60 months after injury. Regression analyses examined the associations between demographic and clinical characteristics and balance impairments at 12 months. Of 572 participants, balance impairments were most reported at discharge (40.3%), continuing over 60 months (26.8-36.0%). Those reporting balance impairments ( = 153) were more likely to be older, unemployed, have Medicaid or Medicare, receive inpatient rehabilitation, receive outpatient physical or occupational therapy, have vision problems, have leg or feet burns and swelling, and have foot numbness compared to those without ( ≤ 0.001). Regression analysis demonstrated a 4% increased odds of balance impairment for every increase in year of age ( < 0.001), 71% lower odds if employed at time of injury ( < 0.001), and 140% higher odds if receiving outpatient physical or occupational therapy at 12 months ( = 0.008). Common reports of balance impairments highlight the need for routine screenings to identify burn survivors that may benefit from targeted interventions.
平衡是日常功能的重要组成部分，功能受损会导致受伤和生活质量受限。在烧伤人群中，平衡方面的研究较少。本研究调查了烧伤后长期平衡功能受损的发生率及相关因素。分析了烧伤模型系统国家数据库。在出院时以及受伤后6个月、12个月、24个月和60个月时，通过自我报告来了解平衡功能障碍情况。回归分析检验了人口统计学和临床特征与12个月时平衡功能障碍之间的关联。在572名参与者中，出院时报告平衡功能障碍的比例最高（40.3%），持续至60个月（26.8 - 36.0%）。与未报告平衡功能障碍的人相比（≤0.001），报告有平衡功能障碍的人（ = 153）更可能年龄较大、失业、有医疗补助或医疗保险、接受住院康复治疗、接受门诊物理治疗或职业治疗、有视力问题、腿部或足部有烧伤和肿胀，以及足部麻木。回归分析表明，年龄每增加一岁，平衡功能障碍的几率增加4%（<0.001）；受伤时就业，平衡功能障碍的几率降低71%（<0.001）；12个月时接受门诊物理治疗或职业治疗，平衡功能障碍的几率增加140%（ = 0.008）。平衡功能障碍的常见报告凸显了进行常规筛查以识别可能从针对性干预中受益的烧伤幸存者的必要性。
