Article

OBJECTIVES: To determine the effectiveness of different modalities of exercise
and to evaluate the safety of exercise-based interventions post-burns. DATA SOURCES:
Six databases were searched from inception to October 2017 using "burn,"
"exercise" and synonyms as keywords. Relevant authors,
key journals and reference
lists of included studies were hand-searched. REVIEW METHODS: Articles reporting
on exercise interventions in patients post-burn and considering physical,
physiological or psychological outcomes were considered.
Two authors
independently screened 2253 records and selected 19 articles for inclusion. The
quality of the evidence was assessed at the study level and at the outcome level.
RESULTS: Unbiased effect size estimators (pooled Hedges' g) with 95% confidence
intervals (CIs) were calculated if there were two or more trials with homogeneous
outcomes. There were no significant differences post-exercise training in VO2peak
( g = 0.99; 95% CI: -0.4 to 2.4: P = 0.18), resting energy expenditure ( g =
-0.51; 95% CI: -1.99 to 0.97: P = 0.5) and muscle strength ( g = 0.51; 95% CI:
-0.03 to 1.05: P = 0.07) between groups. Evidence suggested exercise had a
beneficial effect on body composition ( g = 0.59; 95% CI: 0.05 to 1.14: P =
0.03), need of surgical release of contractures (risk ratio = 0.34; 95% CI: 0.2
to 0.7; P = 0.004) and health-related quality of life. However,
a lack of
evidence existed regarding the safety of exercise training post-burns.
CONCLUSION: Limited evidence suggests that exercise has a beneficial effect on
physical and physiological outcomes in patients post-burn. Further trials using
high-quality methodology are required, with focus on reporting of adverse events,
health-related quality of life and psychological outcomes.

Langue : ANGLAIS