Effects of Aerobic Exercise in the Intensive Care Unit on Patient-Reported Physical Function and Mental Health Outcomes in Severely Burned Children—A Multicenter Prospective Randomized Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Subjects
2.2. Study Design
2.3. Aerobic Exercise (Ex) Intervention
2.4. Survey
2.5. Statistical Analysis
3. Results
3.1. Demographics and Clinical Characteristics of the Study Population
3.2. Self-Reported Physical Outcomes between Admission and Discharge Prior to the Single Short Bout of Exercise
3.3. Self-Reported Mental Health Outcomes between Admission and Discharge Prior to the Single Short Bout of Exercise
3.4. Self-Reported Physical Outcomes at Admission and at Discharge after the Single Short Bout of Exercise
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Jeschke, M.G.; van Baar, M.E.; Choudhry, M.A.; Chung, K.K.; Gibran, N.S.; Logsetty, S. Burn injury. Nat. Rev. Dis. Primers 2020, 6, 11. [Google Scholar] [CrossRef] [PubMed]
- Kelter, B.M.; Holavanahalli, R.; Suman, O.E.; Ryan, C.M.; Schneider, J.C. Recognizing the long-term sequelae of burns as a chronic medical condition. Burns 2020, 46, 493–496. [Google Scholar] [CrossRef] [PubMed]
- Shah, A.R.; Liao, L.F. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017, 44, 603–610. [Google Scholar] [CrossRef] [PubMed]
- Patterson, D.R.; Finch, C.P.; Wiechman, S.A.; Bonsack, R.; Gibran, N.; Heimbach, D. Premorbid Mental Health Status of Adult Burn Patients: Comparison with a Normative Sample. J. Burn Care Rehabil. 2003, 24, 347–350. [Google Scholar] [CrossRef] [PubMed]
- Palackic, A.; Suman, O.E.; Porter, C.; Murton, A.J.; Crandall, C.G.; Rivas, E. Rehabilitative Exercise Training for Burn Injury. Sports Med. 2021, 51, 2469–2482. [Google Scholar] [CrossRef] [PubMed]
- Penedo, F.J.; Dahn, J.R. Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Curr. Opin. Psychiatry 2005, 18, 189–193. [Google Scholar] [CrossRef] [PubMed]
- Baker, C.P.; Russell, W.J.; Meyer, W.; Blakeney, P. Physical and Psychologic Rehabilitation Outcomes for Young Adults Burned as Children. Arch. Phys. Med. Rehabil. 2007, 88, S57–S64. [Google Scholar] [CrossRef] [PubMed]
- Diego, A.M.; Serghiou, M.; Padmanabha, A.; Porro, L.J.; Herndon, D.N.; Suman, O.E. Exercise training after burn injury: A survey of practice. J. Burn Care Res. 2013, 34, e311–e317. [Google Scholar] [CrossRef] [PubMed]
- Hardee, J.P.; Porter, C.; Sidossis, L.S.; Børsheim, E.; Carson, J.A.; Herndon, D.N.; Suman, O.E. Early rehabilitative exercise training in the recovery from pediatric burn. Med. Sci. Sports Exerc. 2014, 46, 1710–1716. [Google Scholar] [CrossRef] [PubMed]
- Cambiaso-Daniel, J.; Parry, I.; Rivas, E.; Kemp-Offenberg, J.; Sen, S.; Rizzo, J.A.; Serghiou, M.A.; Kowalske, K.; Wolf, S.E.; Herndon, D.N.; et al. Strength and cardiorespiratory exercise rehabilitation for severely burned patients during intensive care units: A survey of practice. J. Burn Care Res 2018, 39, 897–901. [Google Scholar] [CrossRef] [PubMed]
- Connolly, B.; Salisbury, L.; O’Neill, B.; Geneen, L.J.; Douiri, A.; Grocott, M.P.; Hart, N.; Walsh, T.S.; Blackwood, B.; ERACIP Group. Exercise rehabilitation following intensive care unit discharge for recovery from critical illness. Cochrane Database Syst. Rev. 2015, 2015, CD008632. [Google Scholar] [CrossRef] [PubMed]
- Connolly, B.; Thompson, A.; Douiri, A.; Moxham, J.; Hart, N. Exercise-based rehabilitation after hospital discharge for survivors of critical illness with intensive care unit-acquired weakness: A pilot feasibility trial. J. Crit. Care 2015, 30, 589–598. [Google Scholar] [CrossRef] [PubMed]
- Rosenberg, M.; Celis, M.M.; Meyer, W., III; Tropez-Arceneaux, L.; McEntire, S.J.; Fuchs, H.; Suman, O.E. Effects of a hospital based Wellness and Exercise program on quality of life of children with severe burns. Burns 2013, 39, 599–609. [Google Scholar] [CrossRef] [PubMed]
- Day, M.L.; McGuigan, M.R.; Brice, G.; Foster, C. Monitoring exercise intensity during resistance training using the session RPE scale. J. Strength Cond. Res. 2004, 18, 353–358. [Google Scholar] [PubMed]
- Chao, T.; Parry, I.; Palackic, A.; Sen, S.; Spratt, H.; Mlcak, R.P.; Lee, J.O.; Herndon, D.N.; Wolf, S.E.; Branski, L.K.; et al. The effects of short bouts of ergometric exercise for severely burned children in intensive care: A randomized controlled trial. Clin. Rehabil. 2022, 36, 1052–1061. [Google Scholar] [CrossRef] [PubMed]
- Rivas, E.; Herndon, D.N.; Porter, C.; Meyer, W.; Suman, O.E. Short-term metformin and exercise training effects on strength, aerobic capacity, glycemic control, and mitochondrial function in children with burn injury. Am. J. Physiol. Endocrinol. Metab. 2018, 314, E232–E240. [Google Scholar] [CrossRef] [PubMed]
- Rivas, E.; Tran, J.; Gutierrez, I.L.; Chapa, M.; Herndon, D.N.; Suman, O.E. Rehabilitation exercise increases physical activity levels in severely burned children while improving aerobic exercise capa_ity and Strength. J. Burn Care Res. 2018, 39, 881–886. [Google Scholar] [CrossRef] [PubMed]
- Suman, O.E.; Mlcak, R.P.; Herndon, D.N. Effect of exercise training on pulmonary function in children with thermal injury. J. Burn Care Rehabil. 2002, 23, 288–293. [Google Scholar] [CrossRef]
- Clayton, R.P.; Wurzer, P.; Andersen, C.R.; Mlcak, R.P.; Herndon, D.N.; Suman, O.E. Effects of different duration exercise programs in children with severe burns. Burns 2017, 43, 796–803. [Google Scholar] [CrossRef] [PubMed]
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Palackic, A.; Rego, A.; Parry, I.; Sen, S.; Branski, L.K.; Hallman, T.G.; Spratt, H.; Lee, J.O.; Herndon, D.N.; Wolf, S.E.; et al. Effects of Aerobic Exercise in the Intensive Care Unit on Patient-Reported Physical Function and Mental Health Outcomes in Severely Burned Children—A Multicenter Prospective Randomized Trial. J. Pers. Med. 2023, 13, 455. https://doi.org/10.3390/jpm13030455
Palackic A, Rego A, Parry I, Sen S, Branski LK, Hallman TG, Spratt H, Lee JO, Herndon DN, Wolf SE, et al. Effects of Aerobic Exercise in the Intensive Care Unit on Patient-Reported Physical Function and Mental Health Outcomes in Severely Burned Children—A Multicenter Prospective Randomized Trial. Journal of Personalized Medicine. 2023; 13(3):455. https://doi.org/10.3390/jpm13030455
Chicago/Turabian StylePalackic, Alen, Andrea Rego, Ingrid Parry, Soman Sen, Ludwik K. Branski, Taylor G. Hallman, Heidi Spratt, Jong O. Lee, David N. Herndon, Steven E. Wolf, and et al. 2023. "Effects of Aerobic Exercise in the Intensive Care Unit on Patient-Reported Physical Function and Mental Health Outcomes in Severely Burned Children—A Multicenter Prospective Randomized Trial" Journal of Personalized Medicine 13, no. 3: 455. https://doi.org/10.3390/jpm13030455