None listed
Conditions
Brief summary
This is a double blind randomized trial post burn injury comparing groups receiving either intensive exercise or light exercise. Outcome measures will be levels of cortisol, lipids, resting energy expenditure, body composition, depression, post traumatic stress syndrome and generalized anxiety disorder.
Interventions
The intervention will be an exercise programme incorporating both aerobic and resisted exercise for three times per week for a total of approximately 60 minutes per session (40 minutes aerobic, 20 minutes resisted) for a 6 week period. This will be in a small group session (2-3 people) supervised by a physiotherapist. The aerobic component will be conducted on a treadmill, exercise bike or arm ergometer (depending on preference and/or disability (eg injuries to legs), at an intensity of 80 % of VO2peak established during the initial exercise test. The resisted exercise, the three repetition maximum (3RM) (maximum weight able to be lifted a maximum of 3 times) will be established and exercise commenced at 60% of the 3RM in the first week. Resisted exercise will be progressed weekly by 5-10% by increasing the number of repetitions or the weights lifted. All resisted exercises will be carried out using variable resistance machines or free weights. Exercises included; bench press, leg press, shoulder press, triceps and biceps curl, seated row, resisted shoulder flexion / abduction, toe raises and hand / grip strengthening. The intervention group will also receive a stretching program, holding all major joints in a stretched position for 15 seconds twice a day.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients greater than 18 years of age 2. Percentage total body surface area burns (%TBSA) > 20% 3. Final skin grafting procedure is completed and healed.
Exclusion criteria
1. Patients with accompanying anoxic brain injury, 2. Type I diabetes, 3. Cardiac disease, 4. Spinal injury, 5. Prior (in the previous 6 months) or current steroid administration, 6. Severe behaviour or cognitive disorders or for compassionate care only will be excluded