Burns, Scar
Conditions
Brief summary
Aim: \- to investigate the effects of an aquatic exercise program in patients with severe scars Patient population: * 10 patients of at least 18 years old * patients with scars after burns or other severe skin injuries * stratification into two groups: an intervention group and a control group Method: * 8 patients will participate in the aquatic exercise group and 2 patients in the control group * assessment of physical fitness parameters, scar tissue and psychosocial impact Hypothesis: \- patients of the aquatic exercise group will recover sooner and better (physically and psychologically) than patients of the control group
Detailed description
Intervention: \- during 6 weeks patients will performed an aquatic exercise program (2 to 3 sessions a week) Assessment: * T0: post-hospitalisation status: body mass index, physical fitness, strength and respiratory function * T1: at baseline: body mass index, physical fitness, strength, respiratory function, exercise capacity, mobility, scar parameters and some questionnaires * T2: after 6 weeks training: same measurements as T1 * T3: 3 months after end of aquatic training: idem T1 * T4: 6 months after end of aquatic training: questionnaires * T5: 1 year after end of aquatic training: questionnaires
Interventions
Aquatic training during a 6 weeks program (15 to 18 sessions of 1 hour)
Sponsors
Study design
Eligibility
Inclusion criteria
* at least 18 years old * hospitalisation at the burn unit of at least 14 days * patients with severe skin damage (like burns, deglovements, necrotic fasciitis, ...)
Exclusion criteria
* younger than 18 years * psychiatric history (recommandation of psychiatrist not to participate in the study)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in physical activity using Dynaport activity monitor | Post-hospitalisation status, baseline, after 6 weeks, after 3 months | Post-hospitalisation status = participants will be followed during the last three consecutive days of their hospital stay. The minimum period of hospital stay is 14 days (inclusion criteria), the maximum period of hospital stay is not determined. The expected average can not be given. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Strength (Jamar, MicroFET, MIP) | Post-hospitalisation status, basline, after 6 weeks, after 3 months | Strength (Jamar, MicroFET, MIP) |
| Quality of life (using 5 questionnaires like SF-36) | Basline, after 6 weeks, after 3 months | Quality of life (using 5 questionnaires like SF-36) |
| Exercise capacity (6-minutes walking test and 4-minutes swimming test) | Baseline, after 6 weeks and after 3 months | Exercise capacity (6-minutes walking test and 4-minutes swimming test) |
| BMI | Post-hospitalisation status, baseline, after 6 weeks and after 3 months | BMI |
| Joint mobility | Baseline, after 6 weeks, after 3 months | Joint mobility |
| Pulmonary function (FEV1 and FVC) | Post-hospitalisation status, baseline, after 6 weeks, after 3 months | Pulmonary function (FEV1 and FVC) |
| Scar assessment | Baseline, after 6 weeks, after 3 months | Scar assessment |
| Physical fitness using Squash questionnaire | Baseline, after 6 weeks, after 3 months, after 6 months, after 1 year | Physical fitness using Squash questionnaire |