The role of exercise in the rehabilitation of patients with severe burns

Abstract

Severe burn trauma results in persistent skeletal muscle catabolism and prolonged immobilization. We hypothesize that structured rehabilitative exercise is a safe and efficacious strategy to restore lean body mass and physical function in burn victims. Here, we review the evidence for the utility of rehabilitative exercise training in restoring physiological function in burn survivors.

Conflict of interest statement

The authors have no relevant conflicts of interest to declare.

Figures

Figure 1

Schematic overview of the pathophysiological stress response to severe burn trauma. Chronic inflammatory and endocrine responses coupled with numerous surgical interventions and prolonged immobilization combine to cause profound metabolic dysfunction. Cachexia and deconditioning are synonymous with massive burn trauma and are leading contributors to the long-term functional impairment of burn victims.

Figure 2

Conceptual illustration of the hypothesis that rehabilitative exercise training (RET) performed following hospital discharge results in a faster and greater restoration of lean mass and functional capacity in burn victims. *In our hospital, RET commences within 6 months of injury, is performed in an inpatient setting, and lasts for 6–12 weeks depending on the extent of the patients’ injuries