A prospective randomized controlled study on the effects of bicycle ergometer rehabilitation training on quadriceps and walking ability of patients with lower limb dysfunction caused by extensive burns

Wu Kunping; Chen Pei; Ru Tianfeng; Yuan Lin; Luo Hao; Xie Weiguo

doi:10.3760/cma.j.cn501120-20210221-00060

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Jul 2022

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JOURNAL OF MECHANICAL ENGINEERING > 2022 > 38(5): 447-453.

Wu KP,Chen P,Ru TF,et al.A prospective randomized controlled study on the effects of bicycle ergometer rehabilitation training on quadriceps and walking ability of patients with lower limb dysfunction caused by extensive burns[J].Chin J Burns Wounds,2022,38(5):447-453.DOI: 10.3760/cma.j.cn501120-20210221-00060.

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A prospective randomized controlled study on the effects of bicycle ergometer rehabilitation training on quadriceps and walking ability of patients with lower limb dysfunction caused by extensive burns

doi: 10.3760/cma.j.cn501120-20210221-00060

Department of Burns, Tongren Hospital of Wuhan University＆Wuhan Third Hospital, Wuhan 430060, China

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Scientific Research Project of Health Commission of Wuhan WG19B02, WG18Q10

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Corresponding author: Xie Weiguo, Email: wgxie@hotmail.com
Received Date: 21 Feb 2021
Available Online: 20 Jul 2022
Issue Publish Date: 20 May 2022

Abstract

Abstract

Objective To explore the effects of bicycle ergometer rehabilitation training on quadriceps and walking ability of patients with lower limb dysfunction caused by extensive burns.
Methods A prospective randomized controlled study was conducted. A total of 40 patients with extensive burns who met the inclusion criteria and were admitted to Tongren Hospital of Wuhan University＆Wuhan Third Hospital from December 2017 to December 2020 were selected. According to the random number table, the patients were divided into conventional training group (16 males, 4 females, aged (45±10) years) and combined training group (13 males, 7 females, aged (39±8) years). Patients in conventional training group were given conventional rehabilitation therapy such as joint loosening, lower limb strength training, walking training, and pressure therapy, while patients in combined training group were given additional bicycle ergometer rehabilitation training on the basis of conventional rehabilitation. For patients in the 2 groups before and after a 2-month's treatment, the thickness of quadriceps was measured by ultrasonic diagnostic instrument, the muscle strength of quadriceps was measured by portable muscle strength tester, the walking ability was tested with a 6-min and a 10-meter walk tests, and the patients' satisfaction for treatment effects was assessed using the modified Likert scale. Data were statistically analyzed with independent or paired sample t test, Mann-Whitney U test, Wilcoxon signed rank test, or chi-square test.
Results After 2-month's treatment, the quadriceps thickness of patients in combined training group was (3.76±0.39) cm, which was significantly thicker than (3.45±0.35) cm in conventional training group (t=2.67, P<0.05); quadriceps thickness of patients in conventional training group and combined training group after 2-month's treatment was significantly thicker than that before treatment (with t values of 5.99 and 8.62, respectively, P<0.01). After 2-month's treatment, the quadriceps muscle strength of patients in combined training group was significantly greater than that in conventional training group (Z=2.69, P<0.01); quadriceps muscle strength of patients in conventional training group and combined training group after 2-month's treatment was significantly greater than that before treatment (with Z values of 3.92 and 3.92, respectively, P<0.01). After 2-month's treatment, the 6-min walking distance of patients in combined training group was (488±39) m, which was significantly longer than (429±25) m in conventional training group (t=5.66, P<0.01); the 6-min walking distance of patients after 2-month's treatment in conventional training group and combined training group was significantly longer than that before treatment (with t values of 13.16 and 17.92, respectively, P<0.01). After 2-month's treatment, the 10-meter walking time of patients in combined training group was significantly shorter than that in conventional training group (t=3.20, P<0.01); and the 10-meter walking time in conventional training group and combined training group was significantly shorter than that before treatment (with t values of 7.21 and 13.13, respectively, P<0.01). The patients' satisfaction score for treatment effects in combined training group was significantly higher than that in conventional training group (Z=3.14, P<0.01), and the patients' satisfaction scores for treatment effects in conventional training group and combined training group after 2-month's treatment were significantly greater than those before treatment (with Z values of 3.98 and 4.04, respectively, P<0.01).
Conclusions Bicycle ergometer rehabilitation training can be used to improve quadriceps thickness, muscle strength, and walking ability of patients with lower limb dysfunction caused by extensive burns. It can also improve the satisfaction of patients with the treatment outcome, and therefore is worthy of promotion.
- Burns,
- Lower extremity,
- Rehabilitation research,
- Walk test,
- Muscle thickness,
- Bicycle ergometer rehabilitation training

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References(35)

References

[1]	HartDW, WolfSE, MlcakR, et al. Persistence of muscle catabolism after severe burn[J]. Surgery, 2000,128(2):312-319. DOI: 10.1067/msy.2000.108059.
[2]	EbidAA, AhmedMT, Mahmoud EidM, et al. Effect of whole body vibration on leg muscle strength after healed burns: a randomized controlled trial[J]. Burns, 2012,38(7):1019-1026. DOI: 10.1016/j.burns.2012.02.006.
[3]	PorterC, HardeeJP, HerndonDN, et al. The role of exercise in the rehabilitation of patients with severe burns[J]. Exerc Sport Sci Rev, 2015,43(1):34-40. DOI: 10.1249/JES.0000000000000029.
[4]	ClarkA, ImranJ, MadniT, et al. Nutrition and metabolism in burn patients[J/OL]. Burns Trauma, 2017,5:11[2022-04-12].https://pubmed.ncbi.nlm.nih.gov/28428966/.DOI: 10.1186/s41038-017-0076-x.
[5]	TanJ, ChenJ, ZhouJ, et al. Joint contractures in severe burn patients with early rehabilitation intervention in one of the largest burn intensive care unit in China: a descriptive analysis [J/OL]. Burns Trauma, 2019,7:17[2022-04-08]. https://pubmed.ncbi.nlm.nih.gov/31139664/.DOI: 10.1186/s41038-019-0151-6.
[6]	中华医学会烧伤外科学分会, 中国医师协会烧伤科医师分会. 烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504. DOI: 10.3760/cma.j.issn.1009-2587.2013.06.001.
[7]	AliMN, SethiK, NoohuMM. Comparison of two mobilization techniques in management of chronic non-specific low back pain[J]. J Bodyw Mov Ther, 2019,23(4):918-923. DOI: 10.1016/j.jbmt.2019.02.020.
[8]	Garnacho-CastañoMV, DomínguezR, Muñoz GonzálezA, et al. Exercise prescription using the Borg rating of perceived exertion to improve fitness[J]. Int J Sports Med, 2018,39(2):115-123. DOI: 10.1055/s-0043-120761.
[9]	郇京宁. 再议烧伤瘢痕治疗[J].中华烧伤杂志,2018,34(10):672-676. DOI: 10.3760/cma.j.issn.1009-2587.2018.10.005.
[10]	Li-TsangCW, ZhengYP, LauJC. A randomized clinical trial to study the effect of silicone gel dressing and pressure therapy on posttraumatic hypertrophic scars[J]. J Burn Care Res, 2010,31(3):448-457. DOI: 10.1097/BCR.0b013e3181db52a7.
[11]	支海君, 李勇, 贾春梅, 等. 床旁超声测量肢体骨骼肌厚度对机械通气患者ICU获得性衰弱的预测价值[J].中国急救医学,2020,40(7):633-636. DOI: 10.3969/j.issn.1002-1949.2020.07.011.
[12]	JacksonSM, ChengMS, SmithAR, et al. Intrarater reliability of hand held dynamometry in measuring lower extremity isometric strength using a portable stabilization device[J]. Musculoskelet Sci Pract, 2017,27:137-141. DOI: 10.1016/j.math.2016.07.010.
[13]	OlssonL, SwedbergK. Six minute walk test[J]. Eur Heart J,2005,26(20):2209; author reply 2209-2210. DOI: 10.1093/eurheartj/ehi452.
[14]	Andrade LimaC, Dornelas de AndradeA, CamposSL, et al. Six-minute walk test as a determinant of the functional capacity of children and adolescents with cystic fibrosis: a systematic review[J]. Respir Med, 2018,137:83-88. DOI: 10.1016/j.rmed.2018.02.016.
[15]	陈飞, 刘洪举, 覃婷, 等. 悬吊训练对不完全性脊髓损伤患者步行能力和康复效果的影响[J].中国老年学杂志,2021,41(15):3212-3215. DOI: 10.3969/j.issn.1005-9202.2021.15.019.
[16]	茹天峰, 李菲虹, 陈佩, 等. 关节活动训练系统治疗深度烧伤后关节功能障碍的临床效果[J]. 中华烧伤杂志,2017,33(5): 267-271. DOI: 10.3760/cma.j.issn.1009-2587.2017.05.003.
[17]	刘美快, 徐乐义, 李海燕, 等. 肌电生物反馈疗法改善脑卒中患者腓肠肌形态结构的超声研究[J].中国康复医学杂志,2020,35(7):847-850. DOI: 10.3969/j.issn.1001-1242.2020.07.015.
[18]	St-PierreDM, ChoinièreM, ForgetR, et al. Muscle strength in individuals with healed burns[J]. Arch Phys Med Rehabil, 1998,79(2):155-161. DOI: 10.1016/s0003-9993(98)90292-1.
[19]	PorterC, HerndonDN, BørsheimE, et al. Uncoupled skeletal muscle mitochondria contribute to hypermetabolism in severely burned adults[J]. Am J Physiol Endocrinol Metab, 2014,307(5):E462-467. DOI: 10.1152/ajpendo.00206.2014.
[20]	WetzelJL, GiuffridaC, PetrazziA, et al. Comparison of measures of physiologic stress during treadmill exercise in a patient with 20% lower extremity burn injuries and healthy matched and nonmatched individuals[J]. J Burn Care Rehabil, 2000,21(4):359-366;discussion 358. DOI: 10.1067/mbc.2000.108093.
[21]	WillisCE, GrisbrookTL, ElliottCM, et al. Pulmonary function, exercise capacity and physical activity participation in adults following burn[J]. Burns, 2011,37(8):1326-1333. DOI: 10.1016/j.burns.2011.03.016.
[22]	茹天峰, 李菲虹, 袁林, 等. 阿基米德悬吊系统在深度烧伤后膝关节屈曲功能障碍康复中的临床效果[J]. 中华烧伤杂志,2019,35(6):428-433. DOI: 10.3760/cma.j.issn.1009-2587.2019.06.006.
[23]	赵海洋, 韩军涛, 刘佳琦, 等. 手持续被动运动系统联合功能训练与压力手套治疗手背部烧伤后早期瘢痕挛缩的效果[J].中华烧伤杂志,2021,37(4):319-326. DOI: 10.3760/cma.j.cn501120-20201020-00443.
[24]	田凌云, 李映兰, 吴英, 等. 压力疗法治疗增生性瘢痕患者有效性的荟萃分析[J].中华烧伤杂志,2019,35(9):668-675. DOI: 10.3760/cma.j.issn.1009-2587.2019.09.005.
[25]	BermanB, MaderalA, RaphaelB. Keloids and hypertrophic scars: pathophysiology, classification, and treatment[J]. Dermatol Surg, 2017,43(Suppl 1):S3-18. DOI: 10.1097/DSS.0000000000000819.
[26]	刘悦, 王连召. 瘢痕综合治疗的临床实践与思考[J].中华整形外科杂志,2020,36(10):1069-1074. DOI: 10.3760/cma.cn114453-20201009-00523.
[27]	ShirakamiE, YamakawaS, HayashidaK. Strategies to prevent hypertrophic scar formation: a review of therapeutic interventions based on molecular evidence[J/OL]. Burns Trauma, 2020,8:tkz003[2022-04-15].https://pubmed.ncbi.nlm.nih.gov/32341924/.DOI: 10.1093/burnst/tkz003.
[28]	李长顺, 崔贵祥, 冯金平, 等. 下肢功率自行车运动对脑卒中偏瘫患者步行能力的影响[J].中国康复理论与实践,2008,14(2):121-123. DOI: 10.3969/j.issn.1006-9771.2008.02.008.
[29]	张小凡, 叶新华. 抗阻运动对骨骼肌胰岛素抵抗的影响机制[J].中华糖尿病杂志,2020,12(7):558-561. DOI: 10.3760/cma.j.cn115791-20200314-00148.
[30]	孙天宝, 方璐, 贾延兵,等. 有氧训练对大面积烧伤患者运动功能的影响[J]. 中国康复, 2015,3:204-206.DOI: 10.3870/zgkf.2015.03.013
[31]	赵永才,高炳宏.运动诱导骨骼肌线粒体生物合成调控机制研究进展[J].中国运动学杂志,2020,39(1):79-84.DOI: 10.3969/j.issn.1000-6710.2020.01.012.
[32]	KonopkaAR, AsanteA, LanzaIR, et al. Defects in mitochondrial efficiency and H2O2 emissions in obese women are restored to a lean phenotype with aerobic exercise training[J]. Diabetes, 2015,64(6):2104-2115. DOI: 10.2337/db14-1701.
[33]	孙天宝, 郭钦, 王俊, 等. 有氧训练对大面积烧伤患者康复早期心肺功能的影响[J].中国康复医学杂志,2015,30(2):182-184. DOI: 10.3969/j.issn.1001-1242.2015.02.020.
[34]	吴浩, 孙兴国, 顾文超, 等. 功率自行车下肢亚极量运动对慢性阻塞性肺疾病康复影响的临床报告[J].中国应用生理学杂志,2015,31(4):382-384. DOI: 10.13459/j.cnki.cjap.2015.04.021.
[35]	胡玲玉. 功率自行车对脑卒中偏瘫患者下肢肌张力及平衡功能的影响[J].医疗装备,2020,33(1):193-194. DOI: 10.3969/j.issn.1002-2376.2020.01.111.

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A prospective randomized controlled study on the effects of bicycle ergometer rehabilitation training on quadriceps and walking ability of patients with lower limb dysfunction caused by extensive burns

doi: 10.3760/cma.j.cn501120-20210221-00060

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A prospective randomized controlled study on the effects of bicycle ergometer rehabilitation training on quadriceps and walking ability of patients with lower limb dysfunction caused by extensive burns

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