Effects of Early Exercise Rehabilitation in Severe Burns

Summary

Participation Requirements

Description

The added exercise intervention is initiated in line with the following readiness criteria, which were checked prior to each training session: Criteria: Cardiorespiratory stability: Mean arterial pressure (MAP) 60 - 110 mmHg fraction of inspired oxygen (FiO2) <60% partial pressure of oxygen / fracti...

The added exercise intervention is initiated in line with the following readiness criteria, which were checked prior to each training session: Criteria: Cardiorespiratory stability: Mean arterial pressure (MAP) 60 - 110 mmHg fraction of inspired oxygen (FiO2) <60% partial pressure of oxygen / fraction of inspired oxygen (PaO2/FiO2) >200 Respiratory rate <40 bpm Positive end expiratory pressure (PEEP) <10 cmH2O no high inotropic doses (Dopamine >10 mcg/kg/min or Nor/adrenaline <0,1 mcg/kg/min) Temp. 36 - 38,5°C Richmond Agitation Sedation Scale (RASS) -2 - +2 Medical Doctor clearance Medical research council (MRC) score lower limbs ?3 Accordingly, the post burn starting time differs per enrolled subject. Exercises are administered as in-bed exercises or out-of-bed exercises, depending on whether subjects are able and allowed to engage in out-of-bed mobility. Exercise intensity for resistance training is set at 60% peak force based on a weekly peak force measurement by hand-held dynamometry, or on a 3 RM in case of out of bed exercises. Aerobic exercise intensity is set at 50-75% peak Watts determined by a weekly cycle ergometer or treadmill ramp protocol.

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