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    Resistance training for rehabilitation after burn injury: A systematic literature review & meta-analysis

    Access Status
    Open access via publisher
    Authors
    Gittings, P.
    Grisbrook, Tiffany
    Edgar, D.
    Wood, F.
    Wand, B.
    O'Connell, N.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Gittings, P. and Grisbrook, T. and Edgar, D. and Wood, F. and Wand, B. and O'Connell, N. 2017. Resistance training for rehabilitation after burn injury: A systematic literature review & meta-analysis. Burns.
    Source Title
    Burns
    DOI
    10.1016/j.burns.2017.08.009
    ISSN
    0305-4179
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/63512
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 The Author(s). Background/aim: Resistance training is beneficial for rehabilitation in many clinical conditions, though this has not been systematically reviewed in burns. The objective was to determine the effectiveness of resistance training on muscle strength, lean mass, function, quality of life and pain, in children and adults after burn injury. Methods: Medline & EMBASE, PubMed, CINAHL and CENTRAL were searched from inception to October 2016. Studies were identified that implemented resistance training in rehabilitation. Data were combined and included in meta-analyses for muscle strength and lean mass. Otherwise, narrative analysis was completed. The quality of evidence for each outcome was summarised and rated using the GRADE framework. Results: Eleven studies matched our inclusion criteria. Primary analysis did not demonstrate significant improvements for increasing muscle strength (SMD 0.74, 95% CI -0.02 to 1.50, p = 0.06). Sensitivity analysis to correct an apparent anomaly in published data suggested a positive effect (SMD 0.37, 95% CI 0.08-0.65, p = 0.01). Psychological quality of life demonstrated benefit from training (MD = 25.3, 95% CI 3.94-49.7). All studies were rated as having high risk of bias. The quality of the evidence was rated as low or very low. Conclusion: Further research with robust methodology is recommended to assess the potential benefit suggested in this review.

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