Effects of a 12-week rehabilitation program with music & exercise groups on range of motion in young children with severe burns.
Previous studies indicate that rehabilitation programs supplemented with a strength and endurance-based exercise program improve lean body mass, pulmonary function, endurance, strength, and functional outcomes in severely burned children over the age of 7-years when compared with standard of care (SOC). To date, supplemental exercise programming for severely burned children under the age of 7-years has not yet been explored. The purpose of this study was to determine if a 12-week rehabilitation program supplemented with music & exercise, was more effective in improving functional outcomes than the SOC alone. This is a descriptive study that measured elbow and knee range of motion (ROM) in 24 severely burned children between ages 2 and 6 years. Groups were compared for demographics as well as active and passive ROM to bilateral elbows and knees. A total of 15 patients completed the rehabilitation with supplemental music and exercise, and data was compared with 9 patients who received SOC. Patients receiving the 12-week program significantly improved ROM in all joints assessed except for one. Patients receiving SOC showed a significant improvement in only one of the joints assessed. Providing a structured supplemental music and exercise program in conjunction with occupational and physical therapy seems to improve both passive and active ROM to a greater extent than the SOC alone.
Shriners Hospitals for Children, Galveston, Texas 77550, USA.
Christine Tuden
CT
Neugebauer
Michael
M
Serghiou
David N
DN
Herndon
Oscar E
OE
Suman
D002056:Burns / Q000503:physiopathology* / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000502:physiology; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007223:Infant; D007719:Knee Joint / Q000502:physiology; D008297:Male; D009147:Music Therapy; D016059:Range of Motion, Articular / Q000502:physiology*; D016896:Treatment Outcome