Effects of mobility training on severe burn patients in the BICU: A retrospective cohort study.
OBJECTIVE
To assess the effects of mobility training on severe burn patients in the Burn Intensive Care Unit (BICU).


METHODS
This was a retrospective cohort study. Severe burn patients with equal to or more than 50% Total Body Surface Area (TBSA) burns who received early rehabilitation in the BICU were included in this study. Based on the different early rehabilitation strategies during the two periods, patients admitted to the BICU from January 2011 to April 2013 were identified as the passive training cohort (n=49) while patients admitted to the BICU from May 2013 to December 2013 were identified as the mobility training cohort (n=24). Data on length of BICU stay, length of hospital stay, length of rehabilitation in the BICU, ventilator dependent days, strict bed rest time, range of motion (ROM), the Barthel Index (BI) and the Functional Independence Measure (FIM) were collected.


RESULTS
Compared with the passive training cohort, patients in the mobility training cohort had significantly shorter length of BICU stay (p=0.002), length of hospital stay (p=0.010), strict bed rest time (p<0.001) and length of rehabilitation in the BICU (p=0.026) with improved ROM of shoulder, wrist, hip, knee and ankle joints.


CONCLUSIONS
Mobility training in the BICU was shown to be feasible and effective in achieving better outcomes than passive training for severe burn patients.
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Huan
H
Deng
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China. Electronic address: hhhcc2003@aliyun.com.
Jian
J
Chen
Concord Rehabilitation General Hospital, Sydney, Australia.
Frank
F
Li
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Cecilia W P
CW
Li-Tsang
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Qiushi
Q
Liu
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Xiaohong
X
Ma
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Ming
M
Ao
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Nan
N
Chen
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Yaqin
Y
Zhou
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Xiaoyun
X
Zhong
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Zhiyu
Z
Chen
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Lei
L
Cao
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Guiyang
G
He
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Jun
J
Wu
D000203:Activities of Daily Living; D000328:Adult; D000843:Ankle Joint; D001510:Bed Rest / Q000706:statistics & numerical data*; D001830:Body Surface Area; D002053:Burn Units; D002056:Burns / Q000534:rehabilitation*; D016022:Case-Control Studies; D015331:Cohort Studies; D061345:Early Medical Intervention; D005240:Feasibility Studies; D005260:Female; D006621:Hip Joint; D006801:Humans; D007362:Intensive Care Units; D007719:Knee Joint; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D012121:Respiration, Artificial; D012189:Retrospective Studies; D012785:Shoulder Joint; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014955:Wrist Joint
Burn Intensive Care Unit; Mobility training; Rehabilitation; Severe burn patient