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Burn survivors' pulmonary and muscular impairment, exercise tolerance and return-to-work following medical-vocational rehabilitation: A long-term follow-up
Karolinska University Hospital, Stockholm; Karolinska Institutet, Stockholm.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Karolinska Institutet, Danderyd University Hospital, Stockholm.
Karolinska Institutet, Stockholm; Karolinska University Hospital, Stockholm.
Danderyd University Hospital, Stockholm.
2018 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 50, no 5, p. 465-471Article in journal (Refereed) Published
Abstract [en]

Objective: To follow up the long-term outcome in return-to-work (RTW) rate in burn-injury patients, and to determine the degree of impairment in pulmonary and muscular function and exercise tolerance. Design: A prospective, longitudinal follow-up study without a control group. Patients: Twenty-five burn-injury patients referred for medical-vocational rehabilitation. Methods: Return-to-work rate was followed after completed medical-vocational rehabilitation. Pulmonary function was evaluated with spirometry, diffusing capacity and radio spirometry. Exercise capacity was determined using a bicycle ergometer. Muscle functions evaluated in the arms and legs were: isokinetic torque, isometric strength, endurance and muscular strength utilization. Results: Return-to-work rate was 87%. During bicycle exercise tests the patients, on average, reached their expected workloads. The dominating lung function abnormality observed on lung scintigraphy was delayed wash-out time of inhaled radioactive xenon gas, suggesting airway obstruction. All tests of shoulder-flexor and knee-extensor muscle function showed large minimum-maximum differences. Mean isometric endurance of shoulder flexors was lower than mean of references, and isokinetic knee extensor torques were slightly lower. Conclusion: High return-to-work rates can be achieved after burn injury requiring hospital-ward care. Despite measurable impairments in muscle strength/endurance and pulmonary function in a substantial proportion of these patients, overall normal bicycle exercise capacity was observed except for a few cases.

Place, publisher, year, edition, pages
2018. Vol. 50, no 5, p. 465-471
Keywords [en]
Burn injury, Cardio-pulmonary exercise capacity, Lung scintigraphy, Medical rehabilitation, Muscle function, Pulmonary function, Return to work, Vocational rehabilitation
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:miun:diva-33696DOI: 10.2340/16501977-2337ISI: 000437193300012PubMedID: 29670997Scopus ID: 2-s2.0-85046482634OAI: oai:DiVA.org:miun-33696DiVA, id: diva2:1212266
Available from: 2018-06-01 Created: 2018-06-01 Last updated: 2018-08-13Bibliographically approved

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Ekholm, Kristina Schüldt

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