INTRODUCTION: The posttraumatic response to a severe burn leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated the degree to which the prolonged skeletal muscle catabolism affects the muscle function of children 6 months after severe burn. METHODS: Burned children, with >40% total body surface area burned, were assessed at 6 months after burn in respect to lean body mass and leg muscle strength at 150 degrees /s. Lean body mass was assessed using dual-energy X-ray absorptiometry. Leg muscle strength was assessed using isokinetic dynamometry. Nonburned children were assessed similarly, and served as controls. RESULTS: We found that severely burned children (n=33), relative to nonburned children (n=46) had significantly lower lean body mass. Additionally they had significantly lower peak torque as well total work performance using the extensors of the thigh. CONCLUSIONS: Our results serve as an objective and a practical clinical approach for assessing muscle function and also aid in establishing potential rehabilitation goals, and monitoring progress towards these goals in burned children.
INTRODUCTION: The posttraumatic response to a severe burn leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated the degree to which the prolonged skeletal muscle catabolism affects the muscle function of children 6 months after severe burn. METHODS: Burned children, with >40% total body surface area burned, were assessed at 6 months after burn in respect to lean body mass and leg muscle strength at 150 degrees /s. Lean body mass was assessed using dual-energy X-ray absorptiometry. Leg muscle strength was assessed using isokinetic dynamometry. Nonburned children were assessed similarly, and served as controls. RESULTS: We found that severely burned children (n=33), relative to nonburned children (n=46) had significantly lower lean body mass. Additionally they had significantly lower peak torque as well total work performance using the extensors of the thigh. CONCLUSIONS: Our results serve as an objective and a practical clinical approach for assessing muscle function and also aid in establishing potential rehabilitation goals, and monitoring progress towards these goals in burned children.
Authors: David N Herndon; Charles D Voigt; Karel D Capek; Paul Wurzer; Ashley Guillory; Andrea Kline; Clark R Andersen; Gordon L Klein; Ronald G Tompkins; Oscar E Suman; Celeste C Finnerty; Walter J Meyer; Linda E Sousse Journal: Ann Surg Date: 2016-09 Impact factor: 12.969
Authors: Elisabet Børsheim; David L Chinkes; Serina J McEntire; Nancy R Rodriguez; David N Herndon; Oscar E Suman Journal: Burns Date: 2010-04-13 Impact factor: 2.744
Authors: Tony Chao; Craig Porter; David N Herndon; Aikaterina Siopi; Henry Ideker; Ronald P Mlcak; Labros S Sidossis; Oscar E Suman Journal: Med Sci Sports Exerc Date: 2018-03 Impact factor: 5.411
Authors: Justin P Hardee; Craig Porter; Labros S Sidossis; Elisabet Børsheim; James A Carson; David N Herndon; Oscar E Suman Journal: Med Sci Sports Exerc Date: 2014-09 Impact factor: 5.411
Authors: Alejandro M Diego; Michael Serghiou; Anand Padmanabha; Laura J Porro; David N Herndon; Oscar E Suman Journal: J Burn Care Res Date: 2013 Nov-Dec Impact factor: 1.845