• Murat Ali Çınar, Kezban Bayramlar, Ahmet Erkılıç, Ali Güneş, and Yavuz Yakut.
• Department of Physical Therapy and Rehabilitation, Hasan Kalyoncu University Faculty of Health Sciences, Gaziantep-Turkey.
• Ulus Travma Acil Cer. 2019 Sep 1; 25 (5): 461-466.

BackgroundThis study sets out to investigate the effects of early physiotherapy on biochemical parameters in major burn patients.MethodsTen women (50%) and 10 men (50%) aged 21-47 years old were included in this study. Participants were divided into two groups: the first group was the treatment group and the second group was the control group. In the treatment group, patients were admitted to the physiotherapy programme from the first day they have been hospitalised, in addition to their routine treatment (e.g. medical, surgery), for four days per week. The physiotherapy programme consisted of parameters, such as early mobilisation and ambulatory training, chest physiotherapy, and both active and passive normal joint movement exercises. The days of treatment were determined as of Tuesday, Wednesday, Thursday and Friday. Patients could not be treated on a Monday because that was surgery day. The control group consisted of patients who could not receive physiotherapy due to various reasons. All patients included in this study were evaluated weekly for six weeks after admission to the hospital. Parameters, such as demographic information, characteristics of burn injury, C-reactive protein, fibronectin, transferrin and prealbumin, were evaluated.ResultsWhen the results obtained in this study were considered, there was a significant difference in favour of the treatment group for all biochemical parameters (p<0.05). From the second week, a significant increase was observed in prealbumin values in the treatment group (p<0.05). A significant increase was observed in fibronectin after the fourth week (p<0.05).ConclusionWe believe that early physiotherapy should be included in the treatment in major burns. Early physiotherapy may reduce the effects of hypermetabolic response after major burns. There is a need for multi-centered and broader studies.

14 keywords...

hide…