Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Dec 2007
Multicenter Study Comparative StudyAssets and liabilities of the Burn Model System data model: a comparison with the National Burn Registry.
To determine whether the Burn Model System (BMS) population is representative of the larger burn population and to investigate threats to internal and external validity in a multicenter longitudinal database of severe burns. ⋯ Cohort studies examining long-term outcomes have the potential flaw of using a nonrepresentative study population. The BMS population was found to be sufficiently representative, but future analyses will require cautious and purposeful application of statistical adjustment strategies.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled TrialAugmented exercise in the treatment of deconditioning from major burn injury.
To investigate the efficacy of a 12-week exercise program in producing greater improvement in aerobic capacity in adult burn survivors, relative to usual care. ⋯ The aerobic capacity of adult burn survivors can be improved with participation in a structured, 12-week exercise program after injury.
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Arch Phys Med Rehabil · Dec 2007
Acute pain at discharge from hospitalization is a prospective predictor of long-term suicidal ideation after burn injury.
To determine the extent to which pain contributes to risk for suicidal ideation after burn injury. ⋯ These are the first findings to suggest an association between acute pain severity and the development and maintenance of suicidal ideation in burn patients. Further research in this area, including the study of improved pain management programs as a prophylaxis against suicidal ideation, may benefit those who are at elevated suicide risk as a consequence of burn injuries.
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Burn injuries result in significant physical and psychologic complications that require comprehensive rehabilitation treatment and coordination with the acute care burn team. This interdisciplinary rehabilitation treatment is focused on preventing long-term problems with scarring, contractures, and other problems that limit physical function. Adequate pain management and recognition of psychologic issues are important components of treatment after burn injuries. Burn injuries present significant barriers to community integration, but many people can successfully return to work and other activities.
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Arch Phys Med Rehabil · Dec 2007
Mechanical alterations of rabbit Achilles' tendon after immobilization correlate with bone mineral density but not with magnetic resonance or ultrasound imaging.
To assess the usefulness of magnetic resonance imaging (MRI), ultrasound (US) imaging, or bone mineral density (BMD) in predicting the mechanical properties of immobilized rabbit Achilles' tendons. ⋯ This study established weakened mechanical properties of immobilized Achilles' tendons. BMD of the calcaneus, but not MRI and US, was predictive of the mechanical alterations in immobilized Achilles' tendons. BMD may be a useful biomarker to monitor disease and recovery in Achilles' tendons.