Effect of Isokinetic Training on Burned Patient Muscle Strength: A Systematic Review

Mazen Al Qahtani

Effect of Isokinetic Training on Burned Patient Muscle Strength: A Systematic Review

Keywords : Burn, Isokinetic training exercise, Muscle strength


Abstract

Burns that exceed 30% of the total body surface area result in marked and prolonged skeletal muscle catabolism which in turn leads to muscle weakness. This weakness persists despite ‘standard’’ rehabilitation programs; therefore, improvement of muscle strength is an important research area in burn rehabilitation. Various therapeutic approaches have been investigated to increase patients’ muscle strength, which demonstrates that isokinetic training exercise is one of the approaches in optimally promoting muscle hypertrophy, leading to a significant increase in muscle performance. Therefore, this study was designed to review the effect of isokinetic training programs on muscle strength in burned patients. Methods: Five databases were searched between March 1990 and October 2017 for randomized and non-randomized controlled trials that investigated the effect of isokinetic exercise training on muscle strength in burned patients. The physiotherapy Evidence Database scale (PEDro) was used to evaluate the methodological quality of each study. Results: Among four articles, study results found that two papers scored 5 and 7, while the other two papers scored 8 and 9, indicating moderate and high quality, respectively. Conclusion: There is moderate to strong evidence on the effectiveness of isokinetic training exercise in improving muscle strength in severe burn patients.

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