دورية أكاديمية
Results of a prospective randomized controlled trial of early ambulation for patients with lower extremity autografts.
| العنوان: | Results of a prospective randomized controlled trial of early ambulation for patients with lower extremity autografts. |
|---|---|
| المؤلفون: | Lorello DJ; From the *Department of Physical Therapy, Midwestern University, Glendale, Arizona; and the †Department of Surgery, Burn and Trauma, ‡The Arizona Burn Center at Maricopa Medical Center, Phoenix., Peck M, Albrecht M, Richey KJ, Pressman MA |
| المصدر: | Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2014 Sep-Oct; Vol. 35 (5), pp. 431-6. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101262774 Publication Model: Print Cited Medium: Internet ISSN: 1559-0488 (Electronic) Linking ISSN: 1559047X NLM ISO Abbreviation: J Burn Care Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2006- |
| مواضيع طبية MeSH: | Early Ambulation*, Burns/*surgery , Leg Injuries/*surgery , Skin Transplantation/*methods, Adult ; Autografts ; Female ; Graft Rejection ; Graft Survival ; Humans ; Male ; Pain Measurement ; Physical Therapy Modalities ; Prospective Studies ; Treatment Outcome |
| مستخلص: | It is common practice to keep those patients with lower extremity autografts immobile until post-operative day (POD) 5. There is however inherent risks associated with even short periods of immobility. As of now there are no randomized controlled trials looking at early ambulation of patients with lower extremity autografts in the burn community.The objective of this study was to show that patients who begin ambulation within 24 hours of lower extremity autografting will have no increased risk of graft failure than those patients who remain immobile until POD 5. Thirty-one subjects who received autografts to the lower extremity were randomized after surgery into either the early ambulation group (EAG;17 subjects) or the standard treatment group (STG;14 subjects). Those subjects randomized to the EAG began ambulating with physical therapy on POD 1. Subjects in the STG maintained bed rest until POD 5. There was no difference in the number of patients with graft loss in either the EAG or STG on POD 5, and during any of the follow-up visits. No subjects required regrafting. There was a significant difference in the mean minutes of ambulation, with the EAG ambulating longer than the STG (EAG 23.4 minutes [SD 12.03], STG 14.1 [SD 9.00], P=.0235) on POD 5. Burn patients with lower extremity autografts can safely ambulate on POD 1 without fear of graft failure compared with those patients that remain on bed rest for 5 days. |
| تواريخ الأحداث: | Date Created: 20140808 Date Completed: 20150519 Latest Revision: 20180302 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1097/BCR.0000000000000014 |
| PMID: | 25100538 |
| قاعدة البيانات: | MEDLINE |
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