Efficacy of combined isokinetic training and aerobic exercises on functional outcomes postlower limb burn / Israa Mohamed Ibrahim ; Supervised Zakaria Mowafy Emam Mowafy , Ashraf Ahmed Mohamed Enab , Nancy Hassan Abuelnour

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background: Burn wounds are one of the most complex and dramatic of all injuries. They initially produce a direct local tissue destruction and damage. In addition, severe burn wounds (second- and third-degree) continue to destroy tissue and muscles. Exercisetherapy stimulates the early expression of angiogenesis- related growth factors so it results in new vessel in-growth that improves blood supply, increases cell proliferation, accelerates tissue regeneration and healing and regain muscle strength. Purpose: The aim of this studywas to evaluate the effectiveness of exercise training program (aerobic exercises and resistive exercises) on muscle power in lower limb burned patients. Material & methods: sixty patients with age ranged from 25 to 40 years old with 2nd degree burn (30% to 40% TBSA) who suffered fromlower limb burn participated in this study. The patients were randomly divided into 3 equal groups. Group A: This group included 20 patients who received isokinetic exercises for 12 weeks in form of (isokinetic device) in addition to the physical therapy program (splinting, stretching exercise, and range of motion exercise). Group B: This group included 20 patients who received aerobic exercises for 12 weeks in form of (stationary bicycle) in addition to the physical therapy program. Group C:This group included 20 patients who received both isokinetic exercise and aerobic exercises post healing in form of (stationary bicycle and isokinetic device) in addition to the physical therapy program. Results:showed significant increase in muscle strength in combined isokinetic and aerobic exercises more than groupA (isokinetic) and B (aerobic exercises)

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