Isokinetic Training Versus Treadmill Training on Muscle Strength and Gait in Children With Lower Limb Burns

Study Overview
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Brief Summary
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Burn wounds are one of the most complexes and dramatic of all injuries, it produces a direct local tissue destruction and damage. In addition, burn wounds may continue to destroy tissue and muscles, exercise therapy 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

Detailed Description
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To evaluate the efficacy of isokinetic training against treadmill training in improving muscle strength and gait in children having lower limb burns. Methods: Sixty children from both genders (boys and girls) who were complaining from 2nd degree lower limb burns with ≥30 percent of their total body surface area (TBSA) participated in this study, their ages ranged from 8 to 16 years and they were randomized into three groups of same number (A, B and C). Groups (A) received conventional physical therapy program, group (B) received the same conventional physical therapy program of group (A) with trained to use the isokinetic device while group (C) received the same conventional physical therapy program of group (A and B) and used treadmill training. The children participated in this study were assessed by Hand-held dynamometer (HHD) and Balance Master System (BMS). They were evaluated before and after the treatment program three sessions per week for 12 consecutive weeks.

Official Title
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Improvement by Isokinetic and Treadmill Training on Muscle Strength and Gait in Burned Children

Conditions
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Burned

Intervention / Treatment
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* Other: Conventional physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children aged between 8 to 16 year Complaining from 2nd degree lower limb burns (≥30 % of their TBSA). Capable of standing and walking independently. Clinically and medically stable. Sufficient cognition demonstrating understanding the requirements of the study. No history of lower extremity surgery. Exclusion Criteria: Visual and/or auditory defects. Significant shortening and/or deformity of lower extremities. Other neurological problems that affect balance or mentality (e.g. epilepsy). Advanced radiographic changes include (bone destruction, bony ankylosis, knee joint sublaxation and epiphysial fracture). Congenital or acquired skeletal deformities in the lower limbs. Cardiopulmonary dysfunction.

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized control study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Conventional physical therapy group<br>It consisted of 20 children received conventional physical therapy program | Other: Conventional physical therapy<br>* Standing with feet together . Step standing . High step standing and trying to keep balanced. Single leg stance unilateral standing with assistance. Standing on a declined surface by using wedge. Standing with manual locking of the knees. Changing position. Gait training. Static and dynamic muscle contraction.<br>* Other names: physical therapy program;|
| Experimental: isokinetic training group<br>It consisted of 20 children received conventional physical therapy program and isokinetic training | Other: Conventional physical therapy<br>* Standing with feet together . Step standing . High step standing and trying to keep balanced. Single leg stance unilateral standing with assistance. Standing on a declined surface by using wedge. Standing with manual locking of the knees. Changing position. Gait training. Static and dynamic muscle contraction.<br>* Other names: physical therapy program;|
| Experimental: Treadmill training group<br>It consisted of 20 children received conventional physical therapy program and treadmill training | Other: Conventional physical therapy<br>* Standing with feet together . Step standing . High step standing and trying to keep balanced. Single leg stance unilateral standing with assistance. Standing on a declined surface by using wedge. Standing with manual locking of the knees. Changing position. Gait training. Static and dynamic muscle contraction.<br>* Other names: physical therapy program;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance Master System | It is the most significant test to measure balance and has valid values of functional balance performance | before intervention and after 12 weeks of intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand-held dynamometer | It is a portable device (Nicholas Manual Muscle Tester, Model 01160; Lafayette Instrument, Lafayette, IN), characterized as low-cost and convenient method | before intervention and after 12 weeks of intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Burn; Children; Isokinetic Training; Treadmill Training