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4/2024
vol. 38 abstract:
Original article
Effect of Pilates exercises on muscle strength and balance after healed lower limb burns
Yasmeen Hamada Lotfy Mohamed
1
,
Khadra Mohamed Ali
1
,
Ashraf Elsebaie Mohamed
2
,
Nancy Hassan Aboelnour
1
,
Haidy Nady Ashem
1
Advances in Rehabilitation, 2024, 38(4), 34–44
Online publish date: 2024/11/07
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Introduction
Severe burn injuries result in reduced muscle strength, postural imbalance, limited walking ability, and diminished functional activities. Lower limb burns are common and frequently cause muscle weakness and postural imbalance. This research aimed to study the impacts of Pilates exercises on muscle strength, balance, and function in patients with healed lower limb burns aiming to identify the most effective treatment program for lower limb burn rehabilitation. Material and methods Seventy-six patients with second-degree thermal burn injuries affecting their lower limbs were distributed into two equal groups. Each group underwent treatment over 8 weeks (3 sessions per week). Group A underwent Pilates exercises combined with a traditional physiotherapy program comprising stretching, range of motion, and strengthening exercises, while Group B underwent only the traditional physiotherapy program. Muscle strength, balance, and function were evaluated before and after the intervention using a Lafayette hand-held dynamometer (HHD), Berg Balance Scale (BBS), and Lower Extremity Functional Scale (LEFS), respectively. Results Both groups A and B exhibited significant improvements in knee flexor and extensor strength, BBS scores, and LEFS scores (p < 0.001). However, Group A achieved greater improvements in all measurements compared to Group B (p < 0.001). Conclusions Pilates exercises effectively enhance lower limb muscle strength, balance, and functional status during rehabilitation for patients with lower limb burns. keywords:
balance, burns, functional status, muscle strength, pilates exercises |
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