{
  "abstract": "Background\n\nResistance exercise is a cornerstone of rehabilitation after burn; however prescription of resistance-based exercise during acute adult burn recovery remains empiric and experience-based, varying widely between centres. To understand the contemporary evidence available to guide strength training prescription acutely after burn injury, we conducted a narrative review.Methods\n\nPubMed, PEDro and the supplementary literature were searched for English, Dutch, French and German language human studies evaluating structured resistance training in adult burn populations. Studies eligible for inclusion were: (1) those conducted on humans (no animal or in vitro studies were included); (2) those that investigated the effects of a structured resistance exercise intervention initiated acutely after burn; and (3) those including combined aerobic exercises. The key practical and clinical considerations were timing, dose, monitoring, safety, and outcome selection.Results\n\nAfter screening, a total of three full-text studies were reviewed. High-quality trials were scarce: three randomised controlled trials implemented structured resistance exercise during the inpatient phase. Study protocols, burn severity, and endpoints were heterogeneous and many functional and quality-of-life outcomes were underpowered.Discussion\n\nThere is evidence from multiple independent studies that early, supervised resistance-focused training commenced acutely post-injury is feasible and generally well tolerated, with positive signals for attenuation of muscle wasting and improvements in functional outcomes. Although the evidence base remains limited, the consistency of findings across available studies conducted in different settings and populations increases confidence in these recommendations presented herein.Conclusion\n\nCombining available evidence and reflecting unique, burn-specific constraints, this review presents a revised framework for prescription of resistance training, emphasising individualisation and flexibility and session-by-session progression guided by clinical status and perceived exertion.",
  "abstract_shown": true,
  "affiliations": [
    "School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.",
    "Fiona Wood Foundation, Murdoch, Perth, WA 6150, Australia.",
    "State Adult Burn Unit, Fiona Stanley Hospital, South Metropolitan Health Service, Murdoch, Perth, WA 6150, Australia.",
    "Burn Injury Research Unit, Faculty of Medicine and Dentistry, University of Western Australia, Crawley, Perth, WA 6009, Australia.",
    "School of Allied Health, Murdoch University, Perth, WA 6150, Australia.",
    "Research Group MOVANT (Movement Antwerp), Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, 2000 Antwerp, Belgium.",
    "Faculty of Health, Amsterdam University of Health Sciences, 1081 BT Amsterdam, The Netherlands.",
    "OSCARE, (Organisation for Burns, Scar Aftercare and Research), 2000 Antwerp, Belgium.",
    "Alliance of Dutch Burn Care (ADBC), Burn Center, Martini Hospital, 9728 NT Groningen, The Netherlands.",
    "Department for Human Movement Sciences, University Medical Center Groningen, University of Groningen, 9728 NT Groningen, The Netherlands.",
    "Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, 9728 NT Groningen, The Netherlands.",
    "Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72202, USA.",
    "Arkansas Children's Research Institute, Little Rock, AR 72202, USA.",
    "Institute for Health Research, Burn Injury Research Node, The University of Notre Dame Australia, Fremantle, WA 6160, Australia."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Tyler Jerome Osborne",
      "orcid": "0000-0002-4156-6057"
    },
    {
      "affs": [
        0
      ],
      "name": "Samuel E Ibison"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Fiona M Wood",
      "orcid": "0000-0001-5427-6588"
    },
    {
      "affs": [
        4
      ],
      "name": "Brad Wall"
    },
    {
      "affs": [
        5,
        6
      ],
      "name": "David R Schieffelers",
      "orcid": "0000-0002-9062-6095"
    },
    {
      "affs": [
        5,
        7
      ],
      "name": "Ulrike Van Daele",
      "orcid": "0000-0001-6967-006X"
    },
    {
      "affs": [
        8,
        9,
        10
      ],
      "name": "Marianne K Nieuwenhuis",
      "orcid": "0000-0001-5632-3333"
    },
    {
      "affs": [
        11,
        12
      ],
      "name": "Craig Porter"
    },
    {
      "affs": [
        1,
        2,
        3,
        13
      ],
      "name": "Dale W Edgar",
      "orcid": "0000-0001-7336-9317"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8f7x52q150zb1.bib",
  "cited_by": 0,
  "doi": "10.3390/ebj7040054",
  "fulltext_url": "https://europepmc.org/articles/PMC13692535",
  "id": "8f7x52q150zb1",
  "issns": [
    "2673-1991"
  ],
  "landing_url": "https://europepmc.org/article/MED/42924822",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2713|Burn Injury Management and Outcomes"
    ]
  ],
  "openalex": "W7223037886",
  "pdf_url": "https://europepmc.org/articles/PMC13692535?pdf=render",
  "pmcid": "PMC13692535",
  "pmid": "42924822",
  "published": "2026-10-20",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/8f7x52q150zb1.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:33Z",
      "native_id": "MED:42924822",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42924822"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Burn Injury Management and Outcomes",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Practice Recommendations for Resistance Exercise in the Acute Phase After Burns: State of the Science.",
  "title_text": "Practice Recommendations for Resistance Exercise in the Acute Phase After Burns: State of the Science.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:33Z",
  "url": "https://research.draconitic.com/paper/8f7x52q150zb1",
  "venue": "European burn journal",
  "versions": []
}