Effect of a Structured Exercise Program on Pain Intensity in Patients with Shoulder-Joint Burns: A Secondary Analysis of a Randomized Study

AuthorAlireza Salaren
AuthorFariba Yaghoubiniaen
AuthorMehdi Rezvaniaminen
OrcidAlireza Salar [0000-0002-5280-0283]en
OrcidFariba Yaghoubinia [0000-0003-2813-6367]en
OrcidMehdi Rezvaniamin [0000-0003-4951-7767]en
Issued Date2026-12-31en
AbstractBackground: Pain is a common and disabling consequence of burn injury and may limit participation in rehabilitation and self-care. Exercise-based rehabilitation is widely used in burn care; however, its effect on pain intensity in patients with burns involving the shoulder joint requires further evaluation. Objectives: To evaluate whether a structured exercise program reduces pain intensity in patients with burns to the shoulder joint. Methods: This secondary analysis of a randomized study included 30 adults with physician-diagnosed third-degree shoulder-joint burns who were recruited from the burn department of Ali Ibn Abi Talib Hospital, Zahedan, Iran, in 2021 using convenience sampling and randomly allocated to the intervention (n = 15) or control (n = 15) groups using permuted blocks. The intervention group underwent a 12-week structured exercise program, whereas the control group received usual care. Pain intensity was measured using a 0 - 10 visual analogue scale (VAS) at baseline and at 1 and 3 months after the intervention. Data were analyzed using repeated-measures analysis of variance (ANOVA) with Bonferroni-adjusted pairwise comparisons. The significance level was set at P < 0.05. Results: All 30 participants completed the study, and the groups were comparable at baseline. Pain intensity decreased significantly over time in both groups. In the intervention group, mean VAS pain scores decreased from 7.40 ± 0.63 at baseline to 4.60 ± 0.63 at 1 month and 3.60 ± 0.63 at 3 months; in the control group, scores decreased from 7.53 ± 0.74 at baseline to 4.90 ± 0.63 at 1 month and 3.60 ± 0.63 at 3 months. Repeated-measures ANOVA showed a significant effect of time (F = 2751.52, P < 0.001), but no significant group effect (P = 0.446) or group-by-time interaction (P = 0.424). Conclusions: Pain intensity decreased significantly over time in both groups; however, the structured exercise program did not demonstrate an additional statistically significant benefit compared with usual care. Further studies with larger sample sizes are needed to clarify the additional effect of exercise on pain reduction in patients with shoulder joint burns.en
DOIhttps://doi.org/10.5812/msnj-169444en
URIhttps://brieflands.com/journals/msnj/articles/169444en
KeywordBurnsen
KeywordShoulder Jointen
KeywordExercise Therapyen
KeywordPainen
KeywordRehabilitationen
PublisherBrieflandsen
TitleEffect of a Structured Exercise Program on Pain Intensity in Patients with Shoulder-Joint Burns: A Secondary Analysis of a Randomized Studyen
TypeResearch Articleen

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