INTRODUCTION: Severe burn injuries to the lower limbs result in reduced muscle strength, postural imbalance, limited walking ability, and diminished functional activities. This research aimed to study the impact of Pilates exercises on muscle strength, balance, and function in patients with healed lower limb burns, and determine the most effective treatment program for rehabilitation. MATERIAL AND METHODS: Seventy-six patients with second-degree thermal burn injuries affecting the lower limbs were distributed into two equal groups. Each group underwent treatment over eight weeks (three 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 LEF: 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.

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