The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: A randomized controlled trial |
| |
| Affiliation: | 1. Department of Rehabilitation Medicine, Burn Center, Hangang Sacred Heart Hospital, Hallym University Medical Center, Seoul, Republic of Korea;2. Hallym University Burn Institute, Seoul, Republic of Korea;3. Department of Burn Surgery, Hallym Burn Center, Seoul, Republic of Korea;4. Department of Psychiatry, Hallym Burn Center, Seoul, Republic of Korea;1. School of Physical and Occupational Therapy, McGill University, Canada;2. Centre de recherche du Centre Hospitalier de l’Université de Montréal (CHUM), Canada;3. Hôpital de réadaptation Villa Medica, Canada;4. Department of Mathematics and Statistics, McGill University, Montreal, Quebec, Canada;1. Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex RH19 3DZ, UK;2. Brighton and Sussex Medical School, University of Sussex, Brighton, East Sussex BN1 9PX, UK;1. Burn Injury Research Unit, School of Surgery, The University of Western Australia, Australia;2. Department of Dermatology, Bispebjerg University Hospital, Denmark;3. Burn Outcomes Centre, Royal Perth Hospital, Australia;1. Burn Injury Research Unit, Faculty of Health and Medial Sciences, University of Western Australia, Perth, Western Australia, Australia;2. Burns Service of Western Australia, Fiona Stanley Hospital, Perth, Western Australia, Australia;1. Ross Tilley Burn Centre and Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada;2. Plastic Surgery Department and Burn Unit, Vall d’Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain;3. Department of Dermatology and Allergology, Ludwig Maximilians University, Munich, Germany;1. Department of Surgery, The University of Texas Medical Branch, Galveston, TX, USA;2. The Institute for Translational Sciences, The University of Texas Medical Branch, Galveston, TX, USA;3. the Sealy Center for Molecular Medicine, The University of Texas Medical Branch, Galveston, TX, USA;4. Shriners Hospitals for Children, Galveston, TX, USA;5. Sunnybrook Research Institute, Toronto, ON, Canada;6. Division of Plastic Surgery Department of Surgery and Immunology, University of Toronto, ON, Canada;7. Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada;8. Department of Plastic Surgery and Burns, University Hospital Vall d’Hebron, Barcelona, Spain;9. St Andrew''s Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, UK;10. StAAR Research Unit, Faculty of Medical Sciences, Anglia Ruskin University, Chelmsford, UK |
| |
| Abstract: | ObjectiveTo evaluate the effect of burn rehabilitation massage therapy on hypertrophic scar after burn.MethodOne hundred and forty-six burn patients with hypertrophic scar(s) were randomly divided into an experimental group and a control group. All patients received standard rehabilitation therapy for hypertrophic scars and 76 patients (massage group) additionally received burn scar rehabilitation massage therapy. Both before and after the treatment, we determined the scores of visual analog scale (VAS) and itching scale and assessed the scar characteristics of thickness, melanin, erythema, transepidermal water loss (TEWL), sebum, and elasticity by using ultrasonography, Mexameter®, Tewameter®, Sebumeter®, and Cutometer®, respectively.ResultsThe scores of both VAS and itching scale decreased significantly in both groups, indicating a significant intragroup difference. With regard to the scar characteristics, the massage group showed a significant decrease after treatment in scar thickness, melanin, erythema, TEWL and a significant intergroup difference. In terms of scar elasticity, a significant intergroup difference was noted in immediate distension and gross skin elasticity, while the massage group significant improvement in skin distensibility, immediate distension, immediate retraction, and delayed distension.ConclusionOur results suggest that burn rehabilitation massage therapy is effective in improving pain, pruritus, and scar characteristics in hypertrophic scars after burn. |
| |
| Keywords: | Burn Hypertrophic scars Rehabilitation Massage therapy |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
