The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: a randomized controlled trial
| Autor: | Aram Hong, Jong H. Kim, Yong Suk Cho, Jong Hyun Jeon, Yoon Soo Cho, Cheong Hoon Seo, Dohern Kim, Hyeong Tae Yang, Haejun Yim, Boung Chul Lee, Jun Hur, Wook Chun |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Erythema Cicatrix Hypertrophic Visual analogue scale medicine.medical_treatment Distension Critical Care and Intensive Care Medicine law.invention Hypertrophic scar Randomized controlled trial law Medicine Humans Single-Blind Method Pain Measurement Skin Ultrasonography Massage Rehabilitation integumentary system business.industry Pruritus General Medicine Middle Aged medicine.disease Elasticity Surgery Treatment Outcome Emergency Medicine Itching Female medicine.symptom business Burns |
| Zdroj: | Burns : journal of the International Society for Burn Injuries. 40(8) |
| ISSN: | 1879-1409 |
| Popis: | a b s t r a c t Objective: To evaluate the effect of burn rehabilitation massage therapy on hypertrophic scar after burn. Method: One 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 1 , Tewameter 1 , Sebumeter 1 , and Cutometer 1 , respectively. Results: The 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. Conclusion: Our results suggest that burn rehabilitation massage therapy is effective in improving pain, pruritus, and scar characteristics in hypertrophic scars after burn. |
| Databáze: | OpenAIRE |
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