The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: A randomized controlled trial

被引：90

作者：

Cho, Yoon Soo ^{[1
]}

Jeon, Jong Hyun ^{[1
]}

Hong, Aram ^{[2
]}

Yang, Hyeong Tae ^{[3
]}

Yim, Haejun ^{[3
]}

Cho, Yong Suk ^{[3
]}

Kim, Do-Hern ^{[3
]}

Hur, Jun ^{[3
]}

Kim, Jong Hyun ^{[3
]}

Chun, Wook ^{[2
,3
]}

Lee, Boung Chul ^{[4
]}

Seo, Cheong Hoon ^{[1
,2
]}

机构：

[1] Hallym Univ, Med Ctr, Hangang Sacred Heart Hosp, Dept Rehabil Med,Burn Ctr, Seoul 150030, South Korea

[2] Hallym Univ, Burn Inst, Seoul 150030, South Korea

[3] Hallym Burn Ctr, Dept Burn Surg, Seoul, South Korea

[4] Hallym Burn Ctr, Dept Psychiat, Seoul, South Korea

来源：

BURNS | 2014年 / 40卷 / 08期

关键词：

Burn; Hypertrophic scars; Rehabilitation; Massage therapy; MECHANICAL STRAIN; GENE-EXPRESSION; CHILDREN; PAIN; PREVALENCE; MANAGEMENT; THICKNESS; SYMPTOMS; EFFICACY; PATIENT;

D O I：

10.1016/j.burns.2014.02.005

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

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 (R), Tewameter (R), Sebumeter (R), and Cutometer (R), 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. (C) 2014 Elsevier Ltd and ISBI. All rights reserved.

引用

页码：1513 / 1520

页数：8

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