Yoon Soo Cho1, Jong Hyun Jeon1, Aram Hong2, Hyeong Tae Yang3, Haejun Yim3, Yong Suk Cho3, Do-Hern Kim3, Jun Hur3, Jong Hyun Kim3, Wook Chun4, Boung Chul Lee5, Cheong Hoon Seo6. 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. Hallym University Burn Institute, Seoul, Republic of Korea; Department of Burn Surgery, Hallym Burn Center, Seoul, Republic of Korea. 5. Department of Psychiatry, Hallym Burn Center, Seoul, Republic of Korea. 6. Department of Rehabilitation Medicine, Burn Center, Hangang Sacred Heart Hospital, Hallym University Medical Center, Seoul, Republic of Korea; Hallym University Burn Institute, Seoul, Republic of Korea. Electronic address: chseomd@gmail.com.
Abstract
OBJECTIVE: To evaluate the effect of burn rehabilitation massage therapy on hypertrophic scar after burn. METHOD: One hundred and forty-sixburn 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. 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.
RCT Entities:
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(®), Tewameter(®), Sebumeter(®), and Cutometer(®), 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.
Authors: Rowan W Sanderson; Qi Fang; Andrea Curatolo; Aiden Taba; Helen M DeJong; Fiona M Wood; Brendan F Kennedy Journal: Biomed Opt Express Date: 2021-05-06 Impact factor: 3.732
Authors: Yoon Soo Cho; So Young Joo; Huisong Cui; Sung-Rae Cho; Haejun Yim; Cheong Hoon Seo Journal: Medicine (Baltimore) Date: 2016-08 Impact factor: 1.889