Despite advancements in burn care, evidence estimates that pathological scarring occurs in 32% to 75% of cutaneous burns. Scar massage therapy is an under researched method of management for hypertrophic burn scars which has scope to be a low-cost treatment alternative. The aim of this systematic review was to determine the efficacy of scar massage techniques for common hypertrophic burn scar symptoms such as contraction, pruritus, pain and visibility. The keywords and corresponding MeSH terms were inputed into PubMed, EMBASE, Cochrane database of Systematic Reviews, University Library of Hull, York and Queen Mary, University of London. Following the implementation of pre-determined inclusion and exclusion criteria, ten papers were included for data extraction. Quality assessment of all papers was performed using the Cochrane Risk of Bias tool and ROBINS-I tool. Data pertaining to the nature of the participant demographics, scar massage treatment, and study outcomes was extracted. Nine of the ten studies showed a significant improvement for scar massage treatment of hypertrophic burn scar symptoms despite using different massage techniques. Friction and oscillation massage was used in partnership to improve scar function, whereas effleurage and petrissage used in longer sessions was seen to improve scar visibility and pain. Scar pruritus was improved by each massage technique. Scar massage has been shown to be effective at improving scar outcomes. This paper suggests massage techniques should be tailored to the patients’ symptoms. A large, randomized control trial is required to advance this area of research.
中文翻译:
尽管烧伤护理取得了进步,但有证据估计,32% 至 75% 的皮肤烧伤会出现病理性疤痕。疤痕按摩疗法是一种正在研究的治疗肥厚性烧伤疤痕的方法,有可能成为一种低成本的治疗替代方案。本系统评价的目的是确定疤痕按摩技术对常见肥厚性烧伤疤痕症状(如收缩、瘙痒、疼痛和可见度)的疗效。将关键词和相应的 MeSH 术语输入 PubMed、EMBASE、Cochrane 系统评价数据库、赫尔大学图书馆、约克大学和伦敦大学玛丽皇后学院。在实施预先确定的纳入和排除标准后,纳入了十篇论文进行数据提取。使用 Cochrane 偏差风险工具和 ROBINS-I 工具对所有论文进行质量评估。提取了与参与者人口统计特征、疤痕按摩治疗和研究结果有关的数据。十项研究中有九项表明,尽管使用不同的按摩技术,疤痕按摩治疗肥厚性烧伤疤痕症状仍具有显着改善。摩擦和振动按摩结合使用可改善疤痕功能,而较长时间的轻抚和抚摸可改善疤痕可见度和疼痛。通过各种按摩手法,疤痕瘙痒得到改善。疤痕按摩已被证明可以有效改善疤痕结果。本文建议按摩技术应根据患者的症状进行调整。一个大的,