103 Randomized Controlled Trial of the Immediate and Long-term Effect of Massage on Adult Postburn Scar

Ultrasound measurement of traumatic scar and skin thickness: a scoping review of evidence across the translational pipeline of research-to-practice

“…Of the 118 records included in this review, 82 were journal articles (69%) and 36 were abstracts (31%) (table 2), representing a total of 5213 participants (range 1–438; mode 20 participants per record). Adults aged 18 years and older were the most highly represented age group reported in articles (n=43 articles; 52% of articles),17 26 29 46–85 while most abstracts did not report the age group measured (n=25 abstracts; 69% of abstracts) 86–110. The most common scar type measured was burn scars in both journal articles (n=43 articles; 52% of articles),17 22–24 27 47 57–59 61 62 64–67 71–75 81 82 84 111–130 and abstracts (n=23 abstracts; 64% of abstracts)28 30 86–88 91–94 96 98 102–106 131–135 (table 2).…”

“…Adults aged 18 years and older were the most highly represented age group reported in articles (n=43 articles; 52% of articles),17 26 29 46–85 while most abstracts did not report the age group measured (n=25 abstracts; 69% of abstracts) 86–110. The most common scar type measured was burn scars in both journal articles (n=43 articles; 52% of articles),17 22–24 27 47 57–59 61 62 64–67 71–75 81 82 84 111–130 and abstracts (n=23 abstracts; 64% of abstracts)28 30 86–88 91–94 96 98 102–106 131–135 (table 2). Most identified articles used ultrasound measurement of scar thickness as part of research initiatives, and were categorised as either phase II (n=50 articles; 61% of articles)17 22 26 31 46–49 51–56 61 63–65 67 69–71 74–76 78 81 83 84 111 112 114 115 117 124–127 129 130 136–145 or phase III (n=30 articles; 37% of articles) 23 24 27 29 50 57–60 62 66 68 72 73 77 79 80 82 85 116 118 120–123 128 146–149.…”

“…on the research-to-practice pipeline 36. Phase II was also the most common phase represented by abstracts (n=21; 58% of abstracts), 86 88 91 93 95 97 99–104 106–108 131–134 150 151 followed by phase III (n=15 abstracts; 42% of abstracts) 28 30 87 89 90 94 96 98 105 109 110 135 152–154. Phase IV was addressed by two articles (2% of articles)113 119 and one abstract (2% of abstracts),92 which used ultrasound to measure treatment response to an intervention already used in routine clinical practice, including compression garments113 119 and CO 2 fractional laser 92.…”

“…B-mode, including high-frequency B-mode ultrasound (ie, ≥20 MHz) was the most commonly reported ultrasound type in the included articles (n=56; 68% of articles),17 22–24 26 29 31 46–49 53 54 56 57 59 60 64 65 67 69–78 80–82 84 85 111 112 114 116–118 120 122 123 126–130 138 139 141 142 144–146 149 while most abstracts did not report the type of ultrasound used (n=22; 61% of abstracts)86 87 92–98 101 103 105 106 108 131–134 150–153 (table 3). Specialised B-mode ultrasound devices, including the tissue ultrasound palpation system (TUPS; a B-mode ultrasound transducer in-series with a load cell to allow measured compression of the skin),68 99 100 124 and colour Doppler ultrasound,52 149 were used in six records (table 3).…”

“…Of these records, two authors provided a rationale for this decision: each skin layer provided different information on the scar;26 or responded differently to treatment 67 71. Most abstracts did not report the type of skin measurement used (n=30; 83% of abstracts) 28 30 91–101 103–110 131–134 150–154…”