A Systematic Review on the Effect of Mechanical Stretch on Hypertrophic Scars after Burn Injuries

Zhang, Yuting; Li‐Tsang, Cecilia W. P.; Au, Ricky K. C.

doi:10.1016/j.hkjot.2016.11.001

Cited by 20 publications

(14 citation statements)

References 26 publications

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“…Age is also an important predictor of survival. Contractures can be caused by immobility and heterotopic ossification at elbow joints [3,12,20,41,48,[50][51][52],but are frequently caused by hypertrophic scarring [2,3,6,9,11,38,53].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients

Huang

2017

Proceedings of the 2017 4th International Conference on Biomedical and Bioinformatics Engineering

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Aim: Burn reconstruction and rehabilitation are difficult and timeconsuming processes; a burn patient must endure a long rehabilitation process to treat burn scars. The continued proliferation of scars and anxiety engender considerable difficulties for patients. A burn scar contracture is like a burned rubber band; the skin is never restored to its original flexibility. Wearing pressure garments (PGs) is uncomfortable and challenging for patients, but constant adherence is necessary. To improve adherence, precise knowledge about the advantages and disadvantages of PG therapy (PGT) is necessary. Methods: This review examined experimental studies that have applied PGT on patients with varicose veins and burns, as well as healthy human controls. The participants answered questionnaires to determine the best or "ideal" pressure. All scars were treated under a scar management program and followed up by the treating hospital and scanned by ultrasound. Scars were assessed using the Tissue Ultrasound Palpation System (TUPS), as well as the Vancouver Scar Scale (VSS) for rating scar thickness, pliability, pigmentation, and vascularity. Scar thickness and color were objectively measured using the Pliance X system and Laser Doppler Imaging (LDI). Results: In general, the application of 15-25 mmHg pressure is most commonly used in clinical practice. Minor and moderate burn patients could wear PGs in the very beginning of the recovery process. According to guidelines, closed scars should always be reevaluated 6 months after the burn to determine whether additional scar management interventions are required or whether preventive therapy can be terminated.

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Section: Discussionmentioning

confidence: 99%

“…Without the constant pressure of the garment, the collagen fibers of the scar tissue grow unsystematically. By contrast, the inner structure of a scar matures under constant pressure and more resembles the natural patterns of fibers found in healthy skin [7,9,24,26,38].…”

Section: Introductionmentioning

confidence: 94%

Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients

Huang

2017

Proceedings of the 2017 4th International Conference on Biomedical and Bioinformatics Engineering

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“…Massage and stretch are routinely suggested for treatment of HTS despite mixed and limited evidence of their effectiveness [175,[215][216][217][218]. These techniques have minimal cost and can in many instances be self-administered with little to no risk, thus their use persists in the absence of convincing studies.…”

Section: The Treatment Of Hypertrophic Scarmentioning

confidence: 99%

The Need for Basic, Translational, and Clinical Research in the Field of Hypertrophic Scars

Carney¹,

Shupp²,

Travis³

2022

Recent Advances in Wound Healing

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Hypertrophic scar (HTS) is a fibrotic skin disorder that is marked by excessive inflammation and extracellular matrix deposition in response to cutaneous traumatic injuries such as burns, lacerations, incisions, and abrasions. HTS has various risk factors, available treatments, and treatment effectiveness. Research at the basic, translational, and clinical levels are in their infancy compared to fibrotic diseases in other organ systems. This chapter will review current in vitro and in vivo modeling, and highlight research needs to address gaps in the study of HTS. The following topics will be discussed in the chapter: a. Basic Science Research i. Seminal findings ii. Limitations to these models iii. Suggestions for topics of future research b. Translational Science Research i. Seminal findings ii. Limitations to these models iii. Suggestions for topics of future research c. Clinical Research i. Seminal findings ii. Limitations to these models iii. Suggestions for topics of future research.

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“… 12 To date, the effects of physical scar management are still controversially discussed in literature and previous reviews focus on the treatment of hypertrophic scars and keloids after burn injuries. 11 , 13 , 14 Consequently, the aim of this systematic review and meta-analysis was to evaluate the effectiveness of physical scar management on different symptoms in adults with any kind of scar tissue.…”

Section: Introductionmentioning

confidence: 99%

Physical Management of Scar Tissue: A Systematic Review and Meta-Analysis

Deflorin

Hohenauer

Stoop

et al. 2020

The Journal of Alternative and Complementary Medicine

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Objective: The aim of this systematic review with meta-analysis was to describe the status on the effects of physical scar treatments on pain, pigmentation, pliability, pruritus, scar thickening, and surface area. Design: Systematic review and meta-analysis. Subjects: Adults with any kind of scar tissue. Interventions: Physical scar management versus control or no scar management. Outcome measures: Pain, pigmentation, pliability, pruritus, surface area, scar thickness. Results: The overall results revealed that physical scar management is beneficial compared with the control treatment regarding the management of pain (p = 0.012), pruritus (p < 0.001), pigmentation (p = 0.010), pliability (p < 0.001), surface area (p < 0.001), and thickness (p = 0.022) of scar tissue in adults. The observed risk of bias was high for blinding of participants and personnel (47%) and low for other bias (100%). Conclusions: Physical scar management demonstrates moderate-to-strong effects on improvement of scar issues as related to signs and symptoms. These results show the importance of specific physical management of scar tissue.

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A Systematic Review on the Effect of Mechanical Stretch on Hypertrophic Scars after Burn Injuries

Cited by 20 publications

References 26 publications

Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients

Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients

The Need for Basic, Translational, and Clinical Research in the Field of Hypertrophic Scars

Physical Management of Scar Tissue: A Systematic Review and Meta-Analysis

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