Application of Auriculotherapy for Post-Burn Scar Syndrome in Young Adults with Major Burns

Chen, Cha Chun; Chen, San Pei; Lyu, Shu Yu; Hsu, Cheng Hsiung

doi:10.51507/j.jams.2021.14.4.127

Cited by 4 publications

(4 citation statements)

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“…Meanwhile, disturbed sleep could reduce the pain tolerance in patients [ 80 ]. Studies have shown that medicine intervention of pain and pruritus could promote sleep initiation, and improve sleep quality [ 15 , 81 , 82 ]. Our previous study also showed that the scar patients’ sleep quality was correlated with pain and pruritus, and fractional laser treatment can alleviate their pain and pruritus and realize sleep improvement [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Clarifying sleep characteristics and analyzing risk factors of sleep disorders to promote a predictive, preventive, and personalized medicine in patients with burn scars

Liu¹,

Shu²,

Ji³

et al. 2023

EPMA Journal

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Purpose This study assessed sleep quality in patients with burn scars and investigated risk factors of sleep disorders to guide clinical therapy. From the strategy of predictive, preventive, and personalized medicine (PPPM/3PM), we proposed that risk assessment based on clinical indicators could prompt primary prediction, targeted prevention, and personalized interventions to improve the management of sleep disorders present in patients with burn scars. Methods This retrospective study recruited patients with burn scars and healthy volunteers from the Shanghai Burn Treatment Center between 2017 and 2022. Relevant information and data, including demographic characteristics, scar evaluation, and sleep quality, were obtained through the hospital information system, classical scar scale, and self-report questionnaires. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and monitored using a cardiopulmonary-coupled electrocardiograph. Pain and pruritus were assessed using the visual analog scale (VAS). Scar appearance was assessed using the modified Vancouver scar scale (mVSS). Results The sample was comprised of 128 hypertrophic scar (HS) patients, with 61.7% males, a mean age of 41.1 ± 11.6 years, and burn area of 46.2 ± 27.9% total body surface area (TBSA). Patients with PSQI ≥ 7 accounted for 76.6%, and the global PSQI score was 9.4 ± 4.1. Objective sleep data showed that initial enter deep sleep time, light sleep time, awakening time, light sleep efficiency, and sleep apnea index were higher but deep sleep time, sleep efficiency, and deep sleep efficiency were lower in HS patients than that in healthy controls. Preliminary univariate analysis showed that age, hyperplasia time of scar, narrow airway, microstomia, VAS for pain and pruritus, and mVSS total (comprised of pigmentation, vascularity, height and pliability) were associated with the PSQI score ( p < 0.1). Multivariable linear regression showed narrow airway, VAS for pain and pruritus, and mVSS specifically height, were the risk factors for PSQI score ( p < 0.1). Conclusions This study model identified that narrow airway, pain, pruritus and scar appearance specifically height may provide excellent predictors for sleep disorders in HS patients. Our results provided a basis for the predictive diagnostics, targeted prevention, and individualized therapy of somnipathy predisposition and progression of HS patients in the setting of PPPM/3PM health care system, which contributed to a paradigm shift from reactive cure to advanced therapy.

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Section: Discussionmentioning

confidence: 99%

Clarifying sleep characteristics and analyzing risk factors of sleep disorders to promote a predictive, preventive, and personalized medicine in patients with burn scars

Liu¹,

Shu²,

Ji³

et al. 2023

EPMA Journal

View full text Add to dashboard Cite

show abstract

“…The participants included in this study are the same as those in our previous study [17]. All participants were survivors of the Formosa Color Dust Explosion in Taiwan [11].…”

Section: Patient Selectionmentioning

confidence: 99%

“…The treatment tool was largely as described previously [17]. Briefly, the whole duration of the study was 29 days, and the intervals were a one-week intervention and a one-week break for two courses.…”

Section: Treatment Protocolmentioning

confidence: 99%

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Variations in Heart Rate Variability Subsequent to Auriculotherapy Among Individuals Afflicted by Significant Burn Scars

CHEN,

Hsu,

CHEN

2024

Preprint

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Background: Auriculotherapy is a widely used approach for alleviating discomfort in patients experiencing pain, itchiness, sleep disturbances, and heightened anxiety. This method is also applicable to patients dealing with significant burn scars, who often encounter similar symptoms. Employed as an adjuvant therapy, auriculotherapy demonstrates potential in mitigating these clinical manifestations among individuals with major burn scars. These symptoms are known to be influenced by the autonomic nervous system. Objectives: Despite the absence of current data elucidating the impact of auriculotherapy on the autonomic nervous system, we embarked on an analysis of our heart rate variability (HRV) data to evaluate autonomic system functionality before and after the administration of auriculotherapy. Methods: Paired-samples t-tests and linear regression analysis of HRV variables and correlations with TBSA before and after auriculotherapy of a cohort of 31 survivors from 2016 Formosa Color Dust Explosion was carried out. Results: Significant change of specific HRV variables were found before and after auriculotherapy, and significantly negative correlations was revealed between TBSA and pre-SD prior to auriculotherapy. Conclusion: Our study showed that auriculotherapy may, at least in part, restore the equilibrium of autonomic nervous system and improve HRV parameters.

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The Importance of Psychometric and Physical Scales for the Evaluation of the Consequences of Scars—A Literature Review

Mekereș

Buhaş

Nicolae

et al. 2023

Clinics and Practice

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Background: Scars affect patients after trauma, burns, or surgical procedures and can generate both physical and psychosocial changes. The aesthetic damage represents the modification of a person’s physical appearance, in its bodily integrity, causing numerous sufferings and determining social or economic consequences. The aim of this research is to evaluate the advantages and disadvantages offered by the available psychosocial and physical scar scales in assessing the physical, aesthetic, psychosocial, and juridical consequences of scars. This will aid to inform medical examiners about the most valued existing scales to allow them to select the most appropriate instrument to manage their patient. Methods: A broad search of relevant scientific studies on the psychosocial determinants of post-traumatic and surgical scars was conducted by using the following international database tools: PsycINFO, MedLine Social Science Index, Scopus, Web of Science, published from 1960 until 2022. Results: We analyzed 63 scientific studies to assess the advantages and limits of several psychometric and physical scar evaluation scales. Conclusions: The researchers analyzed in this review highlight the advantages and limitation of existing instruments, evidencing the demand for future scar evaluation instruments and a scar-assessing algorithm that takes into account the physical, aesthetic, psychosocial, and legal consequences of scars.

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Application of Auriculotherapy for Post-Burn Scar Syndrome in Young Adults with Major Burns

Cited by 4 publications

References 40 publications

Clarifying sleep characteristics and analyzing risk factors of sleep disorders to promote a predictive, preventive, and personalized medicine in patients with burn scars

Clarifying sleep characteristics and analyzing risk factors of sleep disorders to promote a predictive, preventive, and personalized medicine in patients with burn scars

Variations in Heart Rate Variability Subsequent to Auriculotherapy Among Individuals Afflicted by Significant Burn Scars

The Importance of Psychometric and Physical Scales for the Evaluation of the Consequences of Scars—A Literature Review

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