Extracorporeal shock wave therapy role in the treatment of burn patients. A systematic literature review

Aguilera-Sáez, Jorge; Muñoz, Pablo; Serracanta, Jordi Franch; Monte-Soldado, Alejandra; Barret, Juan P.

doi:10.1016/j.burns.2019.07.023

Cited by 13 publications

(9 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To our knowledge, this is the first systematic review and meta- The results of this systematic review and meta-analysis are in line with earlier findings of a systematic literature review without metaanalysis. 19 However, the latter study did not only include RCTs but also quasi-experimental studies in humans, animal studies and in vitro studies. reported in previous studies.…”

Section: T a B L E 1 Study Design And Patient Characteristics Of Incl...mentioning

confidence: 99%

“…11 Recently, the application of ESWT has been expanded to the new therapeutic fields of regenerative medicine, 12 tissue engineering, 13 myocardial infarction, 14,15 erectile dysfunction, 16 acute and chronic wound, 17 burns 18 and its sequalae such as pathological scars and keloids after burns. 19,20 Several clinical studies demonstrated the efficacy of ESWT as a useful tool to treat PBPS. For example, Fioramonti et al performed a clinical study with ESWT on PBPS and keloids, and all treated scars obtained a more acceptable appearance at the end of the study period.…”

Section: Introductionmentioning

confidence: 99%

“…ESWT was originally developed for the treatment of urolithiasis in the 1980s and subsequently applied to treat various musculoskeletal disorders 11 . Recently, the application of ESWT has been expanded to the new therapeutic fields of regenerative medicine, 12 tissue engineering, 13 myocardial infarction, 14,15 erectile dysfunction, 16 acute and chronic wound, 17 burns 18 and its sequalae such as pathological scars and keloids after burns 19,20 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Safety and efficacy of treating post‐burn pathological scars with extracorporeal shock wave therapy: A meta‐analysis of randomised controlled trials

Yang

Kang

Jiang

et al. 2022

Wound Repair Regeneration

View full text Add to dashboard Cite

The clinical application of shockwave therapy has expanded to the treatment of pathological scars. The objective of this systematic review and meta‐analysis is to quantitatively evaluate the efficacy and safety of extracorporeal shockwave therapy combined with comprehensive rehabilitation therapy on post‐burn pathological scars compared to comprehensive rehabilitation therapy alone. The randomised controlled trials of extracorporeal shockwave therapy for post‐burn pathological scars published in English and Chinese languages before October 2021 were included. The methodological quality and risk of bias of the selected articles were assessed with the Cochrane Collaboration's ‘risk of bias’ tool. RevMan software was applied for data analysis. This is the first systematic review and meta‐analysis considering the effectiveness and safety of extracorporeal shockwave therapy on post‐burn pathological scars. And nine randomised controlled trials involving 422 patients were included in this meta‐analysis. The meta‐analysis results showed that, compared with comprehensive rehabilitation therapy alone, extracorporeal shockwave therapy combined with comprehensive rehabilitation therapy was more effective in relieving pain (standardized mean difference [SMD] = −0.59, 95% confidence interval [CI]: [−0.87 to −0.31], p < 0.0001) and pruritus related to pathological scars (SMD = −0.94; 95% CI: [−1.25 to −0.63], p = 0.004), improving scars' appearance (SMD = −1.78, 95% CI: [−3.37 to −0.19], p = 0.03) and elasticity (SMD = 0.25, 95% CI: [0.29–0.21], p < 0.00001), decreasing scars thickness (SMD = −0.13, 95% CI: [−0.25 to −0.01], p = 0.04) and promoting the maturation status of scars (SMD = −2.86, 95% CI: [−3.96 to −1.76], p < 0.00001). There were no reported serious adverse events during and after extracorporeal shockwave therapy in the included studies. Available data preliminarily suggested that the combination of extracorporeal shockwave therapy and comprehensive rehabilitation therapy had better therapeutic effect on post‐burn pathological scars than comprehensive rehabilitation therapy alone, without obvious side effects. However, further clinical well‐controlled randomised controlled trials are needed. Systematic review registration ID: PROSPERO CRD42022297573.

show abstract

Section: T a B L E 1 Study Design And Patient Characteristics Of Incl...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Safety and efficacy of treating post‐burn pathological scars with extracorporeal shock wave therapy: A meta‐analysis of randomised controlled trials

Yang

Kang

Jiang

et al. 2022

Wound Repair Regeneration

View full text Add to dashboard Cite

show abstract

“…Therefore, the treatment of pediatric burns is very important in the current clinical practice (1). With the gradual advancement of medicine, the incidence and mortality rates of burns have been significantly reduced; however, the burn treatment rate in children is still difficult to improve (2).…”

Section: Introductionmentioning

confidence: 99%

Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis

2023

ircmj

View full text Add to dashboard Cite

Background: Burn is a kind of skin tissue damage under the influence of heat source, which is a common type of accidental injury in current society. Objective: To investigate the status of preoperative anxiety and postoperative pain in children with burn patients, and to analyze the correlation between preoperative anxiety and postoperative pain. Methods: A total of 108 pediatric patients who underwent burn surgery under general anesthesia in our hospital from October 2020 to August 2021 were selected. FLACC and Facial Expression Pain Scale were used to evaluate the pain of the children, and STAI and YPAS were used to evaluate the anxiety of the children. Correlation was used to analyze the effect of preoperative anxiety on postoperative pain in burn children. Results: Preoperative anxiety and severe anxiety accounted for more than 50% of burn children, and there was a statistically significant difference in preoperative anxiety and postoperative pain between 1-3-year-old children and 4-12-year-old children. The influencing factors of postoperative pain in children with burns were analyzed, including burn area, depth of burn, and previous operations. The multivariate analysis showed that the risk factors for postoperative pain in children were age, burn area, depth of burn, preoperative anxiety of children, and parental trait anxiety, after statistical test, it shows that each influencing factor has a significant influence on postoperative pain in children (P < 0.05). In the correlation analysis of preoperative anxiety and postoperative pain in children with burns, it was shown that preoperative anxiety in children aged 1 to 3 years had a significant impact on postoperative pain of children, and the correlation analysis showed that preoperative anxiety of children with burns There was a positive correlation between anxiety score and postoperative pain (r=0.479, P=0.001). Conclusion: The incidence of preoperative anxiety in children with burn patients is high, and the postoperative pain scores are also different in different age groups. In addition, there is a current correlation between preoperative anxiety and postoperative pain in children with burn patients, and the correlation is positively correlated, that is, the higher the patient's anxiety score, the more intense the patient's postoperative pain.

show abstract

“…Extracorporeal shock wave therapy (ESWT) is effective in the treatment of orthopedic diseases and neuropathic pain and has also been used in regenerative medicine of the skin [6], with neoangiogenesis and anti-inflammatory effects having been reported [7]. The regeneration effects of ESWT have been demonstrated in improving the healing of burn wounds [8,9] as well as in decreasing hypertrophic scarring after a burn [10]. ESWT may also improve the pliability and the subjectively evaluated appearance of postburn scar contracture [11].…”

Section: Introductionmentioning

confidence: 99%

Clinical Utility of Extracorporeal Shock Wave Therapy on Hypertrophic Scars of the Hand Caused by Burn Injury: A Prospective, Randomized, Double-Blinded Study

Joo

Lee

Cho

et al. 2020

JCM

View full text Add to dashboard Cite

Postburn hypertrophic scarring is a common complication in burn injuries to the hands, often associated with impaired hand function. We evaluated the effects of extracorporeal shock wave therapy (ESWT), compared to a sham stimulation therapy, on hypertrophic scars of the hand caused by burn injury and investigated its effects on hand function. This was a double-blinded, randomized, controlled trial of 48 patients with a burn to their dominant right hand. The parameters of ESWT were as follows: energy flux density, 0.05–0.30 mJ/mm2; frequency, 4 Hz; 1000 to 2000 impulses per treatment; four treatments, once a week for four weeks. The outcomes measured were as follows: a 10-point visual analogue scale pain score; Vancouver scar scale for scar vascularity, height, pliability and pigmentation; ultrasound measurement of scar thickness; Jebsen−Taylor hand function test; grip strength; Perdue pegboard test; and the Michigan hand outcomes questionnaire. The change in the score from baseline to post-treatment was compared between the two groups. ESWT improved the pain score (p = 0.001), scar thickness (p = 0.018), scar vascularity (p = 0.0015), and improved hand function (simulated card-turning, p = 0.02; picking up small objects, p = 0.004). The other measured outcomes were not different between the two groups. ESWT is effective in decreasing pain, suppressing hypertrophic scarring, and improving hand function.

show abstract

Extracorporeal shock wave therapy role in the treatment of burn patients. A systematic literature review

Cited by 13 publications

References 38 publications

Safety and efficacy of treating post‐burn pathological scars with extracorporeal shock wave therapy: A meta‐analysis of randomised controlled trials

Safety and efficacy of treating post‐burn pathological scars with extracorporeal shock wave therapy: A meta‐analysis of randomised controlled trials

Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis

Clinical Utility of Extracorporeal Shock Wave Therapy on Hypertrophic Scars of the Hand Caused by Burn Injury: A Prospective, Randomized, Double-Blinded Study

Contact Info

Product

Resources

About