Effectiveness of various methods of manual scar therapy

Background The skin is a protective barrier of the body against external factors, and its damage leads to a loss of integrity. Normal wound healing results in a correct, flat, bright, and flexible scar. Initial skin damage and patient specific factors in wound healing contribute that many of these s...

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Published in:Skin research and technology Vol. 29; no. 3; pp. e13272 - n/a
Main Authors: Lubczyńska, Agnieszka, Garncarczyk, Agnieszka, Wcisło‐Dziadecka, Dominika
Format: Journal Article
Language:English
Published: England John Wiley & Sons, Inc 01.03.2023
Subjects:
cesarean section
Cicatrix - physiopathology
Cicatrix - therapy
Cicatrix, Hypertrophic - physiopathology
Cicatrix, Hypertrophic - therapy
Complementary Therapies - methods
Cupping Therapy - methods
Damage
dry needling
Dry Needling - methods
Effectiveness
Humans
Injury prevention
Keloid - physiopathology
Keloid - therapy
Manipulative therapy
manual therapy
Pain
Pain - etiology
Pigmentation
Pruritus
Pruritus - etiology
Quality of Life
scar taping
Scars
Skin
Stiffness
Therapy
Therapy, Soft Tissue - methods
Wound healing
Wound Healing - physiology
scars
manual therapy
cesarean section
scar taping
dry needling
ISSN:0909-752X, 1600-0846, 1600-0846
Online Access:Get full text
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Summary:Background The skin is a protective barrier of the body against external factors, and its damage leads to a loss of integrity. Normal wound healing results in a correct, flat, bright, and flexible scar. Initial skin damage and patient specific factors in wound healing contribute that many of these scars may progress into widespread or pathologic hypertrophic and keloid scars. The changes in cosmetic appearance, continuing pain, and loss of movement due to contracture or adhesion and persistent pruritis can significantly affect an individual's quality of life and psychological recovery post injury. Many different treatment methods can reduce the trauma and surgical scars. Manual scar treatment includes various techniques of therapy. The most effectiveness is a combined therapy, which has a multidirectional impact. Clinical observations show an effectiveness of manual scar therapy. Material and methods The aim of this work was to evaluate effectiveness of the scar manual therapy combined with complementary methods on the postoperative scars. Treatment protocol included two therapies during 30 min per week for 8 weeks. Therapy included manual scar manipulation, massage, cupping, dry needling, and taping. Results Treatment had a significant positive effect to influence pain, pigmentation, pliability, pruritus, surface area, and scar stiffness. Improvement of skin parameters (scar elasticity, thickness, regularity, color) was also noticed. Conclusion To investigate the most effective manual therapy strategy, further studies are needed, evaluating comparisons of different individual and combined scar therapy modalities.
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ISSN:0909-752X
1600-0846
1600-0846
DOI:10.1111/srt.13272