Sar Zübeyir, Polat Mine Gülden, Özgül Bahar, Aydoğdu Onur, Camcoğlu Burcu, Acar Ahmet Hakan, Yurdalan Saadet Ufuk
From the *Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey; †Wound and Burn Healing Center, Dr. Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey.
J Burn Care Res. 2013 Sep-Oct;34(5):e290-6. doi: 10.1097/BCR.0b013e3182789041.
The present study compared the effectiveness of matrix rhythm therapy, ultrasound treatment (UT), laser treatment (LT) used in the physiotherapy of burns. The study was conducted at the Wound and Burn Healing Center, Dr. Lütfi Kırdar Kartal Education and Research Hospital (Turkey) from June 2009 to January 2012. The case series comprised 39 individuals with second- and third-degree upper-limb burns, whose burn traumas ended approximately 1 to 3 months previously. Participants were separated into three groups: matrix rhythm treatment (MRT), UT and LT; each group was also applied a treatment protocol including whirlpool and exercise. Pain, range of motion (ROM), muscular strength, skin elasticity, and sensory functions were evaluated before and after the treatment. Pressure sense and passive ROM were higher in the MRT group than in the LT group (P < .05). Pain was lower in the LT group than in the UT group, and passive ROM was higher in the UT group than the in LT group (P < .05). Active ROM was found to increase in all treatment groups, whereas passive ROM increased only in the MRT and UT groups; pressure sense increased only in the MRT group, and pain decreased only in the LT group (P < .05). MRT was found to be more effective in the restoration of sensory functions than LT, whereas LT was more effective in reducing pain than UT. No significant difference was observed in terms of skin elasticity according to the results of three treatment modalities. It is suggested that further research with more cases should be conducted to examine the long-term effect of treatment modalities.
本研究比较了基质节律疗法、超声治疗（UT）和激光治疗（LT）在烧伤物理治疗中的效果。该研究于2009年6月至2012年1月在土耳其吕特菲·基尔达尔·卡尔塔尔教育与研究医院的伤口与烧伤愈合中心进行。该病例系列包括39例上肢二度和三度烧伤患者，其烧伤创伤大约在1至3个月前结束。参与者被分为三组：基质节律治疗（MRT）组、UT组和LT组；每组还应用了包括漩涡浴和运动的治疗方案。在治疗前后对疼痛、关节活动范围（ROM）、肌肉力量、皮肤弹性和感觉功能进行了评估。MRT组的压力觉和被动ROM高于LT组（P <.05）。LT组的疼痛低于UT组，UT组的被动ROM高于LT组（P <.05）。所有治疗组的主动ROM均增加，而被动ROM仅在MRT组和UT组增加；压力觉仅在MRT组增加，疼痛仅在LT组降低（P <.05）。发现MRT在恢复感觉功能方面比LT更有效，而LT在减轻疼痛方面比UT更有效。根据三种治疗方式的结果，在皮肤弹性方面未观察到显著差异。建议进行更多病例的进一步研究以检查治疗方式的长期效果。
