Yelvington Miranda, Scoggins Michelle, White Leslie
Arkansas Children's Hospital, Little Rock.
Pediatr Phys Ther. 2017 Jan;29(1):90-94. doi: 10.1097/PEP.0000000000000346.
The presence of hypertrophic scars, which cross lower extremity joints, can often result in decreased range of motion, limitations in functional mobility, and gait deviations. This article reviews a case and describes a multimodal treatment approach.
A 6-year-old girl developed aggressive hypertrophic scars following a burn injury. A multimodal treatment approach, including splinting, elastomers, and physical therapy, was developed.
Rapid improvements were demonstrated in measured objective outcomes.
Early multimodal intervention, in addition to range of motion, stretching, massage, and compression garments, is recommended when treating hypertrophic scars. This case suggests that further study into a multimodal treatment approach may be beneficial to develop a standardized protocol for more efficient scar management.
跨越下肢关节的肥厚性瘢痕通常会导致活动范围减小、功能活动受限和步态偏差。本文回顾了一个病例并描述了一种多模式治疗方法。
一名6岁女孩烧伤后出现侵袭性肥厚性瘢痕。制定了一种多模式治疗方法，包括夹板固定、使用弹性体和物理治疗。
客观测量结果显示有快速改善。
治疗肥厚性瘢痕时，除了活动范围、拉伸、按摩和压力衣外，建议早期进行多模式干预。该病例表明，进一步研究多模式治疗方法可能有助于制定更有效的瘢痕管理标准化方案。
