Hull York Medical School, University Road, Heslington York, YO10 5DD, UK.
Institute of Inflammation and Ageing, University of Birmingham, Mindelsohn Way, Birmingham, B15 2GW, UK.
J Burn Care Res. 2024 Mar 4;45(2):356-365. doi: 10.1093/jbcr/irad140.
Despite advancements in burn care, evidence estimates that pathological scarring occurs in 32%-75% of cutaneous burns. Scar massage therapy is an under researched method of management for hypertrophic burn scars which has scope to be a low-cost treatment alternative. The aim of this systematic review was to determine the efficacy of scar massage techniques for common hypertrophic burn scar symptoms such as contraction, pruritus, pain and visibility. The keywords and corresponding MeSH terms were inputed into PubMed, EMBASE, Cochrane database of Systematic Reviews, University Library of Hull, York and Queen Mary, University of London. Following the implementation of predetermined inclusion and exclusion criteria, ten papers were included for data extraction. Quality assessment of all papers was performed using the Cochrane Risk of Bias tool and ROBINS-I tool. Data pertaining to the nature of the participant demographics, scar massage treatment, and study outcomes was extracted. Nine of the ten studies showed a significant improvement for scar massage treatment of hypertrophic burn scar symptoms despite using different massage techniques. Friction and oscillation massage was used in partnership to improve scar function, whereas effleurage and petrissage used in longer sessions was seen to improve scar visibility and pain. Scar pruritus was improved by each massage technique. Scar massage has been shown to be effective at improving scar outcomes. This paper suggests massage techniques should be tailored to the patients' symptoms. A large, randomized control trial is required to advance this area of research.
尽管烧伤治疗取得了进展，但有证据估计，病理性瘢痕在 32%-75%的皮肤烧伤中发生。瘢痕按摩疗法是一种针对增生性烧伤瘢痕的管理方法，研究不足，但有潜力成为一种低成本的治疗选择。本系统评价的目的是确定瘢痕按摩技术对常见增生性烧伤瘢痕症状（如挛缩、瘙痒、疼痛和可见度）的疗效。关键词和相应的 MeSH 术语被输入到 PubMed、EMBASE、Cochrane 系统评价数据库、赫尔大学图书馆、约克大学和伦敦玛丽女王大学。在实施预定的纳入和排除标准后，有 10 篇论文被纳入数据提取。使用 Cochrane 偏倚风险工具和 ROBINS-I 工具对所有论文进行质量评估。提取了与参与者人口统计学特征、瘢痕按摩治疗和研究结果相关的数据。尽管使用了不同的按摩技术，但这 10 项研究中有 9 项显示瘢痕按摩治疗增生性烧伤瘢痕症状有显著改善。摩擦和振荡按摩联合使用可改善瘢痕功能，而长时间使用轻抚和揉捏则可改善瘢痕的可见度和疼痛。每种按摩技术都能改善瘢痕瘙痒。瘢痕按摩已被证明能有效改善瘢痕结局。本文建议应根据患者的症状调整按摩技术。需要进行大型的随机对照试验来推进这一研究领域。
