AI Article Synopsis

  • - The study aimed to examine the effects of depressomassage, a mechanical suction massage technique, on burn scars, specifically looking at improvements in color and transepidermal water loss (TEWL) compared to traditional physiotherapy.
  • - A total of 43 burn patients participated, with half receiving standard physical therapy and the other half receiving additional depressomassage for six months, while color and TEWL were measured at multiple intervals.
  • - Results showed minimal differences between the two groups regarding color and TEWL improvement, highlighting the need for careful consideration of when to start depressomassage for other scar-related issues.

Article Abstract

Objective: Depressomassage is a non-invasive massage technique using a mechanical suction device that is used in the treatment of traumatic or burn scars. Since color and transepidermal water loss (TEWL) are respectively the most important physical and physiological characteristic of hypertrophic scar formation, we wanted to investigate the effects of depressomassage on the recovery of color and TEWL in burn scars compared to the traditional physiotherapy.

Methods: In this pilot comparative controlled study a total 43 burn patients were included and allocated into 2 groups. All patients received standard physical therapy, and the test group received additional depressomassage during 6 months. Color was assessed using the POSAS questionnaire (for color, vascularity and pigmentation) and the Minolta Chromameter. TEWL was measured using DermaLab.

Results: Patients of both groups were evaluated at baseline, after 1, 3 and 6 months and after 1year. The evidence for a difference in evolution of color and TEWL between both groups in our study was minimal.

Conclusions: In practice, precise indications to begin depressomassage have to be kept in mind. Perhaps other scar abnormalities such as decreased elasticity, increased thickness, excessive pain or itching could be sufficient reasons to begin depressomassage and should be assessed.

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Source
http://dx.doi.org/10.1016/j.burns.2017.11.004DOI Listing

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