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The role of massage in scar management: A literature review

机译:按摩在疤痕处理中的作用:文献综述

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摘要

Background Many surgeons recommend postoperative scar massage to improve aesthetic outcome, although scar massage regimens vary greatly. Objective To review the regimens and efficacy of scar massage. Methods PubMed was searched using the following key words: "massage" in combination with "scar," or "linear," "hypertrophic," "keloid," "diasta," "atrophic." Information on study type, scar type, number of patients, scar location, time to onset of massage therapy, treatment protocol, treatment duration, outcomes measured, and response to treatment was tabulated. Results Ten publications including 144 patients who received scar massage were examined in this review. Time to treatment onset ranged from after suture removal to longer than 2 years. Treatment protocols ranged from 10 minutes twice daily to 30 minutes twice weekly. Treatment duration varied from one treatment to 6 months. Overall, 65 patients (45.7%) experienced clinical improvement based on Patient Observer Scar Assessment Scale score, Vancouver Scar Scale score, range of motion, pruritus, pain, mood, depression, or anxiety. Of 30 surgical scars treated with massage, 27 (90%) had improved appearance or Patient Observer Scar Assessment Scale score. Conclusions The evidence for the use of scar massage is weak, regimens used are varied, and outcomes measured are neither standardized nor reliably objective, although its efficacy appears to be greater in postsurgical scars than traumatic or postburn scars. Although scar massage is anecdotally effective, there is scarce scientific data in the literature to support it.
机译:背景技术尽管疤痕按摩方案差异很大,但许多外科医生建议术后进行疤痕按摩以改善美学效果。目的探讨疤痕按摩的方法和效果。方法使用以下关键词搜索PubMed:“按摩”与“疤痕”或“线性”,“肥大性”,“瘢痕loid”,“ diasta”,“萎缩性”组合。将研究类型,疤痕类型,患者数量,疤痕位置,开始按摩疗法的时间,治疗方案,治疗持续时间,测量的结果以及对治疗的反应的信息制成表格。结果本评价共审查了包括144例接受疤痕按摩的患者在内的10篇出版物。发病时间从缝合后至超过2年不等。治疗方案的范围从每天两次10分钟到每周两次30分钟不等。治疗时间从一次治疗到6个月不等。总体而言,根据患者观察者疤痕评估量表评分,温哥华疤痕量表评分,运动范围,瘙痒,疼痛,情绪,抑郁或焦虑,有65名患者(45.7%)经历了临床改善。在用按摩治疗的30例手术疤痕中,有27例(90%)的外观或患者观察者疤痕评估量表评分得到改善。结论使用疤痕按摩的证据薄弱,使用的方案多种多样,所测量的结局既不是标准化的,也不是可靠的客观指标,尽管它在术后疤痕中的疗效似乎比创伤性或烧伤后疤痕的疗效更高。尽管疤痕按摩在轶事上是有效的,但文献中却缺乏科学的数据来支持它。

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