Effectiveness of various methods of manual scar therapy

Skin Research and Technology · 3 authors, 1 centre

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

The intervention was associated with statistically significant improvements in multiple subjective scar properties and several objective skin parameters.

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Ten women (mean age 32.9 ± 5.2 years) with postoperative scars (mean age 5 ± 2.9 months) underwent a combined manual therapy protocol consisting of two 30-minute sessions per week for 8 weeks, including manual scar manipulation, massage, cupping, dry needling, and taping. HFUS revealed a statistically significant change in collagen fiber arrangement (Avg = 3.1 ± 1.3 vs. Avg = 5.7 ± 1.3; p < 0.005). Melanin levels and scar height did not change significantly.

STUDY TYPE

cohort

SPECIALTY

dermatology

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100% · A

ORIGINAL PAPER

PMC10155853

Effectiveness of various methods of manual scar therapy

Skin Research and Technology

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ABSTRACT

Abstract Background The skin is a protective barrier of the body against external factors, and its damage leads to a loss of integrity. Normal wound healing results in a correct, flat, bright, and flexible scar. Initial skin damage and patient specific factors in wound healing contribute that many of these scars may progress into widespread or pathologic hypertrophic and keloid scars. The changes in cosmetic appearance, continuing pain, and loss of movement due to contracture or adhesion and persistent pruritis can significantly affect an individual's quality of life and psychological recovery post injury. Many different treatment methods can reduce the trauma and surgical scars. Manual scar treatment includes various techniques of therapy. The most effectiveness is a combined therapy, which has a multidirectional impact. Clinical observations show an effectiveness of manual scar therapy. Material and methods The aim of this work was to evaluate effectiveness of the scar manual therapy combined with complementary methods on the postoperative scars. Treatment protocol included two therapies during 30 min per week for 8 weeks. Therapy included manual scar manipulation, massage, cupping, dry needling, and taping. Results Treatment had a significant positive effect to influence pain, pigmentation, pliability, pruritus, surface area, and scar stiffness. Improvement of skin parameters (scar elasticity, thickness, regularity, color) was also noticed. Conclusion To investigate the most effective manual therapy strategy, further studies are needed, evaluating comparisons of different individual and combined scar therapy modalities. Keywords: cesarean section, dry needling, manual therapy, scar taping, scars

CITATION EXPORT

Agnieszka Lubczyńska, Agnieszka Garncarczyk, Dominika Wcisło‐Dziadecka. Effectiveness of various methods of manual scar therapy. Skin Research and Technology. (2023). https://doi.org/10.1111/srt.13272

AUTHORS

3 · 1 CENTRES

Agnieszka Lubczyńska, Agnieszka Garncarczyk, Dominika Wcisło‐Dziadecka

1 Department of Cosmetology, School of Pharmaceutical Science in Sosnowiec, Medical University of Silesia, Katowice, Poland