Effects of Pressure Garments on Hypertrophic Hand Scar in Burn Children

Not Applicable

Completed

Interventions: Other: Low Level LASER Therapy with Pressure Garment
Other: Low Level LASER Therapy without Pressure Garment

Brief Summary: Burns are type of injury that affect the skin or other tissues and are typically caused by acute trauma, including thermal sources, electricity, chemicals, friction, or radiation. Thermal burns are frequently caused by exposure to high temperature solids or liquids, as well as flames. The epidermis is the only layer of skin affected by superficial burns (sometimes known as "first degree" burns). Blistering is a common symptom of partial thickness (second degree) burns, which damage both the epidermis and dermis.

Detailed Description: This study will include patients with age 2-10 \& having burns on hands and develop scars will be recruited through Randomized Controlled trial in which convenience sampling technique will be used. Two groups will be formed in which participants will be divided by lottery method. Group A which will be treated by low level laser therapy with pressure garment (8-10hrs a day) and group B which will receive low level LASER therapy (422-800nm) without pressure garment only for the duration of 6 weeks (3 days in a week with 20-30 minutes per session). Vancouver Scar Scale and PSOAS tool will be used. The result after statistical analysis will either show both treatments equally effective or not. Data will be calculated before and after treatment with the help of outcome measure tools. Results will be analyzed on SPSS.

Recruitment & Eligibility

Inclusion Criteria

Age 2-10 years
Patient with 2nd degree of burns on hands and develop scar
Patients after 3 months of burn on hand
Only patients that were diagnosed with hypertrophic scars secondary to burn injuries were included
Patients those with second degree burns or more or those with HS from burns
Scar type (hypertrophic, flat or atrophic) and scar dyschromia (i.e. erythema) are the main factors that drive laser device selection

Exclusion Criteria

Participants who have certain medical problems that may impair scar healing or response to therapy interventions (such as uncontrolled diabetes, autoimmune disorders, or immunocompromised states).
Those who have suffered burns recently (within the past few weeks) or who have had their scars for a long time (five years or more)
Wounds that have open area and risk of bleeding occurs.
Any spinal cord injuries.
Patients with any other skin disease like skin cancer, inflammation,Allergic conditions etc
Patients with under treatment like radiations etc

Arm && Interventions

Group	Intervention	Description
Group A	Low Level LASER Therapy with Pressure Garment	This group will be treated by low level laser therapy with pressure garments
Group B	Low Level LASER Therapy without Pressure Garment	This group will receive low level LASER therapy without pressure garment

Primary Outcome Measures

Name	Time	Method
Patient and observer Scar Assessment scale (POSAS)	6 weeks	The patient and observer scar evaluation scale (POSAS) was developed to objectively grade different scars based on the opinions of both the patient and an observer. The ease of use and comprehensive information it delivers make this instrument preferable to others. It was applied to the assessment of burn scars and linear surgical scars, with results that were both reliable and valid.Predictive validity was considered excellent with a AUC of 0.9, good from 0.8 to 0.899, adequate from 0.7 to 0.799 and poor when \<0.7. A scale is considered internally consistent with a Cronbach' s alpha from0.70 to 0.90. For ICCs a minimum value of 0.70 was considered as an acceptable reliable result.
Vancouver Scar Scale VSS	6 weeks	The Vancouver Scar Scale (VSS), formerly called the Burn Scar Index, is the most used objective scar grading system. It was created in 1990. The VSS has a total score out of 13, broken down into four categories: pigmentation, vascularity, pliability, and scar height. The VSS isn't perfect because it doesn't take into account the patient's perspective, is subject to operator- dependent errors, leaves out discomfort and pruritis, and doesn't hold anyone responsible for huge scars with uneven coloration. Nonetheless, because of its intended use in assessing burn scars, it has become the most popular and widely-used scale of its kind.

Secondary Outcome Measures

Name	Time	Method

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