The Clinical Utility of Extracorporeal Shock Wave Therapy on Hand Burns : a Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- transepithelial water loss
Overview
Brief Summary
No study has investigated the effect of extracorporeal shock wave therapy (ESWT) on hand function and hypertrophic scar characteristics. To investigate ESWT effects on burned hands, the investigators compare the results of ESWT combined with manual therapy group to the results of matched conventional(CON) rehabilitation combined with manual therapy group.
Detailed Description
Hands are the most frequent injury sites caused by burn, and appropriate rehabilitation is essential to ensure that good functional recovery is achieved. In burn patients, the wound healing process may lead to a fibrotic hypertrophic scar, which is raised, red, inflexible and responsible functional and cosmetic impairments.
This randomized, controlled trial involved 40 patients with burns and dominant right-hand function impairment. Patients were randomized into a ESWT or a CON group. Each intervention was applied to the affected hand for 4 weeks once per week. Hand function was evaluated using the Jebsen-Taylor hand function test (JTT), grasp and pinch power test, and Michigan Hand Outcomes Questionnaire (MHQ). These assessments were evaluated pre-intervention and 4 weeks post-intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •a deep partial-thickness (second-degree) burn or a full thickness (third-degree) burn to their hands
- •less than 6 months since the onset of the burn injury
Exclusion Criteria
- •fourth-degree burns(involving muscles, tendons, and bone injuries)\\
- •musculoskeletal diseases(fracture, amputation, rheumatoid arthritis, and degenerative joint diseases) in the burned hands
- •neurological diseases(such as peripheral nerve disorders)
- •preexisting physical and psychologic disability (severe aphasia and cognitive impairment that could influence the intervention)
- •severe pain impeding hand rehabilitation
Outcomes
Primary Outcomes
transepithelial water loss
Time Frame: 4 weeks
the degree of water evaporation
elasticity
Time Frame: 4 weeks
The numeric values (mm) of the skin's distortion is presented as the elasticity.
thickness
Time Frame: 4 weeks
scar thickness(cm)
sebum
Time Frame: 4 weeks
the severity of greese, the higher values indicating a more greese(mg/cm2)
melanin and erythema
Time Frame: 4 weeks
measure melanin levels and the severity of erythema. The higher values indicating a darker and redder skin(AU)
Secondary Outcomes
- grip strength(4 weeks)
- Jebsen-Taylor hand function test(4 weeks)