The Clinical Utility of Extracorporeal Shock Wave Therapy on Hand Burns : a Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 2
- 主要终点
- transepithelial water loss
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
transepithelial water loss
时间窗: 4 weeks
the degree of water evaporation
elasticity
时间窗: 4 weeks
The numeric values (mm) of the skin's distortion is presented as the elasticity.
thickness
时间窗: 4 weeks
scar thickness(cm)
sebum
时间窗: 4 weeks
the severity of greese, the higher values indicating a more greese(mg/cm2)
melanin and erythema
时间窗: 4 weeks
measure melanin levels and the severity of erythema. The higher values indicating a darker and redder skin(AU)
次要结局
- grip strength(4 weeks)
- Jebsen-Taylor hand function test(4 weeks)