Effect of silicone gel versus Contractubex or corticosteroid phonophoresis for post-burn hypertrophic scars: a single-blind randomized controlled trial
Journal Title: Physiotherapy Quarterly - Year 2019, Vol 27, Issue 1
Abstract
Introduction. Hypertrophic scars and keloids are physically and mentally disturbing, and can cause pain and itching. Various treatment is utilized to diminish or counteract scarring. The purpose of this study was to compare the effect of silicone gel, Contractubex gel, and corticosteroid phonophoresis for post-burn hypertrophic scars. Methods. A prospective, single-blind, randomized, controlled study with pretest-posttest design was performed; 45 patients aged 20–45 years with hypertrophic scars, 2–4 months post thermal burn were involved. They were randomly assigned to 3 groups: group A (15 patients, 8 males and 7 females) received phonophoresis with silicone gel, group B (15 patients, 8 males and 7 females) received phonophoresis with Contractubex gel, and group C (15 patients, 9 males and 6 females) received corticosteroid phonophoresis. All treatment interventions were applied at the frequency of 3 sessions/week for 24 weeks. The participants were recruited from the Kasr El-Ani hospital outpatient clinic to be treated in the outpatient clinic, Faculty of Physical Therapy, Cairo University. Results. Outcome measures were taken with the modified Vancouver Scar Scale (VSS) before the treatment, and 12 and 24 weeks after the intervention. The comparison among the 3 groups revealed a highly significant decrease in modified VSS total score in group A compared with group B and group C (p < 0.01), as well as in group B compared with group C (p < 0.001). Conclusions. Silicone gel phonophoresis is a more effective method for post-burn hypertrophic scar management than Contractubex gel phonophoresis or corticosteroid phonophoresis.
Authors and Affiliations
Ereny S. Wahba, Hamada Ahmed Hamada, Ayman El Khatib
Keywords
Related Articles
- EP ID EP660436
- DOI 10.5114/pq.2019.83054
- Views 65
- Downloads 0
Urinary incontinence prevalence in the day-by-day life and during sports practice in volleyball athletes: a systematic review
Introduction. Urinary incontinence (UI) is perceived as a problem that affects older and multiparous women. However, recent studies report that involuntary loss of urine also affects athletes, young and nulliparous. Ther...
Impact of personality-oriented programs of physical rehabilitation on the heart rate variability in women with post-mastectomy syndrome
Introduction. The aim of the study was to determine the effect of personality-oriented physical rehabilitation programs on the heart rate variability in women with post-mastectomy syndrome. Methods. The following methods...
Effect of myofascial release on electrophysiological and clinical measures of pregnant women with carpal tunnel syndrome
Introduction. To explore the effect of myofascial release on electrophysiological and clinical measures of pregnant women with carpal tunnel syndrome (CTS). Methods. Randomized controlled trial. Overall, 30 pregnant wome...
Acute effect of resistance exercise performed at different intensities on urine loss in older women
Introduction. To evaluate the acute effect of resistance exercise performed at different intensities (moderate and vigorous) on urine loss in older women with mixed and stress urinary incontinence. Methods. The total of...
Effectiveness of individualized physical rehabilitation programs on post-mastectomy pain in breast cancer survivors
Introduction. The aim of the study was to determine the effectiveness of individualized physical rehabilitation programs targeted at reducing post-mastectomy pain in breast cancer survivors. Methods. Overall, 115 women w...