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 58
- Downloads 0
Muscle strength and bone mass density in haemodialysis patients
Introduction. The aim of the study was to examine muscle strength and bone density in patients with end stage renal disease on maintenance haemodialysis. Methods. The study included 76 patients: 29 women and 47 men aged...
Effect of ultraviolet on vitamin D and quality of life in postmenopausal women: a randomized controlled study
Introduction. To determine the influence of ultraviolet radiation on vitamin D plasma levels and quality of life in postmenopausal women with vitamin D deficiency. Methods. In a single-blinded randomized controlled trial...
The impact of flexion or extension movement transfer pattern on the performance of sit-to-stand task in asymptomatic young subjects
Introduction. To assess the mode of sit-to-stand (STS) task performed in a habitual manner or with flexion or extension pattern transfer in asymptomatic young subjects. It was hypothesized that different initial movement...
Physical activity and quality of life in children treated for leukaemia
Introduction. Childhood cancer treatment is aggressive and may lead to a significant limitation of physical activity as well as deterioration of children’s quality of life. Anticancer treatment, though it saves health an...
Psychophysiological factors of adaptation in elite Paralympic sprint runners with visual impairments – a case study
Introduction. The aim of the work was to determine the features of the influence of psychophysiological indices on the result in running for short distances of an elite sportswoman with visual impairments. Methods. The s...