The advantage of manual therapy and/or exercise as an adjunctive treatment to decrease symptoms in patients with post burn scars and adhesions caused by surgery.
Item
- Title
- The advantage of manual therapy and/or exercise as an adjunctive treatment to decrease symptoms in patients with post burn scars and adhesions caused by surgery.
- Author(s)
- Hara, E
- Abstract
- Background: There is no established clinical protocol for manual therapy to improve scar symptoms and a patient’s quality of life, therefore, there is a need to investigate literature to determine the effectiveness of manual therapy based on evidence and quality of studies available in the last fourteen years. Objectives: To systematically review the effects of manual therapy and/or exercises on both post burn scars and adhesions following surgery. Design: Systematic literature review. Methods: A systematic literature review using the following databases: PubMed, Cochrane, Physiotherapy Evidence Database (PEDRO), in PICO format which included patients with post burn scars and adhesions, manual therapy and exercises, and pain, scar characteristics, range of motion and quality of life as an outcome measure. The quality and strength of the studies was assessed using MINORS, SORT, PEDro and JADAD scale. Results: Seventeen studies met the eligibility criteria. Five articles were randomized controlled trials with the mean total score MINOR of 19.8 out of 24, SORT 1.4 b, PEDro 8.4 out of 11 and JADAD 2.8 out of 5. Four articles with SORT score of 2b had mean score of MINOR 11.6 out of 16. Eight studies had SORT 3c and mean MINOR score 8.12 out of 16. Twelve articles measured pain and eleven articles scars characteristics. Five studies measured quality of life, six articles measured range of motion of the joints involved, and five qualities of life. All the studies reported improvement in the outcome measures. Discussion: Although there is a strong indication that manual therapy can alleviate symptoms of scarring, the studies researched did not include long term follow up, or for how long the results sustained, moreover, the articles did not use sham groups and blinding which increases the risk of bias. There was no consistency in techniques and duration which makes it hard to establish a clinical protocol to use for therapists. Conclusion: This review brings moderate to weak evidence that manual therapy can alleviate symptoms of scarring. Since a patient feels better after the treatments, and there are no reported side effects of treatment, there is a strong suggestion that manual therapy can be beneficial for the patients suffering with burn scars or adhesions.
- presented at
- European School of Osteopathy
- Date Accepted
- 2019
- Date Submitted
- 19.11.2019 18:31:08
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16497
- Inst-Identifier
- 1229
- Keywords
- Adhesions, Exercises, Manual therapy, Pain, Scars.
- Recommended
- 0
- Item sets
- Thesis
Hara, E, “The advantage of manual therapy and/or exercise as an adjunctive treatment to decrease symptoms in patients with post burn scars and adhesions caused by surgery.”, Osteopathic Research Web, accessed May 5, 2025, https://www.osteopathicresearch.com/s/orw/item/332