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Short-term effects of vacuum massage on epidermal and dermal thickness and density in burn scars: an experimental study

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Burns & Trauma 2016年第3期4卷 216-224页

作者： Jill Meirte Peter Moortgat Mieke Anthonissen Koen Maertens cynthia lafaire Lieve De Cuyper Guy Hubens Ulrike Van Daele OSCARE Organisation for BurnsScar After-care and ResearchVan Roiestraat 182170 AntwerpBelgium Rehabilitation Sciences and Physiotherapy University of AntwerpUniversiteitsplein 12610 AntwerpBelgium OSCARE Organisation for BurnsScar After-care and ResearchVan Roiestraat 182170 AntwerpBelgium OSCARE Organisation for BurnsScar After-care and ResearchVan Roiestraat 182170 AntwerpBelgium KU Leuven Faculty of Kinesiology and Rehabilitation SciencesLeuvenBelgium OSCARE Organisation for BurnsScar After-care and ResearchVan Roiestraat 182170 AntwerpBelgium Department of Clinical and Lifespan Psychology Vrije Universiteit BrusselBrusselsBelgium OSCARE Organisation for BurnsScar After-care and ResearchVan Roiestraat 182170 AntwerpBelgium ZNA Stuivenberg Burn CenterAntwerpBelgium Department of Antwerp Surgical Training Anatomy and Research Centre University of AntwerpAntwerpBelgium Rehabilitation Sciences and Physiotherapy University of AntwerpUniversiteitsplein 12610 AntwerpBelgium

Background:Vacuum massage is a non-invasive mechanical massage technique invented to treat burns and *** date,no effects of vacuum massage on thickness and density of human scar tissue have been *** process in which external stimuli are converted into biochemical responses in the cell is known as *** the skin endothelial cells,fibroblasts and myofibroblasts embedded in the extracellular matrix(ECM)sense mechanical stimuli(created by vacuum massage)and may promote intracellular processes leading to matrix *** mechanotransduction could be a plausible working mechanism for vacuum massage as an anti-scarring therapy,this study aims to investigate the short-term effects of vacuum massage on thickness and density of epidermis and dermis in burn scars in order to find proof of ECM ***:A one group experimental study was *** with burn scars on upper extremities,lower extremities,and trunk were recruited for participation in this *** DUB?cutis 22 MHz ultrasound scanner was used to assess thickness and density of the epidermal and dermal skin *** baseline measurements,vacuum massage was performed according to a pre-defined *** were carried out at 5 min,30 min,1 h,and 2 h ***:Thirteen scar sites from 9 different patients were *** 8 out of the 13 scar sites,a disruption of the epidermis was noticed after the vacuum *** minutes after the intervention,epidermal density decreased statistically significantly(p=.022)and dermal thickness increased(p=.018).Both changes lasted for more than 1 h,but after 2 h,the changes were no longer statistically *** density decreased significantly(p=.048)immediately after the intervention,and this decrease was still present after 2 h(p=.011).Conclusions:Preliminary results show that the disruption of the epidermis may indicate that vacuum massage could be able to actually breach the s

关键词： Burn Scars Vacuum massage Dermal thickness Dermal density

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