Is massage an effective intervention in the management of post-operative scarring? A scoping review

Scott, Helen; Stockdale, Claire; Robinson, Andrea J.; Robinson, Luke; Brown, Ted

doi:10.1016/j.jht.2022.01.004

Cited by 9 publications

(14 citation statements)

References 59 publications

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“…Patients using POSAS evaluate effectiveness therapy in all criteria positively assessed: pain, pruritis, color, stiffness, thickness, regularity, vascularity, and elasticity of scar, after treatment. The scar assessment using high‐frequency ultrasound showed a significant change in tissue structure and also benefits in skin parameters were observed 10,25–29 …”

Section: Discussionmentioning

confidence: 99%

“…In this study, the treatment protocol includes the scar massage in combination with other manual technique, 30 min, two times per week for 8 weeks. Patients using POSAS evaluate effectiveness therapy in all criteria positively assessed: pain, pruritis, color, stiffness, thickness, regularity, vascularity, and elasticity of scar, after treatment.The scar assessment using high-frequency ultrasound showed a significant change in tissue structure and also benefits in skin parameters were observed 10,[25][26][27][28][29]. Taping and dry needling are supporting methods.…”

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confidence: 97%

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Effectiveness of various methods of manual scar therapy

Lubczyńska

Garncarczyk

Wcisło‐Dziadecka

2023

Skin Research and Technology

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Background: The skin is a protective barrier of the body against external factors, and its damage leads to a loss of integrity. Normal wound healing results in a correct, flat, bright, and flexible scar. Initial skin damage and patient specific factors in wound healing contribute that many of these scars may progress into widespread or pathologic hypertrophic and keloid scars. The changes in cosmetic appearance, continuing pain, and loss of movement due to contracture or adhesion and persistent pruritis can significantly affect an individual's quality of life and psychological recovery post injury. Many different treatment methods can reduce the trauma and surgical scars. Manual scar treatment includes various techniques of therapy. The most effectiveness is a combined therapy, which has a multidirectional impact. Clinical observations show an effectiveness of manual scar therapy. Material and methods:The aim of this work was to evaluate effectiveness of the scar manual therapy combined with complementary methods on the postoperative scars. Treatment protocol included two therapies during 30 min per week for 8 weeks. Therapy included manual scar manipulation, massage, cupping, dry needling, and taping.Results: Treatment had a significant positive effect to influence pain, pigmentation, pliability, pruritus, surface area, and scar stiffness. Improvement of skin parameters (scar elasticity, thickness, regularity, color) was also noticed. Conclusion:To investigate the most effective manual therapy strategy, further studies are needed, evaluating comparisons of different individual and combined scar therapy modalities.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 97%

Effectiveness of various methods of manual scar therapy

Lubczyńska

Garncarczyk

Wcisło‐Dziadecka

2023

Skin Research and Technology

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“…In clinical practice, the determination of the number, frequency, and duration of the intervention sessions may not be fixed at the first time of patient consultation, companying some modifications according to the patients' conditions and effects of the treatment. 67 Thus, if any changes are included in the whole sessions (for example if subjects are to be treated 4-6 times in the first treatment session with 5-7 days of each interval, then 1-2 times per month for the follow-up treatment sessions), details and the rationale of such design should be provided. If the design of the treatment session is based on the special effect, such as dislocation of bone-setting, please specify.…”

Section: Explanationmentioning

confidence: 99%

STandards for Reporting Interventions in Clinical Trials Of Tuina/Massage (STRICTOTM): Extending the CONSORT statement

Zhang

Liang

Lau

et al. 2023

J Evidence Based Medicine

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Objectives Massage is a common therapy of nonpharmacological treatments, particularly in Tuina (Chinese massage) as its most common style, detailed guidance in reporting the intervention is warranted for its evaluation and replication. Based on the CONSORT (Consolidated Standards of Reporting Trials), we aimed to develop an Extension for Tuina/Massage, namely “The STandards for Reporting Interventions in Clinical Trials Of Tuina/Massage (STRICTOTM).” Methods A group of professional clinicians, trialists, methodologists, developers of reporting guidelines, epidemiologists, statisticians, and editors has developed this STRICTOTM checklist through a standard methodology process recommended by the EQUATOR (Enhancing the QUAlity and Transparency of Health Research) Network, including prospective registration, literature review, draft of the initial items, three rounds of the Delphi survey, consensus meeting, pilot test, and finalization of the guideline. Results A checklist of seven items (namely Tuina/Massage rationale, details of Tuina/Massage, intervention regimen, other components of the intervention, Tuina/Massage provider background, control or comparator interventions, and precaution measures), and 16 subitems were developed. Explanations and examples (E&E) for each item are also provided. Conclusions The working group hopes that the STRICTOTM, in conjunction with both the CONSORT statement and extension for nonpharmacologic treatment, can improve the reporting quality and transparency of Tuina/Massage clinical research.

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“…9 It has been suggested that massage can reduce postoperative fibrosis, increase the flexibility of scars, and decrease adhesions to the deep plane. 6,10,11 According to Scott et al, 9 massage therapy and other scar management techniques may improve the appearance of scars in patients with CL/P. However, they highlighted the need for more research to determine the best or combination techniques for managing scars in these patients.…”

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confidence: 99%

“…Scar massage is the therapeutic manipulation of soft tissue formed during tissue repair and delivered primarily by hands 9 . It has been suggested that massage can reduce postoperative fibrosis, increase the flexibility of scars, and decrease adhesions to the deep plane 6,10,11 .…”

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confidence: 99%

Gaps Between the Indication and the Home Execution of Massage Therapy in Children in the Postsurgical Stage of Primary Cheiloplasty or Rhinocheiloplasty

Montero-Orellana,

Fuentes-Orellana,

Ossa-Cox

2023

Journal of Craniofacial Surgery

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Purpose: This study describes the compliance rate with home massage therapy in children in the postsurgical stage of primary cheiloplasty or rhinocheiloplasty and the factors that facilitate or hinder its execution. Methods: The parents of 15 children treated at the Gantz Foundation -Children's hospital for cleft lip and palate in Santiago, Chile were recruited. Parents received instructions to perform massages at home 5 times daily and were followed up for 3 months by recording in a log. Qualitative information on facilitators and barriers was collected in a focus group session. Results: Compliance rate was close to 75%, and the factors that facilitated the execution were performing the massage with some distracting activity and noticing the positive changes in the appearance of the scars. The most important factors that hindered the execution were the infant's crying and changes in the routine. Conclusion:The authors conclude that the compliance rate is high and suggest that parents and guardians identify and implement a routine with a distracting activity that allows the massage to be carried out effectively.

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Is massage an effective intervention in the management of post-operative scarring? A scoping review

Cited by 9 publications

References 59 publications

Effectiveness of various methods of manual scar therapy

Effectiveness of various methods of manual scar therapy

STandards for Reporting Interventions in Clinical Trials Of Tuina/Massage (STRICTOTM): Extending the CONSORT statement

Gaps Between the Indication and the Home Execution of Massage Therapy in Children in the Postsurgical Stage of Primary Cheiloplasty or Rhinocheiloplasty

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