Staged pressure therapy can improve scar hyperplasia and motor function after a deep hand burn
10.3760/cma.j.cn421666-20250224-00091
- VernacularTitle:康复训练联合阶段式压力治疗对手部深度烧伤后瘢痕增生及运动功能的影响
- Author:
Junyan CAI
1
;
Wangjing XIAO
;
Zili SUN
;
Fan ZHANG
;
Renjie YUAN
;
Huajian NI
;
Shuming YANG
Author Information
1. 江南大学附属医院康复医学科，无锡 214122
- Publication Type:Journal Article
- Keywords:
Rehabilitation training;
Staged pressure therapy;
Burns;
Scarring;
Hand motor function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(6):524-529
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of staged pressure therapy, in addition to rehabilitation training, on scar hyperplasia and motor function after a deep hand burn.Methods:Sixty patients with deep hand burns were randomly divided into a control group ( n=30) and an observation group ( n=30). In addition to specialized burn treatment and early rehabilitation training, the control group was given routine pressure treatment, while the observation group was provided with staged pressure therapy for 6 months. Before the treatment and after 3 and 6 months of treatment, scar hyperplasia and hand function in both groups was evaluated using the Vancouver scar scale (VSS), grip strength and pinch strength tests, and the Jebsen hand function test (JHFT). Total active motion (TAM) and total passive motion (TPM) of the finger joints was quantified, and any complications during the treatment were recorded. Results:After 3 and 6 months of the treatment, all of the observations in both groups had improved significantly, but the improvements were significantly better among the treatment group, on average.Conclusions:Staged pressure therapy can more effectively inhibit scar hyperplasia after a deep hand burn. In conjunction with rehabilitation training, it better improves the mobility of the finger joints, hand muscle strength and the recovery of hand function. It is worthy of clinical promotion and application.
