Burn Scar
Conditions
Keywords
Scar tissue mobilization, Quality of life, Scar thickness, Pliability
Brief summary
This quasi-experimental study evaluates the effect of scar tissue mobilization on scar thickness, pliability, and quality of life in children with upper extremity burns. Conducted at Mayo Hospital Lahore, children aged 8-13 will receive treatment for 5 weeks, with outcomes analyzed using SPSS 27.
Detailed description
Burn injuries, especially to the upper extremities, are common in children and can lead to hypertrophic scarring, resulting in pain, stiffness, and reduced range of motion. These complications significantly impact a child's ability to perform daily activities and affect overall quality of life and development. Rehabilitation plays a vital role in recovery, with scar tissue mobilization being a key intervention to improve scar flexibility and function. While commonly used, there is limited evidence on its specific effects in pediatric upper limb burns. This study aims to assess the impact of scar tissue mobilization on scar thickness, pliability and quality of life in children with upper extremity burns. The study design will be Quasi experimental study. The data will be collected from mayo hospital, Lahore. The study will be completed in 10 months after the approval of synopsis. Children aged 8 to 13 years old will be included in this study and each patient will receive the same intervention. The participants will receive scar tissue mobilization intervention for 15 minutes twice a week for 5 weeks. Participants fulfilling the eligibility criteria will be asked to assign the consent form before entering into the study. The scar thickness and pliability will be measure from the Vancouver Scar Scale (VSS) and quality of life with Brisbane Scar Impact Profile (BBSIP). The synopsis will be presented to Research Ethical Committee of Riphah International University, Lahore for ethical approval to conduct this study. Data will be analyzed through SPSS 27.
Interventions
OTHERScar tissue mobilization
15-minute massage twice weekly for 5 weeks using baby oil by the same therapist. Included moderate-pressure strokes, finger pressing, circular movements, skin rolling, and finishing gliding strokes.
Sponsors
Riphah International University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Conducted as quasi experimental study, this study will include 15 pediatric burn patients aged 8-13, recruited from mayo hospital and Jinnah hospital Lahore. The participants receiving scar tissue mobilization. In this all patients receiving same intervention. Outcome measures, including scar thickness and pliability (via Vancouver scar scale), and quality of life (via Brisbane scar impact profile BBSIP). Statistical analysis will be performed using SPSS version 27 to determine the intervention effects.
Eligibility
Sex/Gender
ALL
Age
8 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* 8-13 years * Stable scar and referred for scar management * Affected upper extremity joints (shoulder, elbow and wrist) with burned injuries * Partial thickness and full thickness burn.
Exclusion criteria
* Pre-existing skin condition or allergies * Neurological disorders affecting motor function * Fracture with burn in upper limbs * Patient with only superficial burns
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| vancouver scar scale | Baseline, 5 week | The Vancouver Scar Scale (VSS) is a widely used semi-quantitative tool for scar assessment that evaluates four parameters: vascularity, pigmentation, pliability, and height/thickness. It has a total score range of 0-13/14, where 0 indicates normal skin and higher scores represent more severe scarring, including thick scars and contractures. |
| Brisbane burn scar impact profile (BBSIP) | Baseline, 5 week | A 40-item scale assessing children's quality of life across domains such as daily activities, hand function, appearance, psychological status, social relationships, and school activities. Items are scored from 0 (not at all) to 4 (a lot), with total scores classified as good (40-80), fair (80-100), and poor (\>100). A 58-item burn scar-specific HRQoL self-report tool covering 10 domains including sensory, mobility, daily living, social interaction, appearance, and emotional reactions. Items use dichotomous, 11-point, or 5-point Likert scales; scores are calculated per domain, with lower scores indicating better quality of life. |
Countries
Pakistan
Contacts
CONTACTIMRAN AMJAD, phD
CONTACTMuhammad Asif Javed, MS-PT
PRINCIPAL_INVESTIGATORAreej Saher, MS-PT
Riphah International University
Outcome results
None listed