| Therapeutic efficacy of extracorporeal shock wave combined with conventional rehabilitation on scar formation and hand function recovery following hand burns |
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| DOI：10.3870/zgkf.2025.02.006 |
| EN KeyWords: extracorporeal shock wave standard rehabilitation burns scar hand function |
| Fund Project:浙江省严重创伤与烧伤诊治重点实验室基金项目（2022K05）；浙江省医药卫生科技计划项目（2025KY181） |
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| EN Abstract: |
| Objective: To investigate the therapeutic efficacy of extracorporeal shock wave combined with conventional rehabilitation on scar formation and hand function recovery after hand burns. Methods: This study employed a randomized controlled research design, enrolling 36 patients with hypertrophic scars after hand burns treated at our outpatient and inpatient departments. Participants were randomly allocated into an experimental group and a control group, each comprising 18 cases. The control group received conventional rehabilitation treatment, while the experimental group underwent extracorporeal shock wave treatment in addition to the conventional rehabilitation. Vancouver Scar Scale (VSS) scores, hand function scores (TAM), and blood perfusion ratio were compared between the two groups before and after treatment. Results: After 8 weeks of treatment, the VSS scores in both groups significantly decreased (P<0.01), with a greater reduction observed in the experimental group than the control group (P<0.01). The total active motion (TAM) of the finger joints after treatment in both groups was also significantly improved compared to pre-treatment levels (P<0.01), and the improvement in the experimental group was significantly better than that in the control group (P<0.01). Although there were changes in blood perfusion ratio before and after treatment, these changes did not reach statistical significance. Conclusion: The combined use of conventional rehabilitation therapy and extracorporeal shock wave therapy can effectively mitigate hypertrophic scarring following hand burns, enhance finger mobility, and facilitate the recovery of hand function. |
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