22602
document
The assessment of erythema and thickness on burn related scars during pressure garment therapy as a preventive measure for hypertrophic scarring . The aim of this study was threefold : ( 1 ) Assess the pressure loss of two types of pressure garments that are used in the treatment of hypertrophic scars after burn injury , ( 2 ) investigate the influence of two different levels of compression on erythema and thickness of burn scars and ( 3 ) examine the association between erythema and thickness . The study was a prospective trial in which 76 burn scars in 60 patients were objectively assessed with the Minolta Chromameter CR-300 for erythema and with the Dermascan C for thickness of the scar over a period of 3 months . Each patient was randomly assigned to a " normal " or " lower " compression class treatment , with respectively mean values of 15 and 10 mmHg pressure after wearing the garment for 1 month . Measurements for both parameters were taken at 0 , 1 , 2 and 3 months of treatment . Pressure garments with " normal " compression did lose significantly more compression over 1 month ( 4.82 mmHg ) than did the garments from the low compression class ( 2.57 mmHg ) . Scars that were treated with garments from a " normal " compression class did score significantly better for thickness compared to the " low " compression class . The difference in thickness was most evident at 1 month . Thereafter no further significant improvement between the two different treatments over time could be obtained . This difference was not found for erythema . Positive correlations could be found between erythema and thickness values at all of the three test points while changes in erythema and thickness only correlated significantly after the first month . The pattern of change of both parameters correlated at a high level of significance after 3 months of treatment . These data suggest that pressure garments that deliver a pressure of at least 15 mmHg pressure tend to accelerate scar maturation and that measurements of the pattern of change of the erythema can be used to predict changes in scar thickness and vice versa .
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Intervention_Psychological
pressure garment therapy
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Intervention_Physical
two types of pressure garments
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Intervention_Physical
two different levels of compression
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Intervention_Physical
Minolta Chromameter CR-300 for erythema
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Intervention_Pharmacological
Dermascan C
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Intervention_Physical
for thickness of the scar
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Intervention_Physical
wearing the garment
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Outcome_Physical
erythema and thickness on burn related scars
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Outcome_Physical
erythema and thickness of burn scars
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Outcome_Physical
erythema and thickness .
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Outcome_Other
Minolta Chromameter CR-300
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Outcome_Physical
Dermascan C for thickness of the scar
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Outcome_Physical
compression
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Outcome_Physical
Scars
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Outcome_Physical
thickness
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Outcome_Physical
thickness
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Outcome_Physical
erythema .
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Outcome_Physical
erythema and thickness values
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Outcome_Physical
erythema and thickness
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Outcome_Physical
scar maturation
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Participant_Condition
hypertrophic scars after burn injury
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Participant_Condition
burn scars
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Participant_Sample-size
60 patients