Document Type : Original Article
Authors
1
BSc. Faculty of Physical Therapy, Cairo University, Egypt
2
Professor of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Vice Dean of Faculty of Physical Therapy, Cairo University, Egypt
3
Consultant of General Surgery, Banha Teaching Hospital, Qalyobia, Egypt
4
Lecturer of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt
10.21608/iptccu.2024.456924
Abstract
Background: Worldwide attention for post-surgical scar as a visible endpoint of healing. Potential evidence regarding vacuotherapy as an alternative therapy, and well-known shock wave therapy for their therapeutic benefits on surgical scars. Purpose: To determine efficacy of vacuotherapy versus shock wave therapy on post-surgical scars.
Method: Forty participants of both genders with immature surgical scars <6 months from Kafr Shokr Specialized Hospital, and Dermatology Hospital, Banha, age range was 20-45 years old, free from any post-surgical complications. They were randomly allocated into two equal groups in numbers; Group A received extracorporeal shock wave therapy one session every two weeks; and Group B received vacuotherapy 3 sessions per week, from June 2023 to March 2024. Evaluation involving scar pliability, vascularity, pigmentation and height using Vancouver scar scale and objective scar pliability and elasticity using modified schiotz tonometer. Statistical analyses with significance level 0.05 level.
Result: Unsignificant differences revealed at baseline analysis. Both groups had revealed a significant decrease in Vancouver scar scale reported values, and a significant increase in modified schiotz tonometer reported values post treatment. While, there was significant increase in group I compared with group II post treatment in term of scar pliability, vascularity, pigmentation, height, and elasticity.
Conclusion: Both vacuotherapy and shock wave therapy are valuable. Shock wave therapy was superior in terms of scar pliability, vascularity, pigmentation, height, and elasticity. Therefore, shock wave therapy could be recommended in immature surgical scars with functional restrictions management
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