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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Scar Tissue Mobilization on Scars and Quality of Life in Pediatric Upper Extremity Burns | Experimental | Patients received 15-minute massage sessions twice weekly for 5 weeks by the same therapist. Techniques included moderate-pressure strokes around wounds. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Scar tissue mobilization | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| vancouver scar scale | 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. | Baseline, 5 week |
| Brisbane burn scar impact profile (BBSIP) | 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. | Baseline, 5 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| IMRAN AMJAD, phD | Contact | 9233224390125 | imran.amjad@riphah.edu.pk | |
| Muhammad Asif Javed, MS-PT | Contact | 9233224209422 | a.javed@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Areej Saher, MS-PT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Hospital | Recruiting | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39548761 | Background | Edger-Lacoursiere Z, Zhu M, Jean S, Marois-Page E, Nedelec B. Evidence Supporting Conservative Scar Management Interventions Following Burn Injury: A Review Article. J Burn Care Res. 2025 Aug 12;46(3):504-514. doi: 10.1093/jbcr/irae204. |
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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.
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