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Master Thesis

Effets des ondes de choc extracorporelles sur la douleur, le prurit et les caractéristiques des cicatrices de patients brûlés graves (2ème degré profond et 3ème degré)

Abstract : Introduction: Severely burned patients are exposed to many unpleasant symptoms, such as pain, itching sensations and changes in the appearance of their scars that become dysesthetic, and this throughout their recovery, which can last for months or even years. The specialized centers offer therapies adapted to these patients such as the wearing of compressive clothing, gels, scar massages, orthotics, stretching and postures, etc.; but despite this, patients always complain of the same symptoms. Objective: A systematic review to estimate whether extracorporeal shock waves, as an adjuvant treatment, could significantly decrease the intensity of these symptoms. Methods: The research was conducted on three databases: Pubmed, Cochrane Library and Direct Science. Six randomized clinical trials were selected to study the effects of extracorporeal shock waves, compared to one placebo for four of them, or only conventional therapy for the other two. The three main outcomes were the reduction of pain, the reduction of pruritus and the modification of scar characteristics. Results and analysis: The comparison of the articles shows significant results (p<0.05) concerning the reduction of pain, pruritus and thickness of scars. However, these results are of low quality due to the small number of studies and patients (267 in total) and the risk of significant bias in some studies. For characteristic changes, based on the Vancouver Scar Scale (VSS), the results are not significant neither consistent between studies. Conclusion: The extracorporeal shock waves seem to show an effectiveness in the management of scars of major burns, especially on the reduction of pain and pruritus, but additional studies would be needed to scientifically confirm this result.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03358296
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Submitted on : Wednesday, September 29, 2021 - 11:54:21 AM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Inès Rehimi. Effets des ondes de choc extracorporelles sur la douleur, le prurit et les caractéristiques des cicatrices de patients brûlés graves (2ème degré profond et 3ème degré). Médecine humaine et pathologie. 2021. ⟨dumas-03358296⟩

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