Summary: | 碩士 === 高雄醫學大學 === 運動醫學系碩士在職專班 === 106 === Post-surgery scar tissue, or hypertrophic scar, may cause a lot of discomfort and hinder the patient''s movement. In the post-operative patient group that the researchers contacted and observed in the Chinese acupuncture and moxibustion clinics, it was found that in addition to postoperative pain, joint mobility limitation, surgical site swelling, contracture, pigmentation are generally existed. This study was to investigate the effect of acupressure on the postoperative scar tissue of Chinese medicine meridian points.
The assessment method is questionnaire and joint angle measurement. The assessment method is based on the Vancouver scar scale (VSS) combined with VAS to assess the pain level, plus the deformation of the affected joint Range of motion (ROM).
In this study, a total of 25 subjects were enrolled in the study. The standard of acceptance is that after the skeletal/muscle/joint disease is treated by surgery, the wound has healed, and the scar tissue is tight and swollen, the joint mobility is limited, and the tissue pigmentation is present. Exclusion conditions were those with poor bone healing after surgery and keloid at the wound site. The evaluation scale was used by the outpatient physician before the execution of the stimulation therapy of the meridian acupoints and after three months of treatment using the evaluation scale.
The results of the study showed that acupoint stimulation can improve: 1. scar tissue pigmentation, 2. tissue vascularity, 3. tissue compliance and 4. pain level (VAS). There were significant differences in the above, and the effect on joint mobility (ROM) was not significant. Based on this research, it is possible to provide a reference for the evaluation and treatment of scar tissue after surgery. A group: only received TCM acupoint stimulation treatment; B group: Simultaneously received acupoint stimulation therapy and physical therapy of rehabilitation department.
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