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Pediatr Phys Ther ; 29(1): 90-94, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27984480

RESUMO

PURPOSE: The presence of hypertrophic scars, which cross lower extremity joints, can often result in decreased range of motion, limitations in functional mobility, and gait deviations. This article reviews a case and describes a multimodal treatment approach. SUMMARY OF KEY POINTS: A 6-year-old girl developed aggressive hypertrophic scars following a burn injury. A multimodal treatment approach, including splinting, elastomers, and physical therapy, was developed. CONCLUSIONS: Rapid improvements were demonstrated in measured objective outcomes. RECOMMENDATIONS FOR CLINICAL PRACTICE: Early multimodal intervention, in addition to range of motion, stretching, massage, and compression garments, is recommended when treating hypertrophic scars. This case suggests that further study into a multimodal treatment approach may be beneficial to develop a standardized protocol for more efficient scar management.


Assuntos
Tornozelo , Queimaduras/complicações , Cicatriz Hipertrófica/complicações , Contratura/etiologia , Contratura/reabilitação , Modalidades de Fisioterapia , Criança , Terapia Combinada , Feminino , Humanos , Amplitude de Movimento Articular
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