肌内效贴敷治疗小儿胸骨切开术后瘢痕:1例报告

Elizabeth G Harvey
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引用次数: 1

摘要

先天性心脏病患儿术后瘢痕组织粘连的作用及其对运动控制的影响尚未见文献探讨。弹性治疗带,如肌内效带,是用来影响皮肤系统的。本病例报告旨在证明安全性,并介绍使用肌内效贴治疗儿童心内直视手术后瘢痕组织并结合标准康复的观察结果。方法回顾性报道一例婴儿胸骨切开术后瘢痕粘连及大肌肉运动发展情况。胸骨切开术和引流管疤痕在标准物理治疗(PT)的基础上应用肌内效带筋膜进行治疗。几个领域显示出积极的变化。改善了疤痕的活动性和外观。患者的运动技能得到改善,可能是由于皮肤拉伸在运动学习中的作用。贴敷无不适,无不良反应。结论该患儿胸骨切开术瘢痕经6次应用后,附着性和外观均有改善;运动技能在标准PT的存在下也有所提高。该方案没有注意到不良反应。肌内效贴可以作为一种安全的辅助手段来治疗胸骨正中切口瘢痕的瘢痕组织粘连。胸骨切开留下的疤痕会造成生理和心理上的伤害。皮肤上的感受器(感受器)帮助运动和平衡反应。瘢痕硬度(粘连)对婴儿运动控制发育的影响尚未见报道。在重塑阶段用弹性胶带治疗疤痕可以改善疤痕的外观和移动能力,从而促进发育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kinesio taping to address post-sternotomy scars in pediatric patients: A case report
Introduction The role of postoperative scar tissue adhesion and its impact on motor control in infants with congenital heart disease has not been explored in the literature. Elastic therapeutic tapes, such as Kinesio tape, are designed to affect the integumentary system. This case report aims to demonstrate the safety and present the observations following use of Kinesio tape to treat scar tissue in a pediatric patient after open-heart surgery in conjunction with standard rehabilitation. Method This retrospective case report presents observations of an infant's sternotomy scar adhesion and gross motor development after six applications of Kinesio tape. The sternotomy and drain tube scars were treated with Kinesio tape fascia applications in addition to standard physical therapy (PT). Discussion Several domains showed positive changes. The scar mobility and appearance improved. The patient's motor skills improved, possibly due to skin stretch's role in motor learning. The taping application did not cause discomfort, and there were no adverse reactions. Conclusion In this infant, the three-month-old sternotomy scar improved in adherence and appearance after six applications of Kinesio Fingerprint tape; motor skills also increased in the presence of standard PT. There were no adverse reactions noted with the protocol. Kinesio tape may provide a safe adjunct to treat scar tissue adhesion in infants with median sternotomy scars. Lay Summary Issue being explored Sternotomy scars can cause physical and psychological harm. Sensors (receptors) in the skin help with movement and balance responses. The impact of scar stiffness (adhesion) on developing motor control has not been reported in infants. Treating the scar in the remodelling phase with elastic tape may improve the scar's appearance and ability to move, thereby improving development.
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