PMID- 31733765
OWN - NLM
STAT- MEDLINE
DCOM- 20200630
LR  - 20200630
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 23
IP  - 4
DP  - 2019 Oct
TI  - Soft tissue mobilization techniques in treating chronic abdominal scar tissue: A 
      quasi-experimental single subject design.
PG  - 805-814
LID - S1360-8592(19)30123-8 [pii]
LID - 10.1016/j.jbmt.2019.04.010 [doi]
AB  - INTRODUCTION: Roughly 17 million abdominal surgeries are performed annually in 
      the U.S. Up to 17% of those may be readmitted for adhesion related problems. This 
      study evaluated the effectiveness of soft tissue mobilization (STM) techniques at 
      improving chronic pain, mobility restrictions and functional deficits following 
      complex abdominal surgery. METHODS: Subjects Two females aged 51 and 65. DESIGN: 
      Single subject quasi-experimental A-B-A. INTERVENTION: Four 30-min treatment 
      sessions of abdominal tissue mobilizations. Outcome measures Pain pressure 
      threshold (PPT) and average scar mobility (ASM), Numeric Pain Rating Scale 
      (NPRS), and the Oswestry Disability Index (ODI). RESULTS: Subject 1 ASM and PPT 
      of the abdomen improved significantly and exceeded the established standard error 
      of measurement (SEM). PPT of the scar decreased during the second baseline. This 
      decrease exceeded the SEM for PPT but was not statistically significant. The 
      changes in NPRS did not reach the minimal clinically important difference (MCID). 
      Subject 2 abdominal PPT and ASM showed statistically significant improvements 
      that exceeded their SEMs. Scar PPT showed improvement during the repeat baseline, 
      however, this reached neither statistical significance nor the SEM. CONCLUSIONS: 
      Scar mobility and abdominal PPT improved both statistically and clinically in 
      both subjects after only 4 sessions of STM. Scar pain measured by NPRS and PPT 
      did not show significant improvement. This study demonstrated that STM can be an 
      effective way to treat chronic abdominal scars by increasing scar mobility and 
      reducing abdominal sensitivity to pressure. It is non-invasive, and is a less 
      costly alternative to laparoscopic adhesiolysis.
CI  - Copyright (c) 2019. Published by Elsevier Ltd.
FAU - Kelly, Ryan C
AU  - Kelly RC
AD  - Franklin Pierce University, Performance Health Sport & Spine Therapy, 30 Spruce 
      St. Concord, NH, 03301, USA. Electronic address: 
      Kellyr16@live.franklinpierce.edu.
FAU - Armstrong, Michelle
AU  - Armstrong M
AD  - Atrium Health, Charlotte, NC, USA.
FAU - Bensky, Alyssa
AU  - Bensky A
AD  - Atrium Health, Charlotte, NC, USA.
FAU - Foti, Abigail
AU  - Foti A
AD  - Franklin Pierce University, Manchester, NH, USA.
FAU - Wasserman, Jennifer B
AU  - Wasserman JB
AD  - Franklin Pierce University, Manchester, NH, USA.
LA  - eng
PT  - Journal Article
DEP - 20190604
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - Abdomen
MH  - Aged
MH  - Cicatrix/*therapy
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Pain
MH  - Pain Management
MH  - Pain Threshold
MH  - Therapy, Soft Tissue/*methods
OTO - NOTNLM
OT  - Abdomen
OT  - Fascia
OT  - Massage
OT  - Scar
EDAT- 2019/11/18 06:00
MHDA- 2020/07/01 06:00
CRDT- 2019/11/18 06:00
PHST- 2019/04/10 00:00 [received]
PHST- 2019/04/22 00:00 [accepted]
PHST- 2019/11/18 06:00 [entrez]
PHST- 2019/11/18 06:00 [pubmed]
PHST- 2020/07/01 06:00 [medline]
AID - S1360-8592(19)30123-8 [pii]
AID - 10.1016/j.jbmt.2019.04.010 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2019 Oct;23(4):805-814. doi: 10.1016/j.jbmt.2019.04.010. Epub 
      2019 Jun 4.