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You have full access to this open access chapter. The rehabilitation of burns and scars depends on the maturation of the scar tissue. During the inflammation stage, all the risks of scar contracture and functional scar sequelae happen. The therapists must anticipate and prevent the possible consequences of an immature tissue. Besides the postures and the correct positioning with specific splints, manual massages are part of scar treatment.
They have to be applied by specialized therapists around the scar at first and progressively on the scar or burn scar while respecting the fragility and inflammation of the tissue. The most important being in the choice of the technique is to respect the cutaneous inflammation. You have full access to this open access chapter, Download chapter PDF. Scar massages are used to improve skin qualities in terms of flexibility, adhesions, pruritus, and pain. The specific techniques are not always mastered by all the therapists.
Indeed pathological scars can appear following strong massage movements or too long sessions during the inflammation stage. The techniques must be controlled and take into account the inflammation, the appearance, and the localization of the scar. Care of the burn skin and scars requires specific treatments to reduce and control the inflammation stage and its consequences [ 1 , 2 ]. Adapted rehabilitation technique restores flexibility and limits esthetic and functional sequelae.
The treatment will progress and be adapted throughout the scar maturation process. Several specific manual massages are part of the treatment but have to be applied respecting the inflammation, the fragility, and the localization of the scar [ 3 , 4 , 5 ].
Manual massages allow to improve cutaneous mobility compared with the deep plan and its elasticity. They are indicated on burn scars but also in case of traumatic or surgical scars [ 6 ]. They can be started as soon as the scar tissue is epidermized and solid and allows to support specific manual techniques. The massages are contraindicated when the tissue is thin and hyper-inflammatory. When the skin is fragile and presents a vitropression test less than 1.