Shock Wave Therapy Versus Conventional Physical Therapy for Partial- Thickness Forearm Burn Scars

Ultrasonography has emerged as a valuable tool in the assessment and monitoring of scar tissue characteristics, allowing for non-invasive evaluation of tissue composition, vascularity, and changes over time. This imaging modality provides critical insights into the healing process, facilitating more informed therapeutic decisions8. Shock wave therapy has gained attention in recent years as a novel treatment option for scar management. It utilizes acoustic waves to stimulate tissue regeneration, enhance blood flow, and promote collagen remodeling, potentially leading to improved scar quality9. In contrast, traditional physical therapy remains a cornerstone of rehabilitation post-burn, focusing on restoring function, reducing pain, and improving mobility through various modalities, including stretching, strengthening, and manual therapy techniques 10. This research addresses the limited exploration of the comparative effectiveness of shock wave therapy versus traditional physical therapy in treating partial thickness burn scars on the forearm. By utilizing a prospective randomized clinical trial design, the study aims to provide substantial evidence regarding the efficacy of these two treatment modalities. The primary focus is to evaluate the impact of both therapies on scar characteristics, specifically examining changes in echogenicity, vascularity, and overall morphology through ultrasonography before and after treatment. Additionally, the study seeks to compare patient-reported outcomes related to scar appearance, pain, and functional abilities between the two groups, ultimately contributing to the development of improved treatment protocols for burn scars.