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Effect of orange polarized light on post burn pediatric scar: a single blind randomized clinical trial
Nesrein A Abd Elrashid1, Doaa A Sanad2, Noha F Mahmoud3,4
1Department of Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
Insights
Orange filtered polarized light significantly improved pediatric burn scars. This therapy, combined with standard scar management, showed better results than standard care alone for hypertrophic scars in children.
Area of Science:
- Dermatology
- Photomedicine
- Pediatric Scarring
Background:
- Hypertrophic burn scars are common in pediatric patients.
- Effective treatment options for pediatric burn scars are crucial for improving patient outcomes.
- Current standard scar management (SSM) protocols may not fully address scar severity.
Purpose of the Study:
- To investigate the therapeutic effect of orange filtered polarized polychromatic light on pediatric post-burn scars.
- To compare the efficacy of SSM plus orange filtered polarized light versus SSM alone.
- To evaluate changes in scar characteristics using the Vancouver Scar Scale (VSS).
Main Methods:
- Thirty pediatric patients (3-7 years) with hypertrophic burn scars were enrolled.
- Participants were randomized into a control group (SSM) and a study group (SSM + orange filtered polarized light).
- Treatment was administered thrice weekly for one month, with scar assessment before and after the intervention using VSS.
Main Results:
- Both groups showed scar improvement, but the study group exhibited significantly better outcomes.
- Orange filtered polarized light demonstrated a beneficial effect in reducing the severity of pediatric burn scars.
- The VSS scores indicated a statistically significant difference favoring the group receiving the specialized light therapy.
Conclusions:
- Orange filtered polarized light is a beneficial adjunct therapy for pediatric hypertrophic burn scars.
- This phototherapy approach offers a promising non-invasive option for scar management in children.
- Further research may explore optimal parameters and long-term effects of this treatment modality.
Abstract:
[Purpose] This study was carried out to investigate the effect of orange filtered polarized polychromatic light on post burn pediatric scar. [Participants and Methods] Thirty children with post burn scar in wrist and hands participated in this study. They were between 3 to 7 years old, having hypertrophic burn scar ≥2 months post healing, free from concomitant skin disease and keloids. They were randomly assigned into two groups. The control group (A) (n=15) received Scar Standard Management (SSM) protocol and the study group (B) (n=15) received SSM protocol along with 15 min/area polarized light with medical range filter followed by 15 min/area orange filtered polarized light. All children received the study protocol once a day, 3 times/week for one month. Scar assessment was done before and after the study protocol by using Vancouver Scar Scale (VSS). [Results] All participated children were analyzed. Comparison of post treatment results between groups revealed significant improvement of post burn scar for both groups with significant difference in favor to the study group. [Conclusion] Ultimately it was revealed that Orange filtered polarized light has a special and beneficial effect on decreasing post burn pediatric scar.
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