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Volume 7, Issue 6 (Suppl) J Nov Physiother
ISSN: 2165-7025 JNP, an open access journal Physiotherapy 2017
November 27-29, 2017
November 27-29, 2017 Dubai, UAE
5 th International Conference on
Physiotherapy
Negative pulsed controlled pressure mechanotherapy in skin grafts: A case report
Manuel Garabal Miguel2 Kevin Federico Diaz Monge1, Laia Peña Morillas 1, and Jorge Aguilera-Sáez 3
1Insituto Saló Darder, Spain
2Clínica Garabal, Spain
3Vall d'Hebron University Hospital, Spain
Massage is a treatment approach in burnt skin grafts in order to avoid the collagen bundles, soften the tissue, prevent
adhesions and desensitize the skin. Limitations are pain, discomfort, skin irritation, pressure and high frequency
required. Negative pulsed controlled pressure mechanotherapy (NPCPM) could solve these. Physium System® is a medical
device of NPCPM that mobilize tissues in different depths improving elasticity, edema reduction and desensitization of the
grafted skin without pain. 16-year old woman with 2ndand 3rd degree burns on the back, gluteal area, left flank, thigh and
leg, both mammary glands and heels, covering the 17% of the total body surface. Partial loss of the left auricular pavilion and
deep temporal fascia. Homo skin grafts used to cover these areas with 45 days of hospitalization. At day 90, patient started
NPCPM treatment. POSAS (The Patient and Observer Scar Assessment Scale) was assessed for measuring scar quality by the
observer and patient: sum of 6 items from 1 to 10; VAS scale for pain. These were used in follow up at visit 1, 5 and 10 followed
by registration of goniometry. At each follow up, treatment timing and pressure of NPCPM expressed in millibar (mbar) are
stated. Results were in 10 NPCPM sessions. Visit 1 (26 min/50 mbar): VAS 7, POSAS Observer (POSAS_O): 50/60, POSAS
Patient (POSAS_P): 59/60; hip internal rotation (IR) 10º/adduction 15º, spine flexion (SF) 15º. Visit 5 (43 min/70 mbar): VAS
5, POSAS_O:31/60, POSAS_P:45/60; hip IR 45º/adduction 40º, SF 38º. Visit 10 (60 min/ 90-100 mbar): VAS 3, POSAS_O:
26/60, POSAS_P: 31/60; hip and spine with normal range of motion (ROM). Thus, Physium System® is a safe medical device
which can normalize the ROM, skin appearance and sense without pain in less treatment frequency. This could be a new
treatment approach in skin grafted patients.
Biography
Manuel Garabal Miguel has completed his PhD from Alfonso X El Sabio University, UCM in Spain. Private Clinic Exercise ,Ph. Professional cycling Teams and
Official Ph. “Vuelta Ciclista a España” for 15 years, Official Ph. “Madrid en Danza 2015,2016,2017”, Responsible-organizer of the Physiotherapy Area of the
international sporting events of the Olympic candidacy of Madrid 2012 y 2016, introduces in Spain and Europe the technique of Kinesiotape in 1989, President
of the Spanish Association of Shiatsu Specialists for 20 years, Shiatsu Teacher from 1987, ChD, In 1995 performs the foot and ankle rehabilitation protocols
operated by minimal incision surgery for The Academy of Ambulatory Foot and Ankle surgery (USA). Biomechanics collaborator for Adidas Padel for your products,
member of the Spanish Society of Ultrasound in Physiotherapy, member of the Physium System Scientific Committee, member of the Spanish Association of
Physiotherapists and the Official College of Physiotherapists of Madrid
Manuel Garabal Miguel ., J Nov Physiother 2017, 7:6(Suppl)
DOI: 10.4172/2165-7025-C1-021