Scar Management in Hand Therapy – is our Practice Evidence Based?

Abstract

Hand therapists use a range of interventions for the management of scars in order to maintain tissue mobility and joint motion for effective hand function. This is well supported within the literature, however it is also suggested that there is a poor evidence base for the treatments that are so widely accepted by clinicians. A review of the recent literature and research findings was conducted in an attempt to evaluate the effectiveness of the modalities being used. Research in support of some of the techniques utilised within scar management programmes is limited, with anecdotal evidence and clinical experience continuing to prevail in the choice of treatment. Clinicians need a more credible evidence base to support their interventions and further large-scale research is required.