title: Identification of viscoelastic parameters of skin with a scar in vivo, influence of soft tissue technique on changes of skin parameters.
abstract: The goal of the experiment was to develop an identification method capable of objective detection of changes of viscoelastic properties of skin with a scar remaining after a modified radical mastectomy. We compared the intact skin and the skin with a scar, a scar before and after physiotherapy. We used two methods. The first one is based on measurements of the local dynamic deformation response of the skin and the second one is the matrix identification of static deformation that identifies properties of the whole tested region of the explored tissues. We identified the skin stretchability, shiftability against deeper layers and deeply analysed both the methods. In some patients, we found statistically proven difference. In all these cases the measurement methods have detected changes of the observed tissue condition. We found both methods to be potentially applicable after further improvements as a diagnostic tool, which can contribute to the improvement of postoperative care of patients.
authors.affiliation: Department of Anatomy and Biomechanics, Faculty of Sport and Physical education Charles University, Prague, Czech Republic. h.vranova@centrum.cz
authors.forename: Hana
authors.initials: H
authors.lastname: Vránová
authors.forename: Josef
authors.initials: J
authors.lastname: Zeman
authors.forename: Zdenek
authors.initials: Z
authors.lastname: Cech
authors.forename: Stanislav
authors.initials: S
authors.lastname: Otáhal
mesh_terms: D002921:Cicatrix / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D004548:Elasticity; D005260:Female; D006801:Humans; D015411:Mastectomy, Modified Radical; D008954:Models, Biological; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D012212:Rheology / Q000295:instrumentation / Q000379:methods*; D012867:Skin; D016474:Weight-Bearing