title: Practice guidelines for the application of nonsilicone or silicone gels and gel sheets after burn injury.
abstract: The objective of this review was to systematically evaluate available clinical evidence for the application of nonsilicone or silicone gels and gel sheets on hypertrophic scars and keloids after a burn injury so that practice guidelines could be proposed. This review provides evidence based recommendations, specifically for the rehabilitation interventions required for the treatment of aberrant wound healing after burn injury with gels or gel sheets. These guidelines are designed to assist all healthcare providers who are responsible for initiating and supporting scar management interventions prescribed for burn survivors. Summary recommendations were made after the literature, retrieved by systematic review, was critically appraised and the level of evidence determined according to Oxford Centre for Evidence-based Medicine criteria.
authors.affiliation: From the *School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; †Centre de recherche, Centre hospitalier de l'Université de Montréal (CRCHUM), Canada; ‡Hôpital de réadaptation Villa Medica, Montreal, Quebec, Canada; §Health Sciences Centre, Winnipeg, Manitoba, Canada; ‖University of California Irvine Medical Center, Orange; ¶Our Lady's Hospice and Care Services, Dublin, Ireland; #Shriners Hospitals for Children, Northern California, Sacramento; **Surgical Services Massachusetts General Hospital, Shriners Hospitals for Children, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts; ††Shriners Hospitals for Children, Galveston, Texas; ‡‡Massachusetts General Hospital, Shriners Hospitals for Children, Spaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston; §§Cincinnati Children's Medical Center, Ohio; and ‖‖McGill University, Montreal, Quebec, Canada.
authors.forename: Bernadette
authors.initials: B
authors.lastname: Nedelec
authors.forename: Alissa
authors.initials: A
authors.lastname: Carter
authors.forename: Lisa
authors.initials: L
authors.lastname: Forbes
authors.forename: Shu-Chuan Chen
authors.initials: SC
authors.lastname: Hsu
authors.forename: Margaret
authors.initials: M
authors.lastname: McMahon
authors.forename: Ingrid
authors.initials: I
authors.lastname: Parry
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Ryan
authors.forename: Michael A
authors.initials: MA
authors.lastname: Serghiou
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Schneider
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Sharp
authors.forename: Ana
authors.initials: A
authors.lastname: de Oliveira
authors.forename: Jill
authors.initials: J
authors.lastname: Boruff
mesh_terms: D002056:Burns / Q000628:therapy*; D017439:Cicatrix, Hypertrophic / Q000517:prevention & control*; D019317:Evidence-Based Medicine; D006801:Humans; D009779:Occlusive Dressings; D017410:Practice Guidelines as Topic; D020034:Silicone Gels / Q000008:administration & dosage*; D016038:Skin Transplantation / Q000379:methods; D014945:Wound Healing
chemical_list: D020034:Silicone Gels