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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Pathophysiological ConsiderationAge-related changes seen in fascia show some similar characteristics tothose seen in injured fascia such as tangled pathological cross-links, lesscoherent collagen fiber arrangement, under-hydrated and less wavy orcrimped collagen (‘collagen crimp’). Such changes can impact tissue slideand glide, elasticity and mobility, and can impact proprioceptivefunctioning (e.g. balance, motor control and sensory awareness).
HyaluronanThis hydrophilic, viscous lubricant is found throughout fascia, skin and neuraltissue. Hyaluronan (HA) is involved in a variety of physiological and mechanicalfunctions such as wound healing, lubrication, cellular signaling, maintainingosmotic balance and tissue hydration (Liao et al. 2005, Matteini et al. 2009).HA helps reduce the impact of compressive forces in synovial-joint relatedtissues and improves slide/glide between various structural proteins and layers ofadjacent tissue (e.g. between various layers of fascia and between muscle fibers)(McCombe et al. 2001, Stecco et al. 2011). HA and the sliding mechanism willbe covered in greater detail later in this chapter.
- Page 179 and 180: Secondary lymphedemaOccurs as a res
- Page 181 and 182: Self careThose practices and activi
- Page 183 and 184: Selfcare managementResponse to sens
- Page 185 and 186: SensitizationChanges in the PNS or
- Page 187 and 188: SerotoninNeurotransmitter involved
- Page 189 and 190: Shear techniqueA therapeutic loadin
- Page 191 and 192: Skin graftMedical procedure where a
- Page 193 and 194: SomatizationA tendency to experienc
- Page 195 and 196: State anxietyThe experience of unpl
- Page 197 and 198: Stress response adaptationAny of th
- Page 199 and 200: Stress responseAny cognitive, physi
- Page 201 and 202: Substance PA neuropeptide acting as
- Page 203 and 204: Therapeutic environmentEncompasses
- Page 205 and 206: Therapeutic relationshipEncompasses
- Page 207 and 208: Trait anxietyA more intense degree
- Page 209 and 210: TraumaInsult or injury to the physi
- Page 211 and 212: Traumatic scarPathophysiological sc
- Page 213 and 214: ViscoelasticityThe ability of a med
- Page 215 and 216: Nowadays it is common to see massag
- Page 217 and 218: A Reasonable NexusPrecise etiologic
- Page 219 and 220: integration of art and science are
- Page 221 and 222: Diamond M (2012) Scars and adhesion
- Page 223 and 224: General HistologyExtracellular Matr
- Page 225 and 226: Clinical ConsiderationVitamin C has
- Page 227 and 228: Ground substanceGround substance (G
- Page 229: Pathophysiological ConsiderationIn
- Page 233 and 234: Clinical ConsiderationHA and its fr
- Page 236 and 237: Figure 2.1Layers and components of
- Page 238 and 239: Skin HistologyThe skin comprises:
- Page 241 and 242: Figure 2.2The delicate, well-hydrat
- Page 243 and 244: DermisThe dermis is made up of laye
- Page 245 and 246: Fascia Structure and FunctionsIn th
- Page 247 and 248: fundamental characteristic is its c
- Page 249 and 250: tensional properties co-exist in bo
- Page 251 and 252: HistologyFascia comprises:• ECM (
- Page 253 and 254: Clinical ConsiderationManual therap
- Page 255 and 256: Clinical ConsiderationTransforming
- Page 257 and 258: CollagenCollagen is the most abunda
- Page 259 and 260: Clinical ConsiderationSignificant c
- Page 261 and 262: Fascia Layers and FunctionsFascia t
- Page 263 and 264: Clinical ConsiderationSuperficial a
- Page 265: Clinical ConsiderationWhen thickene
- Page 268 and 269: LinkingLinking fascia is sub-divide
- Page 270 and 271: FascicularFascicular fascia augment
- Page 272 and 273: Clinical ConsiderationMuscle spindl
- Page 274 and 275: SeparatingSeparating fascia provide
- Page 276 and 277: Clinical ConsiderationFascia suppor
- Page 278 and 279: Andrade C-K (2013) Outcome-based ma
Hyaluronan
This hydrophilic, viscous lubricant is found throughout fascia, skin and neural
tissue. Hyaluronan (HA) is involved in a variety of physiological and mechanical
functions such as wound healing, lubrication, cellular signaling, maintaining
osmotic balance and tissue hydration (Liao et al. 2005, Matteini et al. 2009).
HA helps reduce the impact of compressive forces in synovial-joint related
tissues and improves slide/glide between various structural proteins and layers of
adjacent tissue (e.g. between various layers of fascia and between muscle fibers)
(McCombe et al. 2001, Stecco et al. 2011). HA and the sliding mechanism will
be covered in greater detail later in this chapter.
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