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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Clinical ConsiderationIt is suggested that alterations in HA amount and organization may play arole in tissue changes (e.g. tissue softening and improved slide/glide)following fascial manipulations (Evanko & Wight 1999).
Clinical ConsiderationHA and its fragments may play crucial roles in the skin wound-healingprocess by modulating the expression of fibroblast genes involved inremodeling and repair of ECM (David-Raoudi et al. 2008).Collectively the ECM defines the shape and form of our cells. It provides aframework to which the cells can adhere, move about in and communicatethrough. The ECM creates a medium by which appropriate balance can bemaintained between porosity, hydration and ionic environment, thus allowingnutrients and metabolites to diffuse freely into and out of our cells. The ECMacts as an immune barrier. It is also a repository for metabolites and toxins, andfor storing fat.The ECM plays an important role in wound healing and repair. It serves as arepository for signaling molecules and mediates signals from other cells topromote cell proliferation and differentiation.The ECM is responsive to mechanical strain and tensional loading (tissuedeformation). Mechanical forces exert influence on the tissue structural elements(microfilaments) and the molecular composition of the ECM (Benjamin &Ralphs 1998, Milz et al. 2005). Strain type, degree, direction and duration caninfluence ECM composition and impact fibroblast functions that guide healingand adaptation responses (Purslow 2002, Ingber 2003, Standley & Meltzer 2008,Stecco et al. 2009, Blechschmidt & Gasser 2012). The clinical relevance of thisfeature of the ECM will be noted throughout this book.One of the mechanisms by which cells sense changes in mechanicalstrain/tensional load is via specialized (matrix adhered) transmembrane receptors(integrins). Integrins play a role in defining cellular shape, mobility, regulatingthe cell cycle and mediating cell-to-cell and cell-to-ECM signals. Via integrins,mechanical stimulus can evoke a biochemical response, which, in turn, cantrigger a variety of cellular responses and activities. Conversion of mechanicalstimulus into biochemical response is called mechanotransduction. The integrin–mechanotransduction communication system works much faster than neurally
- 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 and 230: Pathophysiological ConsiderationIn
- Page 231: HyaluronanThis hydrophilic, viscous
- 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
- Page 280 and 281: Ingber D (2008) Tensegrity and mech
Clinical Consideration
It is suggested that alterations in HA amount and organization may play a
role in tissue changes (e.g. tissue softening and improved slide/glide)
following fascial manipulations (Evanko & Wight 1999).
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