- Page 2 and 3:
Traumatic Scar Tissue ManagementMas
- Page 4:
Letter to NKS - from Camp Amigo cam
- Page 7 and 8:
Important noticeNeither the publish
- Page 9 and 10:
FOREWORDEveryone has scars: visible
- Page 11 and 12:
stories about how basic massage the
- Page 13 and 14:
to the events that resulted in the
- Page 15 and 16:
PREFACEMore people are surviving tr
- Page 17 and 18:
and
- Page 19 and 20:
ACKNOWLEDGEMENTSA thank you to the
- Page 21 and 22:
Lastly, thank you, the reader; the
- Page 23 and 24:
GLOSSARY AND KEY CONCEPTSAll the wo
- Page 25 and 26:
AdhesionsScar-like tissue that form
- Page 27 and 28:
Alphabet techniquesCs, Js, and Ss -
- Page 29 and 30:
AngiogenesisGrowth of new blood ves
- Page 31 and 32:
AponeurosesDense, sheet-like fascia
- Page 33 and 34:
Autonomic balanceHomeostatic and co
- Page 35 and 36:
BarrierIs defined as the point wher
- Page 37 and 38:
Best research evidenceThe best avai
- Page 39 and 40:
Body AwarenessConscious, attentiona
- Page 41 and 42:
BradykininInflammatory mediator - a
- Page 43 and 44:
Capsular contractureEnvelopment of
- Page 45 and 46:
ChemokinesSmall molecules released
- Page 47 and 48:
CicatrixAnother term for scar - the
- Page 49 and 50:
Collagen crimpThe wavy formation se
- Page 51 and 52:
Compassion fatigueThe profound emot
- Page 53 and 54:
Compression techniqueA therapeutic
- Page 55 and 56:
Consolidated edemaChronic stage ede
- Page 57 and 58:
CortisolHormone released in respons
- Page 59 and 60:
CreepA time-dependent response of v
- Page 61 and 62:
DebridementRemoval of foreign mater
- Page 63 and 64:
Degloving injuryA form of avulsion
- Page 65 and 66:
DermatomeAreas of skin supplied by
- Page 67 and 68:
Direct release techniqueCommonly us
- Page 69 and 70:
Dry needlingA procedure involving i
- Page 71 and 72:
Empathy strainA healthcare provider
- Page 73 and 74:
EndoneuriumFascia surrounding indiv
- Page 75 and 76:
Endothelial cellsSimple squamous ce
- Page 77 and 78:
EndoscopeAn instrument that is used
- Page 79 and 80:
EpidermisThe tough, outermost layer
- Page 81 and 82:
EpineuriumOutermost covering of fas
- Page 83 and 84:
Epithelial cellsCells that line the
- Page 85 and 86:
FasciaFibrocollagenous CT, its morp
- Page 87 and 88:
FibrinFibrous protein involved bloo
- Page 89 and 90:
FibroblastsSynthesize the component
- Page 91 and 92:
FibrosisA process culminating in th
- Page 93 and 94:
Fluid techniquesTechniques employed
- Page 95 and 96:
Gentle circles techniqueCircular mo
- Page 97 and 98:
Gross stretch techniqueCombination
- Page 99 and 100:
HomeostasisState of physiological e
- Page 101 and 102:
HyperalgesiaHeightened pain sensati
- Page 103 and 104:
HyperexcitationNeurons firing too e
- Page 105 and 106:
Hypertrophic scarA thickened, red a
- Page 107 and 108:
HysteresisA property of systems (ti
- Page 109 and 110:
Indirect release techniqueMechanica
- Page 111 and 112:
Informed consentProcess involving t
- Page 113 and 114:
Intense versus invasiveAn important
- Page 115 and 116:
InteroceptionIncludes a wide range
- Page 117 and 118:
KeratinA structural protein that pr
- Page 119 and 120:
KininsPeptides (e.g. bradykinin) pr
- Page 121 and 122:
Linking fasciaPlays a role in augme
- Page 123 and 124:
Lymph nodesFilter and clean the lym
- Page 125 and 126:
LymphangiogenesisFormation of new l
- Page 127 and 128:
Lymphatic drainageThe movement of f
- Page 129 and 130:
Lymphatic returnVolume of lymph ret
- Page 131 and 132:
Lymphatic transportThe movement of
- Page 133 and 134:
Lymphatic vesselsTri-laminar vessel
- Page 135 and 136:
LymphocyteThe main cell type found
- Page 137 and 138:
MacrophageA type of phagocytic whit
- Page 139 and 140:
MastectomySurgical removal of all b
- Page 141 and 142:
MechanotransductionThe mechanism by
- Page 143 and 144:
MucopolysaccharidesSee GAGs.Myofasc
- Page 145 and 146:
Nerve receptorsNerve terminations t
- Page 147 and 148:
NeurofasciaTri-laminar, continuous
- Page 149 and 150:
Neuropathic painPain due to damage
- Page 151 and 152:
NeuropeptidesSignaling molecules th
- Page 153 and 154:
NociceptionThreatening stimuli acti
- Page 155 and 156:
Nociceptive painPain that arises fr
- Page 157 and 158:
OxytocinHormone that plays role in
- Page 159 and 160:
ParesthesiaAltered sensations; e.g.
- Page 161 and 162:
Peripheral sensitizationIncreased r
- Page 163 and 164:
PerineuriumFascia surrounding/inves
- Page 165 and 166:
Pitting edemaAn edematous region wh
- Page 167 and 168:
Proprioceptive disinformationRecept
- Page 169 and 170:
Provisional matrixDuring the early
- Page 171 and 172:
Pumping techniqueA lymphatic techni
- Page 173 and 174:
Referred painPain perceived at a lo
- Page 175 and 176:
RetinaculaeDense fascial bands that
- Page 177 and 178:
ScarMark left in various tissues or
- 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 and 230:
Pathophysiological ConsiderationIn
- Page 231 and 232:
HyaluronanThis hydrophilic, viscous
- 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
- Page 280 and 281: Ingber D (2008) Tensegrity and mech
- Page 282 and 283: tendons: organisation in vivo and r
- Page 284 and 285: Zorn A, Hodeck K (2011) Walk with e
- Page 286 and 287: Discovery of the Lymphatic SystemTh
- Page 288 and 289: Hematic SystemThe heart, blood vess
- Page 290 and 291: Lymphatic System Structure and Func
- Page 292 and 293: Clinical ConsiderationNerves, blood
- Page 295: Figure 3.1Lymph tissue structure.In
- Page 298 and 299: Lymphoid OrgansThe lymphoid organs
- Page 300 and 301: ThymusThe thymus is a lymphoid glan
- Page 302 and 303: Lymphatic Drainage and TransportIn
- Page 304 and 305: SuperficialThe superficial layer is
- Page 306: Primary upper lymphatic structuresT
- Page 311 and 312: Left side lymphatic drainageThe lef
- Page 313 and 314: Lymphatic System FunctionsA brief o
- Page 316 and 317: Fig 3.5Brain lymphatic vessels.Give
- Page 318: ImmunityLymph nodes play an importa
- Page 321 and 322: Wound HealingAs with the blood vasc
- Page 323 and 324: Clinical ConsiderationFour continuo
- Page 325 and 326: Lymphatic InadequacyInadequacy in t
- Page 327 and 328: EdemaEdema - the medical term for s
- Page 329 and 330: Lymphatic treatment protocols will
- Page 331 and 332: CHAPTER 4NeurologyEach human nervou
- Page 333: NS StructureThe human NS comprises
- Page 337 and 338: Figure 4.1B Functional composition
- Page 339 and 340: Pathophysiological ConsiderationWhe
- Page 341 and 342: Figure 4.2Dorsal and ventral compon
- Page 344 and 345: Figure 4.3Neuron anatomy: most neur
- Page 346 and 347: Figure 4.4Classic axon to dendrite
- Page 349: Figure 4.6PNS efferent (motor) and
- Page 352 and 353: Clinical ConsiderationPSNS afferent
- Page 354 and 355: Clinical ConsiderationSNS activatio
- Page 357 and 358:
Figure 4.8Anterior and posterior di
- Page 360 and 361:
Figure 4.9Neurofascial envelopes.
- Page 362 and 363:
Pathophysiological ConsiderationA n
- Page 364 and 365:
Clinical ConsiderationThere is an e
- Page 366 and 367:
Clinical ConsiderationDiane Jacobs
- Page 368 and 369:
Clinical ConsiderationIt appears th
- Page 370 and 371:
Clinical ConsiderationAlthough musc
- Page 372 and 373:
Clinical ConsiderationThe form of s
- Page 374 and 375:
Example 2Ruffini stimulation result
- Page 376 and 377:
Table 4.1Summary of receptor typolo
- Page 378 and 379:
• Therapeutic outcome include enh
- Page 380 and 381:
NS FunctionThe primary functions of
- Page 382 and 383:
Clinical ConsiderationMechanorecept
- Page 384 and 385:
Clinical ConsiderationIn addition t
- Page 386 and 387:
Clinical ConsiderationManual techni
- Page 388 and 389:
large enough, a voltage spike is pr
- Page 390 and 391:
PathophysiologicalconsiderationUnde
- Page 392 and 393:
Table 4.2Important pain terms. Vari
- Page 394 and 395:
Clinical ConsiderationAccording to
- Page 396 and 397:
disorders (diabetes mellitus), drug
- Page 398 and 399:
forms of negative plasticity includ
- Page 400 and 401:
Central and peripheral sensitizatio
- Page 402 and 403:
Clinical ConsiderationFollowing per
- Page 404 and 405:
ExampleHypersensitive nerves (assoc
- Page 406 and 407:
Example 1Hypersensitized nerve fibe
- Page 408 and 409:
Clinical ConsiderationIt is suggest
- Page 410 and 411:
Clinical ConsiderationNeuropathic p
- Page 412 and 413:
Wound HealingThe NS plays an import
- Page 414 and 415:
Clinical ConsiderationNeural and ci
- Page 416 and 417:
Compression SyndromesAlthough perip
- Page 418 and 419:
Pathophysiological ConsiderationIf
- Page 420 and 421:
Pathophysiological ConsiderationUni
- Page 422 and 423:
Clinical ConsiderationAs is the cas
- Page 424 and 425:
Pathophysiological ConsiderationFas
- Page 426 and 427:
Damasio AR, Grabowski TJ, Bechara A
- Page 428 and 429:
Magee DJ (2008) Orthopedic physical
- Page 430 and 431:
Stecco C, Porzionato A, Macchi V et
- Page 432 and 433:
CHAPTER 5Wound healing and scarsNev
- Page 434 and 435:
Wound HealingWound healing, a compl
- Page 436 and 437:
Table 5.1Stages of wound healing
- Page 438:
Clinical ConsiderationBecause thera
- Page 441 and 442:
fibroblast growth factor (FGF), epi
- Page 443 and 444:
Clinical ConsiderationDuring wound
- Page 445 and 446:
Clinical ConsiderationAlthough the
- Page 447 and 448:
Pathophysiological ScarsPathophysio
- Page 450 and 451:
Figure 5.3Adapted from Huang et al.
- Page 452 and 453:
Pathophysiological considerationFib
- Page 454 and 455:
Table 5.2Important pathophysiologic
- Page 456 and 457:
According to Klingler (2012):… pa
- Page 458 and 459:
Table 5.3Scar types and related ter
- Page 460 and 461:
unyielding or pliable and mobile. R
- Page 462 and 463:
Prolonged InflammationInflammation
- Page 464 and 465:
ImmobilizationThe impact of immobil
- Page 467 and 468:
Figure 5.4The fall-out associated w
- Page 469 and 470:
Clinical ConsiderationHere we see t
- Page 471 and 472:
Pathophysiological ConsiderationAcc
- Page 473 and 474:
Pathophysiological ConsiderationNeu
- Page 475 and 476:
The diverse biological effects of N
- Page 477 and 478:
Clinical ConsiderationCareful appli
- Page 479 and 480:
Clinical ConsiderationSome patholog
- Page 481 and 482:
Pathophysiological ConsiderationSom
- Page 483 and 484:
compressive effect in the keloidal
- Page 485 and 486:
alterations in the mechanical envir
- Page 487 and 488:
Clinical ConsiderationMechanical fo
- Page 489 and 490:
Table 5.4Role of neuropeptides (NP)
- Page 491 and 492:
Fitch P (2005) Scars of life. Journ
- Page 493 and 494:
Langevin HM (2006) Connective tissu
- Page 495 and 496:
active scars. Journal of Bodywork a
- Page 497 and 498:
trauma.
- Page 499 and 500:
Clinical ConsiderationPostsurgical
- Page 501 and 502:
following burn injury,bacterial col
- Page 503 and 504:
Table 6.1Comparison of scars (Ogawa
- Page 505 and 506:
Pathophysiological ConsiderationAcc
- Page 507 and 508:
BurnsA burn injury to the skin or o
- Page 510 and 511:
Figure 6.1Depth of burn trauma and
- Page 512 and 513:
• Stimulate ECM formation• Regu
- Page 514 and 515:
Clinical ConsiderationIt has been i
- Page 516 and 517:
Clinical ConsiderationMT may be a v
- Page 518 and 519:
ThermoregulationThermoregulation (t
- Page 520 and 521:
from the tissues and taken up by th
- Page 522 and 523:
treatment strategies are difficult
- Page 524 and 525:
Clinical ConsiderationSkin rolling
- Page 526 and 527:
Sequelae and ComplicationsAdvances
- Page 528 and 529:
• Paresthesia - 47%• Arm/should
- Page 530 and 531:
breast or around the edge of the ar
- Page 532 and 533:
Radiation scarringScar tissue as a
- Page 534 and 535:
Implants and painPain of fluctuatin
- Page 536 and 537:
LymphedemaBreast cancer treatment o
- Page 538 and 539:
volume of fluid that accumulates or
- Page 540 and 541:
OneTwoThreeCommonly referred to as
- Page 542 and 543:
myokinetic chain/myofascial meridia
- Page 544:
• Loss of touch sensation• Clum
- Page 548 and 549:
Figure 6.3Distribution of nerves in
- Page 550 and 551:
include preservation of as much of
- Page 552 and 553:
complication is present there is de
- Page 554 and 555:
Clinical ConsiderationScar complica
- Page 556 and 557:
BreastCancer.org (2015c) Side Effec
- Page 558 and 559:
323-9.Kania A (2012) Scars. In: Dry
- Page 560 and 561:
Slemp AE, Kirschner RE (2006) Keloi
- Page 562 and 563:
scar tissue, while being mindful of
- Page 564 and 565:
Physiological ResponseAs discussed
- Page 566 and 567:
• The realization that one is abo
- Page 568 and 569:
Stress Response and Stress Hormones
- Page 570 and 571:
dissociation and inner shakiness) (
- Page 572:
Figure 7.1(A) Summary of the HPA me
- Page 575 and 576:
Chronic Stress ResponseChronic stre
- Page 577 and 578:
Pathophysiological ConsiderationChr
- Page 579 and 580:
Clinical ConsiderationProlonged str
- Page 581 and 582:
Psychological Stress and Wound Heal
- Page 583 and 584:
Pathophysiological ConsiderationNor
- Page 585 and 586:
Pathophysiological ConsiderationStr
- Page 587 and 588:
Clinical ConsiderationAccording to
- Page 589 and 590:
Clinical ConsiderationEvidence sugg
- Page 591 and 592:
Clinical ConsiderationAccording to
- Page 593 and 594:
Clinical ConsiderationThe effects o
- Page 595 and 596:
Stress DisordersFollowing a traumat
- Page 597 and 598:
Clinical ConsiderationThe Task Forc
- Page 599 and 600:
Clinical ConsiderationCertainly it
- Page 601 and 602:
ASD symptoms include (DSM-V 2013):
- Page 603 and 604:
Box 7.1Why do medical events potent
- Page 605 and 606:
Rehabilitation and reintegrationThi
- Page 607 and 608:
Pathophysiological ConsiderationAcc
- Page 609 and 610:
Clinical ConsiderationAccording to
- Page 611 and 612:
DissociationDissociation is describ
- Page 613 and 614:
Clinical ConsiderationAccording to
- Page 615 and 616:
not only does the brain carry memor
- Page 617 and 618:
Clinical ConsiderationAccording to
- Page 619 and 620:
Somatoemotional ResponseDuring trea
- Page 621 and 622:
• If the client asks what happene
- Page 623 and 624:
Clinical ConsiderationWorking with
- Page 625 and 626:
Given the impact of trauma on the b
- Page 627 and 628:
Clinical ConsiderationAccording to
- Page 629 and 630:
The Massage Therapist and TraumaThe
- Page 631 and 632:
Bordoni B, Zanier E (2014) Skin, fa
- Page 633 and 634:
Foex (2013) Surgical Tutor UK Avail
- Page 635 and 636:
Kutner JS, Smith MC, Corbin L et al
- Page 637 and 638:
Schmidt NB, Richey JA, Zvolensky MJ
- Page 639 and 640:
CHAPTER 8Communication and the ther
- Page 641 and 642:
The Therapeutic RelationshipThe the
- Page 643 and 644:
Needs assessment, treatment plannin
- Page 645 and 646:
Clinical ConsiderationIt is importa
- Page 647 and 648:
Therapeutic Closeness and Vulnerabi
- Page 649 and 650:
BoundariesOver the course of our li
- Page 651 and 652:
Box 8.1Aside from obvious sexually
- Page 653 and 654:
Box 8.2Eight principles that guide
- Page 655 and 656:
Effective Listening and Empathetic
- Page 657 and 658:
Clinical ConsiderationNever underst
- Page 659 and 660:
Clinical ConsiderationAs manual the
- Page 661 and 662:
Interview exampleMary is a client w
- Page 663 and 664:
SummarySeveral pieces of informatio
- Page 665 and 666:
with traumatic scar tissue clients.
- Page 667 and 668:
‘Physicians’ perspective of mas
- Page 669 and 670:
Referral exampleTonya, a 21-year-ol
- Page 671 and 672:
Referral exampleJane experienced me
- Page 673 and 674:
CHAPTER 9Assessment and treatmentHe
- Page 675 and 676:
MT. Additionally, sometimes people
- Page 677 and 678:
Traumatic Scars and Associated Impa
- Page 679 and 680:
Clinical ConsiderationReduction of
- Page 681 and 682:
Clinical ConsiderationMT has been f
- Page 683 and 684:
Clinical ConsiderationMassage can h
- Page 685 and 686:
Health History and InterviewA stand
- Page 687 and 688:
surrounding muscle structures that
- Page 689 and 690:
we are gathering information about
- Page 691 and 692:
Keep in mind that the therapist’s
- Page 693 and 694:
Continuous evaluation during the se
- Page 695 and 696:
Pre-treatment assessment/evaluation
- Page 697 and 698:
Scar scalesScar scales can be used
- Page 699 and 700:
response to negative pressure. It h
- Page 701 and 702:
• Client self-management strategi
- Page 703 and 704:
BindOnce barrier is reached or surp
- Page 705 and 706:
Table 9.1Comparative of normal and
- Page 707 and 708:
2-3 times a year effectively addres
- Page 709 and 710:
Myofascial meridian exampleSuperfic
- Page 711:
Clinical ConsiderationKnee and back
- Page 715 and 716:
Clinical ConsiderationApplication t
- Page 717 and 718:
Pathophysiological ConsiderationMec
- Page 719 and 720:
Clinical ConsiderationStecco and co
- Page 721 and 722:
Safety FirstMT appears to have few
- Page 723 and 724:
Deep workThe deep techniques noted
- Page 725 and 726:
Psychological considerationsIt is w
- Page 727 and 728:
Clinical ConsiderationMT dosage and
- Page 729 and 730:
Developing a sound treatment strate
- Page 731 and 732:
Treatment outcomesEssentially, earl
- Page 733 and 734:
Dosage considerationsThe presence o
- Page 735 and 736:
Clinical ConsiderationNumerous syst
- Page 737 and 738:
Clinical ConsiderationHeat in the t
- Page 739 and 740:
Clinical ConsiderationBest and co-w
- Page 741 and 742:
Pathophysiological considerationCom
- Page 743 and 744:
Clinical ConsiderationTiming is eve
- Page 745 and 746:
Clinical ConsiderationEvidence sugg
- Page 747 and 748:
Clinical ConsiderationSeveral studi
- Page 749 and 750:
Clinical ConsiderationPreventive me
- Page 751 and 752:
Pathophysiological ConsiderationWit
- Page 753 and 754:
TechniquesCommonly employed techniq
- Page 755 and 756:
Treatment outcomesThe later stages
- Page 757 and 758:
Clinical ConsiderationsNon-threaten
- Page 759 and 760:
Clinical ConsiderationsIt has been
- Page 761 and 762:
Clinical ConsiderationsMT may be a
- Page 763 and 764:
Pathophysiological ConsiderationUnd
- Page 765 and 766:
Clinical ConsiderationsIn the early
- Page 767 and 768:
Clinical ConsiderationsAs the remod
- Page 769 and 770:
Treatment outcomesEssentially, the
- Page 771 and 772:
Dosage considerationsThe presence o
- Page 773 and 774:
TechniquesAny carpenter will tell y
- Page 775 and 776:
Pressure Level 4 - Strong pressure/
- Page 777 and 778:
Grade 7 and 8• Firm, deep• Trig
- Page 779 and 780:
Neutralize pHFacilitate healing pro
- Page 781 and 782:
Manual Lymphatic TechniquesEarly ma
- Page 783 and 784:
Table 9.4Treatment guideline summar
- Page 785 and 786:
Clinical ConsiderationEdema, excess
- Page 788 and 789:
Figure 9.2Half-moon/circles: cleari
- Page 791 and 792:
Figure 9.3Pumping: clearing the ext
- Page 793:
RotaryThe rotary technique is commo
- Page 797:
Figure 9.5Rotary (thorax). Half-moo
- Page 800 and 801:
One of the most obvious differences
- Page 802 and 803:
Clinical ConsiderationVarious forms
- Page 804:
Box 9.10Sensory amnesia and proprio
- Page 808 and 809:
Clinical ConsiderationAs all of the
- Page 810 and 811:
Compression techniqueCompression te
- Page 812 and 813:
Figure 9.8Tension. The lower leg is
- Page 814:
Figure 9.9Approximation-compression
- Page 818 and 819:
Figure 9.11(A) Shear: begin by enga
- Page 820 and 821:
Clinical ConsiderationIt is common
- Page 823 and 824:
Figure 9.12Torsion/rotation. Begin
- Page 826 and 827:
Figure 9.13Lifting. Begin by graspi
- Page 828 and 829:
Gross stretchGross stretch techniqu
- Page 830 and 831:
Figure 9.15‘Cs’. Begin as noted
- Page 833 and 834:
Figure 9.17J-stroke. Begin at one e
- Page 835 and 836:
Clinical ConsiderationIrritated ner
- Page 837 and 838:
Pathophysiological ConsiderationCha
- Page 839 and 840:
Clinical ConsiderationAs the mechan
- Page 841 and 842:
Clinical ConsiderationIn various st
- Page 843 and 844:
Chaudhry H, Schleip R, Ji Z et al (
- Page 845 and 846:
principles and methods. Philadelphi
- Page 847 and 848:
Pilat A (2003) Myofascial therapies
- Page 849 and 850:
Yang G, Im HJ, Wang JHC (2005) Repe
- Page 851 and 852:
Medial thigh 4th degree skin grafts
- Page 853:
Figure B.2 Post-treatmentSurgical s
- Page 857 and 858:
Figure C.2 Post-treatment2 December
- Page 859 and 860:
and to be consistent with any selfc
- Page 861 and 862:
ability to resume social responsibi
- Page 863 and 864:
Clinical ConsiderationTrauma can be
- Page 865 and 866:
MaintenanceSelfcare maintenance is
- Page 867 and 868:
ManagementSelfcare management is de
- Page 869 and 870:
Client and Therapist PartnershipTo
- Page 871 and 872:
Box 10.1Factors affecting, effectiv
- Page 873 and 874:
Strategies to Facilitate Engagement
- Page 875 and 876:
Clinical ConsiderationThe authors u
- Page 877 and 878:
instances. Make your clients aware
- Page 879 and 880:
Relaxation MeasuresVarious relaxati
- Page 881 and 882:
scope of practice, such as relaxati
- Page 883 and 884:
Silicone gel and silicone sheetingS
- Page 885 and 886:
Medicinal honeyThe use of honey for
- Page 887 and 888:
Wise Use of Your BodyIt is not esse
- Page 889 and 890:
Empathy Strain and BurnoutEmpathy,
- Page 891 and 892:
Box 10.3A reflection on reasons for
- Page 893 and 894:
Clinical ConsiderationIn the author
- Page 895 and 896:
trauma are the therapist’s person
- Page 897 and 898:
Care for the care providerIt is imp
- Page 899 and 900:
body. Edinburgh: Churchill Livingst
- Page 901 and 902:
Salvo SG (2015) Body mechanics, cli
- Page 903 and 904:
Research databases and repositories
- Page 905 and 906:
Funding for massage therapy researc
- Page 907 and 908:
Journals and magazinesInternational
- Page 909 and 910:
INDEX
- Page 911 and 912:
see also parasympathetic nervous sy
- Page 913 and 914:
breathing exercises 245burning sens
- Page 915 and 916:
CGRP (calcitonin gene-related pepti
- Page 917 and 918:
Ddanger (perceived) 135, 150fight-o
- Page 919 and 920:
Eedema 40-1, 69burns-related 112-13
- Page 921 and 922:
Ffascia 11-22assessment 186client-r
- Page 923 and 924:
Gglia 48glucocorticoids 137, 138, 1
- Page 925 and 926:
see also dehydrationhyperalgesia 63
- Page 927 and 928:
JJ-stroke 221joint instability 190
- Page 929 and 930:
Llarge Pacini and paciniform corpus
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Mmacrophages 13, 63, 80, 81, 89lymp
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Nnecrosisbreast implant-related 119
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Oobservation 180-2occupational inju
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peripheral nervous system 45, 49-50
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Rradiation therapy 193breast cancer
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interviewing 169-71skin 5-11fascia
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TT cells 37technology 2, 242-3tempe
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safety see safetysee also post-trea
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Vvagus nerve 124polyvagal theory 14