- Page 2 and 3: Traumatic Scar Tissue ManagementMas
- Page 6 and 7: HANDSPRING PUBLISHING LIMITEDThe Ol
- Page 8 and 9: CONTENTSForewordPamela Fitch BA RMT
- Page 10 and 11: Therapy Principles, Practice and Pr
- Page 12 and 13: FOREWORDI am fond of saying that it
- Page 14 and 15: Sandy Fritz BS MS BCTMBLapeer, Mich
- Page 16 and 17: assist with the development of thei
- Page 18 and 19: Catherine Ryan RMTTelkwa, British C
- Page 20 and 21: NKSMy amazing partner and family, t
- Page 22 and 23: CR
- Page 24 and 25: Acute painPain provoked by noxious
- Page 26 and 27: AllodyniaPain due to a stimulus tha
- Page 28 and 29: Altered body imageChanges in the wa
- Page 30 and 31: AnxietyA state of unease, apprehens
- Page 32 and 33: ApoptosisCell death.
- Page 34 and 35: Autonomic dischargeTerm used to des
- Page 36 and 37: Bending techniqueA therapeutic load
- Page 38 and 39: BindWhen assessing barrier, once ba
- Page 40 and 41: Body LiteracyThe ability to identif
- Page 42 and 43: BurnoutThe physical and emotional e
- Page 44 and 45: Central sensitizationIncreased resp
- Page 46 and 47: ChemotaxisMigration of inflammatory
- Page 48 and 49: CollagenFibrous protein found in co
- Page 50 and 51: CollagenaseEnzymes that break down
- Page 52 and 53: Compensatory changesAlterations in
- Page 54 and 55:
Compression fasciaForms a pressuriz
- Page 56 and 57:
ContractureFibrosis of tissue resul
- Page 58 and 59:
CountertransferenceThe inability of
- Page 60 and 61:
CytokinesCell-secreted proteins, pe
- Page 62 and 63:
DeformationChange in tissue shape i
- Page 64 and 65:
DensificationTerm used in fascial m
- Page 66 and 67:
DermisThe CT layer of skin just ben
- Page 68 and 69:
DissociationAn abnormal sense of ps
- Page 70 and 71:
ElastinProtein fiber that when unde
- Page 72 and 73:
EndomysiumFascia surrounding and in
- Page 74 and 75:
EndotenonFascia surrounding and inv
- Page 76 and 77:
EndotheliumInterior lining of blood
- Page 78 and 79:
EntrainmentAlteration of a biologic
- Page 80 and 81:
EpimysiumOutermost covering of fasc
- Page 82 and 83:
EpitenonOutermost covering of fasci
- Page 84 and 85:
EpitheliumThe outer layer of skin a
- Page 86 and 87:
Fascicular fasciaAugments continuit
- Page 88 and 89:
FibrinolysisThe break-down or disso
- Page 90 and 91:
FibronectinGlycoprotein found in pl
- Page 92 and 93:
Fluid dynamicsNeural-mediated mecha
- Page 94 and 95:
Force transmissionThe transference
- Page 96 and 97:
Granulation tissueSoft pink fleshy
- Page 98 and 99:
Health psychologyThe role of psycho
- Page 100 and 101:
HydrophilicWater-loving, the abilit
- Page 102 and 103:
HyperarousalTerm generally used to
- Page 104 and 105:
HyperinnervationExaggerated, new, n
- Page 106 and 107:
HypervascularizationExaggerated, ne
- Page 108 and 109:
ImpairmentAbnormality of body struc
- Page 110 and 111:
Indirect traumaThe cumulative respo
- Page 112 and 113:
IntegrinsSpecialized cell membrane
- Page 114 and 115:
InterleukinsA group of cytokines wi
- Page 116 and 117:
KeloidExuberant scar that forms at
- Page 118 and 119:
KeratinocytesPredominant cell type
- Page 120 and 121:
Lifting techniquesAre aimed at lift
- Page 122 and 123:
Locomotor systemComprises the bones
- Page 124 and 125:
LymphadenitisAn infection and infla
- Page 126 and 127:
LymphangitisA bacterial infection i
- Page 128 and 129:
Lymphatic loadRefers to total sum o
- Page 130 and 131:
Lymphatic systemA low pressure, pum
- Page 132 and 133:
Lymphatic transport capacityThe max
- Page 134 and 135:
LymphedemaAbnormal accumulation of
- Page 136 and 137:
Lymphoid organsInclude the spleen,
- Page 138 and 139:
Mast cellA granulocyte found in CT
- Page 140 and 141:
MechanoreceptorSensory receptors th
- Page 142 and 143:
Merkel cellsType of mechanoreceptor
- Page 144 and 145:
MyotomeGroups of muscles supplied b
- Page 146 and 147:
Nervi nervorumThe intrinsic innerva
- Page 148 and 149:
NeuropathyA disturbance of function
- Page 150 and 151:
NeuroplasticityAn adaptation trait
- Page 152 and 153:
NeutrophilA type of phagocytic whit
- Page 154 and 155:
NociceptorThreat detector responsiv
- Page 156 and 157:
Oscillation techniqueA form of shak
- Page 158 and 159:
PainA complex and multi-etiological
- Page 160 and 161:
Pathophysiological scarThe result o
- Page 162 and 163:
PerimysiumFascia surrounding and in
- Page 164 and 165:
PhagocyteCells (e.g. macrophage and
- Page 166 and 167:
Primary lymphedemaA rare, hereditar
- Page 168 and 169:
ProprioceptorsMechanoreceptors invo
- Page 170 and 171:
PruritusItching sensation associate
- Page 172 and 173:
RadiculopathyNerve or nerve root pa
- Page 174 and 175:
Research literacyThe ability to fin
- Page 176 and 177:
Rotary techniqueA lymphatic techniq
- Page 178 and 179:
Scooping techniqueLymphatic techniq
- Page 180 and 181:
Sedation techniquesTechniques that
- Page 182 and 183:
Selfcare maintenanceBehaviors pract
- Page 184 and 185:
Selfcare monitoringComprises routin
- Page 186 and 187:
Separating fasciaLimits the spread
- Page 188 and 189:
SclerotomeArea of bone or fascia su
- Page 190 and 191:
SkinThe protective outer layer of c
- Page 192 and 193:
Skin rolling techniqueA combination
- Page 194 and 195:
Somatoemotional responseIn MT - use
- Page 196 and 197:
StressAny physical, physiological o
- Page 198 and 199:
Stress disorderSevere or pathologic
- Page 200 and 201:
Structural proteinsStructural strut
- Page 202 and 203:
Tension techniqueA therapeutic load
- Page 204 and 205:
Therapeutic loading techniquesA ser
- Page 206 and 207:
ThixotrophyThe process by which the
- Page 208 and 209:
TransferenceThe personalization of
- Page 210 and 211:
Traumatic eventThat which is outsid
- Page 212 and 213:
Ultrasound elastographyA non-invasi
- Page 214 and 215:
CHAPTER 1IntroductionWe are not jus
- Page 216 and 217:
Evolution is FundamentalHealth care
- Page 218 and 219:
replacement tissue that is laid dow
- Page 220 and 221:
Overview of ChaptersIndividual chap
- Page 222 and 223:
CHAPTER 2Skin and fasciaNothing in
- Page 224 and 225:
Table 2.1The extracellular matrix (
- Page 226 and 227:
Pathophysiological ConsiderationAbn
- Page 228 and 229:
WaterWater plays an important role
- Page 230 and 231:
Pathophysiological ConsiderationAge
- Page 232 and 233:
Clinical ConsiderationIt is suggest
- Page 234:
transmitted signals, allowing cells
- Page 237 and 238:
Skin Structure and FunctionIn order
- Page 239:
Clinical ConsiderationAs CT is inti
- Page 242 and 243:
EpidermisAs thin as a sheet of pape
- Page 244 and 245:
Collectively, the layers of the ski
- Page 246 and 247:
Clinical ConsiderationThe fascial s
- Page 248 and 249:
Pathophysiological ConsiderationThe
- Page 250 and 251:
Clinical ConsiderationPain referral
- Page 252 and 253:
Clinical ConsiderationChanges in fi
- Page 254 and 255:
Clinical ConsiderationFascia plays
- Page 256 and 257:
Clinical ConsiderationThe presence
- Page 258 and 259:
pro-collagen in the fibroblasts wil
- Page 260 and 261:
ElastinElastin, which are stretchy,
- Page 262 and 263:
mesh.There is often an abundance of
- Page 264 and 265:
Figure 2.3Fascial membranes and ren
- Page 267 and 268:
Figure 2.4The multilayer organizati
- Page 269 and 270:
Table 2.2Summary of fascia’s func
- Page 271 and 272:
Clinical ConsiderationPerimysium pl
- Page 273 and 274:
CompressionCompression fascia forms
- Page 275 and 276:
Myokinetic/Myofascial Chains and Me
- Page 277 and 278:
Clinical ConsiderationAccording to
- Page 279 and 280:
Findley TW, Schleip R (2007) Fascia
- Page 281 and 282:
Marieb EN, Reece JB, Urry LA et al
- Page 283 and 284:
modelling. Surgical and Radiologic
- Page 285 and 286:
CHAPTER 3The lymphatic system‘Mil
- Page 287 and 288:
Lymphatic, Hematic and Immune Syste
- Page 289 and 290:
Immune SystemThe immune system is a
- Page 291 and 292:
LymphWhen the interstitial fluid en
- Page 293:
Lymph NodesThe lymph node (see Fig.
- Page 297 and 298:
Figure 3.2Lymph node structure.The
- Page 299 and 300:
TonsilsThe tonsils are made up of l
- Page 301 and 302:
SpleenThe spleen is located on the
- Page 303 and 304:
lymphatic system. Additional partic
- Page 305 and 306:
DeepThe deeper layer of the lymphat
- Page 308 and 309:
Figure 3.3Torso and pelvic anatomy.
- Page 310 and 311:
Right side lymphatic drainageThe ri
- Page 312 and 313:
Figure 3.4Lymphatic drainage areas.
- Page 314:
Clinical ConsiderationLymph is the
- Page 317 and 318:
Clinical ConsiderationManual lympha
- Page 320 and 321:
Figure 3.6Bloodvascular circulation
- Page 322 and 323:
lymph (Zuther 2011)• Traumatic sc
- Page 324 and 325:
Pathophysiological ConsiderationAbd
- Page 326 and 327:
Clinical ConsiderationCompression b
- Page 328 and 329:
LymphedemaLymphedema is an abnormal
- Page 330 and 331:
Marieb EN (2003) Human anatomy and
- Page 332 and 333:
foundation for understanding the wo
- Page 335:
Figure 4.1A Major anatomical compon
- Page 338 and 339:
CNSThe primary structures of the CN
- Page 340 and 341:
Meninges and CSFThe meninges, a tri
- Page 342:
Neurons• Excitable nerve cells an
- Page 345 and 346:
PNSThe primary structures of the PN
- Page 347:
Figure 4.5PNS: organization and fun
- Page 351 and 352:
Figure 4.7PSNS and SNS control.
- Page 353 and 354:
Clinical ConsiderationStress and th
- Page 355:
• Areas of skin supplied by a sin
- Page 358:
• A loose collagenous matrix that
- Page 361 and 362:
Clinical ConsiderationThe space bet
- Page 363 and 364:
Innervation of Skin and FasciaNerve
- Page 365 and 366:
Clinical ConsiderationHigher nerve
- Page 367 and 368:
MechanoreceptorsMechanoreceptors ar
- Page 369 and 370:
Figure 4.10Mechanoreceptor mediated
- Page 371 and 372:
Clinical ConsiderationRetinaculae i
- Page 373 and 374:
Example 1According to Cottingham (1
- Page 375 and 376:
Example 3IRs, found in abundance th
- Page 377 and 378:
Clinical ConsiderationSignificant n
- Page 379 and 380:
NociceptorsA nociceptor is a recept
- Page 381 and 382:
Clinical ConsiderationAccording to
- Page 383 and 384:
Pathophysiological ConsiderationTra
- Page 385 and 386:
Clinical ConsiderationIn addition t
- Page 387 and 388:
Clinical ConsiderationMassage immun
- Page 389 and 390:
Pathophysiological considerationEle
- Page 391 and 392:
Referred painSensitizationPain perc
- Page 393 and 394:
Figure 4.11Lowered threshold outcom
- Page 395 and 396:
Clinical ConsiderationAcute and chr
- Page 397 and 398:
heightened nociceptive responses an
- Page 399 and 400:
Clinical ConsiderationA key princip
- Page 401 and 402:
changes often lead to strong and ch
- Page 403 and 404:
Clinical ConsiderationA hypersensit
- Page 405 and 406:
Clinical ConsiderationHypersensitiv
- Page 407 and 408:
Example 2Hypersensitized nerves are
- Page 409 and 410:
Pathophysiological ConsiderationPai
- Page 411 and 412:
Clinical ConsiderationMT has been f
- Page 413 and 414:
release inflammatory substances tha
- Page 415 and 416:
Clinical ConsiderationAccording to
- Page 417 and 418:
Pathophysiological ConsiderationCom
- Page 419 and 420:
Pathophysiological ConsiderationEnd
- Page 421 and 422:
Clinical ConsiderationWith double-c
- Page 423 and 424:
Proprioceptive DisinformationDensif
- Page 425 and 426:
Bogduk N (2009) On the definitions
- Page 427 and 428:
axons: a physiological basis for th
- Page 429 and 430:
immunoreactive nerve endings in rat
- Page 431 and 432:
Wilkie DJ et al (2001) Nociceptive
- Page 433 and 434:
A massage therapist can play an act
- Page 435 and 436:
formation - granulation tissue. Thi
- Page 437 and 438:
Pathophysiological ConsiderationUnd
- Page 440 and 441:
Figure 5.1Hypertrophic scar example
- Page 442 and 443:
This continues what began in Stage
- Page 444 and 445:
yield an innocuous scar that exhibi
- Page 446 and 447:
Scar ChronologyThe wound healing pr
- Page 448:
Types of Pathophysiological ScarsIn
- Page 451 and 452:
Pathophysiological considerationIt
- Page 453 and 454:
Clinical considerationMechanical di
- Page 455 and 456:
Figure 5.2Keloid scar example.Patho
- Page 457 and 458:
Clinical ConsiderationAs discussed
- Page 459 and 460:
Box 5.1Factors that drive excessive
- Page 461 and 462:
Pathophysiological ConsiderationIn
- Page 463 and 464:
Clinical ConsiderationDrainage of e
- Page 465:
Clinical ConsiderationFascia hydrod
- Page 468 and 469:
Clinical ConsiderationImmobilizatio
- Page 470 and 471:
NeuropeptidesUnder physiological an
- Page 472 and 473:
Pathophysiological ConsiderationNeu
- Page 474 and 475:
Clinical ConsiderationExcessive neu
- Page 476 and 477:
Clinical ConsiderationAs noted abov
- Page 478 and 479:
Nerve density in pathophysiological
- Page 480 and 481:
alleviates patient discomfort but a
- Page 482 and 483:
Clinical ConsiderationMassage thera
- Page 484 and 485:
Clinical ConsiderationIn the treatm
- Page 486 and 487:
Clinical ConsiderationOff-loading w
- Page 488 and 489:
are covered in greater detail in Ch
- Page 490 and 491:
Carano A, Siciliani G (1996) Effect
- Page 492 and 493:
rehabilitation and injury preventio
- Page 494 and 495:
Ramos ML, Gragnani A, Ferreira LM (
- Page 496 and 497:
CHAPTER 6Burns, mastectomies and ot
- Page 498 and 499:
Excessive ScarringExcessive scarrin
- Page 500 and 501:
size/depth, anatomic region, and lo
- Page 502 and 503:
Clinical presentationExpanded dermi
- Page 504 and 505:
Keloids are typically pink to purpl
- Page 506 and 507:
Clinical ConsiderationThe margins o
- Page 508:
Degree of InjuryBurn injuries are c
- Page 511 and 512:
Sequelae and ComplicationsA critica
- Page 513 and 514:
Pathophysiological ConsiderationApo
- Page 515 and 516:
Clinical ConsiderationHypertrophy t
- Page 517 and 518:
Skin GraftsAs previously noted, the
- Page 519 and 520:
vasoconstrictor pathways. The same
- Page 521 and 522:
As noted in Chapter 4, neuropathic
- Page 523 and 524:
Clinical ConsiderationBurn rehabili
- Page 525 and 526:
Breast CancerThe breast is made up
- Page 527 and 528:
Early detectionBreast cancer is typ
- Page 529 and 530:
effectively prevent or reduce unnec
- Page 531 and 532:
Table 6.2Types of mastectomiesAs ma
- Page 533 and 534:
Capsular contractureCapsular contra
- Page 535 and 536:
Implants and necrosisNecrosis - the
- Page 537 and 538:
Table 6.3Baker scaleCancer treatmen
- Page 539 and 540:
Clinical ConsiderationEarly detecti
- Page 541 and 542:
Table 6.4Stages of lymphedema: 0-3A
- Page 543 and 544:
Clinical ConsiderationIt has been d
- Page 546:
Figure 6.2Nerves plexuses in the ch
- Page 549 and 550:
Degloving InjuryDegloving - named f
- Page 551 and 552:
LiposuctionBrief consideration is g
- Page 553 and 554:
Neurological SequelaeHypoesthesia i
- Page 555 and 556:
Traumatic Scars and MTWhen working
- Page 557 and 558:
207-227.Derderian CA, Bastidas N, L
- Page 559 and 560:
Monocryl vs. Vicryl-rapide. Annals
- Page 561 and 562:
CHAPTER 7TraumaThe quality of outco
- Page 563 and 564:
Traumatic Events and Traumatic Resp
- Page 565 and 566:
Psychological ResponsePsychological
- Page 567 and 568:
StressDay in and day out, our hands
- Page 569 and 570:
Stress Adaptation ResponseA vast ar
- Page 571 and 572:
Stress Response PhysiologyStress pl
- Page 574 and 575:
Figure 7.2Summay of the normal stre
- Page 576 and 577:
Pathophysiological ConsiderationA s
- Page 578 and 579:
Pathophysiological ConsiderationVar
- Page 580 and 581:
Clinical ConsiderationStress and th
- Page 582 and 583:
Silverstein 1992, Leproult et al. 1
- Page 584 and 585:
Pathophysiological ConsiderationEle
- Page 586 and 587:
Pathophysiological ConsiderationTho
- Page 588 and 589:
Clinical ConsiderationMultiple stud
- Page 590 and 591:
Clinical ConsiderationListing and c
- Page 592 and 593:
Clinical ConsiderationRapid develop
- Page 594 and 595:
Clinical ConsiderationData demonstr
- Page 596 and 597:
physical impairments that fall with
- Page 598 and 599:
Clinical ConsiderationAccording to
- Page 600 and 601:
Clinical ConsiderationMainstream tr
- Page 602 and 603:
ASD can occur as a result of medica
- Page 604 and 605:
The critical care phaseA patient ma
- Page 606 and 607:
physical sensations). The inability
- Page 608 and 609:
Clinical Considerationvan der Kolk
- Page 610 and 611:
Clinical ConsiderationMT is commonl
- Page 612 and 613:
amygdala that is primed to go into
- Page 614 and 615:
Scope of Practice ConsiderationsWe
- Page 616 and 617:
may feel unsettled or distressed an
- Page 618 and 619:
Clinical ConsiderationFollowing an
- Page 620 and 621:
Box 7.2Basic strategies for navigat
- Page 622 and 623:
Clinical ConsiderationFor some who
- Page 624 and 625:
InteroceptionDamasio (2003) and Cra
- Page 626 and 627:
Clinical ConsiderationA number of s
- Page 628 and 629:
psychotherapy and psychotherapy is
- Page 630 and 631:
order to complete tasks that once w
- Page 632 and 633:
0248-y.Crane JD, Ogborn DI, Cupido
- Page 634 and 635:
Interlandi J (2014) A revolutionary
- Page 636 and 637:
without massage. Neuroscience Lette
- Page 638 and 639:
Van Der Kolk B (2014) The Body Keep
- Page 640 and 641:
Pamela Fitch’s book, Talking Body
- Page 642 and 643:
Informed Consent and IntakeInformed
- Page 644 and 645:
Providing a Safe Therapeutic Enviro
- Page 646 and 647:
There is no hierarchy in a client-c
- Page 648 and 649:
be detrimental to the therapeutic p
- Page 650 and 651:
countertransference, which can dimi
- Page 652 and 653:
Professional EthicsThe purpose of p
- Page 654 and 655:
CommunicationEthical and profession
- Page 656 and 657:
enhance follow-up questions during
- Page 658 and 659:
gather information for the session.
- Page 660 and 661:
changed since the last session; med
- Page 662 and 663:
would like to work on the chest wal
- Page 664 and 665:
Box 8.4According to Broas (2008), M
- Page 666 and 667:
Interprofessional CollaborationInte
- Page 668 and 669:
ReferralsFor MTs, knowing when to r
- Page 670 and 671:
Referral exampleA common example of
- Page 672 and 673:
Barker K, Oandasan I (2005) Interpr
- Page 674 and 675:
direct change. Minimization of the
- Page 676 and 677:
Box 9.1Evidence-based and evidence-
- Page 678 and 679:
Clinical ConsiderationOne important
- Page 680 and 681:
Clinical ConsiderationIn a cancer p
- Page 682 and 683:
Clinical ConsiderationIt is hypothe
- Page 684 and 685:
Clinical ReasoningOver the life-spa
- Page 686 and 687:
Clinical ConsiderationAnything that
- Page 688 and 689:
Assessment and EvaluationIt is impo
- Page 690 and 691:
ObservationThere are many layers to
- Page 692 and 693:
Box 9.2The MT’s ability to use th
- Page 694 and 695:
PalpationPalpation assessment ought
- Page 696 and 697:
Scar assessment toolsAs with other
- Page 698 and 699:
• 10 reflects the ‘worst imagin
- Page 700 and 701:
understanding of the body’s adapt
- Page 702 and 703:
Soft tissue mobility and barriersIn
- Page 704 and 705:
Is gradualWhen engaged, the therapi
- Page 706 and 707:
Box 9.4Over-use/impairment example
- Page 708 and 709:
Clinical ConsiderationChronic and/o
- Page 710 and 711:
Myofascial sequence exampleAnatomic
- Page 714 and 715:
Fig 9.1Yellow lines represent palpa
- Page 716 and 717:
Pathophysiological ConsiderationTo
- Page 718 and 719:
Clinical ConsiderationIt is suggest
- Page 720 and 721:
Treatment ProtocolThe therapist’s
- Page 722 and 723:
• Be mindful when working with th
- Page 724 and 725:
Postsurgical and other intervention
- Page 726 and 727:
DosageArguably, one of the most com
- Page 728 and 729:
Clinical ConsiderationA recent stud
- Page 730 and 731:
Recall from Chapter 5: the inflamma
- Page 732 and 733:
TechniquesTechniques commonly emplo
- Page 734 and 735:
Clinical ConsiderationA correlation
- Page 736 and 737:
Clinical ConsiderationA meta-analys
- Page 738 and 739:
Clinical ConsiderationUnder physiol
- Page 740 and 741:
Clinical ConsiderationRecall from C
- Page 742 and 743:
Pathophysiological ConsiderationA v
- Page 744 and 745:
Clinical ConsiderationPruritus is m
- Page 746 and 747:
Clinical ConsiderationMaximizing ox
- Page 748 and 749:
Clinical ConsiderationThe ECM is a
- Page 750 and 751:
Pathophysiological ConsiderationInc
- Page 752 and 753:
General treatment guidelinesWhen wo
- Page 754 and 755:
Table 9.2Principles to improve woun
- Page 756 and 757:
Dosage considerationsThe presence o
- Page 758 and 759:
Clinical ConsiderationsThe margins
- Page 760 and 761:
Clinical ConsiderationsHypertrophic
- Page 762 and 763:
Clinical ConsiderationsBurn rehabil
- Page 764 and 765:
Pathophysiological ConsiderationImm
- Page 766 and 767:
Clinical ConsiderationsPain-instiga
- Page 768 and 769:
Pathophysiological considerationIn
- Page 770 and 771:
TechniquesTechniques commonly emplo
- Page 772 and 773:
Depth and Pressure GradingThe sensi
- Page 774 and 775:
Pressure levelsPressure Level 1 - V
- Page 776 and 777:
Depth and grading of touchGrade 1-3
- Page 778 and 779:
Grade 9 and 10• Deep• Client li
- Page 780 and 781:
Table 9.3Summary of manually mediat
- Page 782 and 783:
• Initiate contact with a slow, s
- Page 784 and 785:
Traumatic scarring can be a cause f
- Page 786:
For the sequence for clearing the h
- Page 789:
PumpingPumping technique is mainly
- Page 792 and 793:
ScoopingScooping technique is used
- Page 795:
Figure 9.4Scooping: clearing the ex
- Page 799 and 800:
Figure 9.6Alternating pump and stat
- Page 801 and 802:
Drag scale• 0: no drag• 1: move
- Page 803 and 804:
addressed prior to global ones.When
- Page 807 and 808:
Fig 9.7Traumatic scar formationGene
- Page 809 and 810:
Tension techniqueTension technique
- Page 811 and 812:
BendingBending technique combines c
- Page 813 and 814:
ShearOblique or laterally applied g
- Page 816:
Figure 9.10(A) Bend. Begin by grasp
- Page 819 and 820:
OscillationsOscillation techniques,
- Page 821:
Lifting techniquesThe techniques in
- Page 824:
Alphabet TechniquesMost massage the
- Page 827 and 828:
Figure 9.14Skin rolling. Begin by a
- Page 829 and 830:
Gentle circlesGentle circle techniq
- Page 831:
Figure 9.16‘Ss’. Begin by grasp
- Page 834 and 835:
Clinical ConsiderationSome of the b
- Page 836 and 837:
Clinical ConsiderationIt is importa
- Page 838 and 839:
Clinical ConsiderationManual therap
- Page 840 and 841:
intense verses invasive and distres
- Page 842 and 843:
Aarabi S, Bhatt KA, Shi Y et al (20
- Page 844 and 845:
Journal of Plastic Surgery 10: 354-
- Page 846 and 847:
Lewit K, Olsanska S (2004) Clinical
- Page 848 and 849:
massage for chronic neck pain. Anna
- Page 850 and 851:
Comparison of before and aftertreat
- Page 852 and 853:
Figure B.1 Pre-treatmentOpen carpal
- Page 855:
Figure C.1 Pre-treatmentDe-gloving
- Page 858 and 859:
CHAPTER 10Client and therapist self
- Page 860 and 861:
Self CareSelf care as an all-encomp
- Page 862 and 863:
Clinical ConsiderationClients can f
- Page 864 and 865:
Clinical ConsiderationTrauma can be
- Page 866 and 867:
MonitoringSelfcare monitoring compr
- Page 868 and 869:
Clinical ConsiderationAccording to
- Page 870 and 871:
Client EngagementAll healthcare pro
- Page 872 and 873:
Others, however, view self care as
- Page 874 and 875:
their care.In addition to meeting p
- Page 876 and 877:
likelihood of engagement is highly
- Page 878 and 879:
Thermal and CryotherapyIt is sugges
- Page 880 and 881:
Clinical ConsiderationThe authors s
- Page 882 and 883:
tissue fibers (e.g. collagen and el
- Page 884 and 885:
Topical onion extractOnion extract
- Page 886 and 887:
Therapist Self CareSimply put, prac
- Page 888 and 889:
Box 10.2Tips for reducing work rela
- Page 890 and 891:
best/healthier answer, to support s
- Page 892 and 893:
resentment every time you see the c
- Page 894 and 895:
Compassion Fatigue and Indirect Tra
- Page 896 and 897:
PreventionWays of coping and curren
- Page 898 and 899:
management 6: 63-71.Boyera N, Galey
- Page 900 and 901:
management/in-depth/stress-relief/a
- Page 902 and 903:
Appendix Massage therapy research r
- Page 904 and 905:
Massage Therapy Research Conference
- Page 906 and 907:
BooksMenard MB (2009) Making sense
- Page 908 and 909:
Research literacy coursesIt is impe
- Page 910 and 911:
Aabdominal breathing 245abdominal l
- Page 912 and 913:
BB cells 37back and knee relationsh
- Page 914 and 915:
CC (alphabet technique) 221calciton
- Page 916 and 917:
communication (therapist-client) 15
- Page 918 and 919:
in late stages of wound healing 201
- Page 920 and 921:
extent of trauma and scar 96-7, 103
- Page 922 and 923:
fluidslymphatic transport 32manual
- Page 924 and 925:
Hhabits (client) 241hair follicles
- Page 926 and 927:
Iimmobilization, prolonged 89-90imm
- Page 928 and 929:
Kkeloid scars 87, 91, 94-5, 104-8hy
- Page 930 and 931:
inadequacy 40manual work 207-15radi
- Page 932 and 933:
motivation (client) 241motor (effer
- Page 934 and 935:
autonomic see autonomic nervous sys
- Page 936 and 937:
PPacini and paciniform corpuscles,
- Page 938 and 939:
professionalscollaboration between
- Page 940 and 941:
Ssafety 192-4, 225therapeutic envir
- Page 942 and 943:
stretch, gross 222-3structural prot
- Page 944 and 945:
time (temporal/chronological dimens
- Page 946 and 947:
Uultrasonography 184, 186
- Page 948:
Wwater 6-7lymphatic transport 32see