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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Clinical ConsiderationThe margins of keloid scars tend to pull outward (i.e. exhibit considerableperipheral tension) whereas the center of the scar is subjected to mildertension (Akaishi et al. 2008, Ogawa et al. 2011) Therefore, massagetherapy (MT) treatment along the peripheral margins may be most helpfulin terms of attenuating tissue tension.
BurnsA burn injury to the skin or other organic tissue is primarily caused by heat ordue to radiation, radioactivity, electricity, friction or contact with chemicals. Skininjuries due to ultraviolet radiation and respiratory damage resulting from smokeinhalation are also considered to be burns.Burn trauma is a worldwide public health problem. In 2004 nearly 11 millionpeople were burned severely enough to require medical attention (WHO 2015).Every year in the USA alone, approximately 9000 individuals experience burnsthat cover 20% or more of their total body surface area (TBSA). Non-fatal burninjuries leaves millions inflicted with lifelong disabilities and disfigurements.Additionally, burns are among the leading causes of disability-adjusted life-years(DALYs).The degree of injury factors into subsequent complications, sequelae andtreatment protocol. Treatment protocol will be covered in greater detail inChapter 9.
- 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: Pathophysiological ConsiderationAcc
- 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
Clinical Consideration
The margins of keloid scars tend to pull outward (i.e. exhibit considerable
peripheral tension) whereas the center of the scar is subjected to milder
tension (Akaishi et al. 2008, Ogawa et al. 2011) Therefore, massage
therapy (MT) treatment along the peripheral margins may be most helpful
in terms of attenuating tissue tension.
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