[libribook.com] Traumatic Scar Tissue Management 1st Edition
direct change. Minimization of the aesthetic impact presents multipleconsiderations, some of which may be improved by MT. The most notable ofthese is early intervention to improve scar quality and, subsequently, how thismay impact the client’s emotional state. And in all cases, measures taken tominimize or prevent the occurrence of pathophysiological scars is in everypatient’s best interest.Sadly, however, it is most likely that several days, weeks, months or even yearswill pass before we treat the client for the first time. Access to the client may behindered while they are in hospital or other treatment centers, post-traumareferrals for MT still lag and, simply, it may not occur to the individual that MTcould be a valuable part of their post-trauma care.On a grand scale, it is the authors’ intention that outlining an evidence-informedapproach will serve to improve delivery of care and outcomes, support theacknowledgment and inclusion of MT as a viable component in scarmanagement and, most importantly, ensure that those in need have access to andreceive the safe and effective MT treatment that could make a tremendousdifference in their trauma recovery.Previous chapters have provided a solid base for understanding traumatic scartissue, its formation, physiological tissue changes, structural changes and thepsychosocial issues that may or may not present with the traumatic scar tissueclient. Additionally, throughout the book, clinical considerations have beeninterjected as a means to create a nexus, linking science (evidence base) to ourwork in the treatment room.The aim of this chapter is to provide a solid, evidence-informed approach to scarassessment procedures and scar management protocols that take intoconsideration the unique, MT clinical environment.The assessment approach and treatment protocols presented in this book aresupported by basic science, current research, the authors’ (collective) 45+ yearsof clinical practice and other clinician’s important work. Much effort has beentaken to ensure the safety and advisability of the information provided; however,it is possible to injure people by performing almost any type of intervention.This is more likely when a procedure is performed without judiciousprecautions, or when the recipient of the intervention has unique biological orother factors that make them more vulnerable to negative reactions/responses to
MT. Additionally, sometimes people have a negative reaction to MT that iswholly unpredictable, or their health becomes compromised at the same time anintervention is performed or shortly thereafter as a result of unrelated factors.An evidence-based approach to practice is not solely about using the bestresearch evidence to choose and apply our therapeutic actions – it also meansusing our clinical expertise and it fully embraces the importance of andincorporates what our clients’ value from us (Sackett et al. 2000). See Box 9.1.The authors encourage further learning to support how best to practice in anevidence-based informed way – incorporating the best available scientificevidence and blending that with your client’s unique biological factors, needsand desires, and your own clinical judgment. Some suggested resources forfurther learning can be found in the Appendix, p. 255.
- 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: CHAPTER 9Assessment and treatmentHe
- 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
direct change. Minimization of the aesthetic impact presents multiple
considerations, some of which may be improved by MT. The most notable of
these is early intervention to improve scar quality and, subsequently, how this
may impact the client’s emotional state. And in all cases, measures taken to
minimize or prevent the occurrence of pathophysiological scars is in every
patient’s best interest.
Sadly, however, it is most likely that several days, weeks, months or even years
will pass before we treat the client for the first time. Access to the client may be
hindered while they are in hospital or other treatment centers, post-trauma
referrals for MT still lag and, simply, it may not occur to the individual that MT
could be a valuable part of their post-trauma care.
On a grand scale, it is the authors’ intention that outlining an evidence-informed
approach will serve to improve delivery of care and outcomes, support the
acknowledgment and inclusion of MT as a viable component in scar
management and, most importantly, ensure that those in need have access to and
receive the safe and effective MT treatment that could make a tremendous
difference in their trauma recovery.
Previous chapters have provided a solid base for understanding traumatic scar
tissue, its formation, physiological tissue changes, structural changes and the
psychosocial issues that may or may not present with the traumatic scar tissue
client. Additionally, throughout the book, clinical considerations have been
interjected as a means to create a nexus, linking science (evidence base) to our
work in the treatment room.
The aim of this chapter is to provide a solid, evidence-informed approach to scar
assessment procedures and scar management protocols that take into
consideration the unique, MT clinical environment.
The assessment approach and treatment protocols presented in this book are
supported by basic science, current research, the authors’ (collective) 45+ years
of clinical practice and other clinician’s important work. Much effort has been
taken to ensure the safety and advisability of the information provided; however,
it is possible to injure people by performing almost any type of intervention.
This is more likely when a procedure is performed without judicious
precautions, or when the recipient of the intervention has unique biological or
other factors that make them more vulnerable to negative reactions/responses to