[libribook.com] Traumatic Scar Tissue Management 1st Edition
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[libribook.com] Traumatic Scar Tissue Management 1st Edition

hongchingyee
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Clinical ConsiderationOne important note on postsurgical abdominal and visceral adhesions ismade by Chapelle. In personal email correspondence, in her research withBove, she indicated that:… no specific time course for intervention has been clearly identified;however, it appears that adhesion formation occurs 6–12 hours aftersurgery. Early manual mobilization is a hypothesis of prevention –keep things moving to avoid adherence and subsequent complications.Mostly, once established, adhesions are difficult to affect.Seems the old adage applies – an ounce (manual mobilization) ofprevention outweighs a pound (subsequent surgical lysing) of cure. Onecan reasonably surmise that ‘keeping things moving’ as a means to preventadherences can also apply to other tissues and the sliding layers betweentissues and structures.As massage therapists we are not called upon, nor is it within our scope ofpractice, to treat medical conditions and illnesses (e.g. diabetes, cancer) or acutecritical trauma. Our primary role is to provide treatment that is designed tofacilitate the wound-healing process or elicit a desired change in consequentcomplications in the form of impairments, such as any loss in body function orabnormal body structures that occur as a result of a medical condition or trauma(Andrade & Clifford 2008, Andrade 2013, Dryden & Moyer 2012).Specific to this book are impairments associated with pathophysiological scars,such as adherences, contractures, fibrosis, postural and movement adaptations,edema, pain, anxiety, sympathetic nervous system (SNS)-hyperarousal, disturbedsleep and altered or impaired body awareness, which are representative of therealm of considerations that accompany the aftermath of trauma and poor woundhealing outcomes.

Clinical ConsiderationReduction of anxiety and musculoskeletal pain are among the mostestablished outcomes for massage (Moyer et al. 2009).

Clinical Consideration

Reduction of anxiety and musculoskeletal pain are among the most

established outcomes for massage (Moyer et al. 2009).

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