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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Clinical ConsiderationChronic and/or fully matured scars, much like significant spinal deviations,may not be significantly changed by manual manipulation. However, muchlike Stecco’s approach to working with scoliosis (see Box 9.5), treating thescar-mediated impairment can result in changes that positively impact theclient’s pain and functional deficits.Thinking about and putting a global approach into action will ultimately assistthe client in achieving more sustainable outcomes. As noted in Chapter 2,myokinetic or myofascial chains/meridians are a grouping or sequence of tissuesand structures – structurally and neurologically linked together to supportfunctional and perceptive continuity. Restriction or fixation at any point alongthe chain/meridian can impact function at distant segments resulting in tensionalcompensations along the chain/meridian. Additionally, antagonisticchains/meridian components can be impacted, and often are.Myers’ Anatomy Trains (2013) and the Steccos’ Fascial Manipulation forMusculoskeletal Pain and Fascial Manipulation – the Practical Part (Stecco &Stecco 2009) both provide excellent illustrations of the myofascial global pictureand excellent assessment protocols. The authors highly recommend studyingsome form of global assessment and treatment approach.Box 9.5
Myofascial meridian exampleSuperficial Front Arm Line: pectoralis major, latissimus dorsi, medialintermuscular septum, forearm flexor group, carpal tunnel/flexorretinaculum.Using Myers’ meridian example, one can surmise the global consequencesfollowing breast cancer procedures. Even less invasive lumpectomy orpartial mastectomy incisions can result in shoulder, elbow and wristimpairments.Adapted from Anatomy Trains (Myers 2013).Boxes 9.5 and 9.6 provide two examples: one from Myers and the other fromStecco. In both examples muscular terms are used as a common reference, but itis to be noted that the corresponding myofascial envelopes are inclusive in thecontinuity from component to component.Box 9.6
- Page 657 and 658: Clinical ConsiderationNever underst
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- 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: 2-3 times a year effectively addres
- 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
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- 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
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Clinical Consideration
Chronic and/or fully matured scars, much like significant spinal deviations,
may not be significantly changed by manual manipulation. However, much
like Stecco’s approach to working with scoliosis (see Box 9.5), treating the
scar-mediated impairment can result in changes that positively impact the
client’s pain and functional deficits.
Thinking about and putting a global approach into action will ultimately assist
the client in achieving more sustainable outcomes. As noted in Chapter 2,
myokinetic or myofascial chains/meridians are a grouping or sequence of tissues
and structures – structurally and neurologically linked together to support
functional and perceptive continuity. Restriction or fixation at any point along
the chain/meridian can impact function at distant segments resulting in tensional
compensations along the chain/meridian. Additionally, antagonistic
chains/meridian components can be impacted, and often are.
Myers’ Anatomy Trains (2013) and the Steccos’ Fascial Manipulation for
Musculoskeletal Pain and Fascial Manipulation – the Practical Part (Stecco &
Stecco 2009) both provide excellent illustrations of the myofascial global picture
and excellent assessment protocols. The authors highly recommend studying
some form of global assessment and treatment approach.
Box 9.5
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