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

Clinical Consideration
Stecco and colleagues assert that random treatment of densified points may
not fully resolve the patient’s pain and/or dysfunction and that lagging
treatment effectiveness using manual load may be due to the fact that the
correct combination of points/areas are not treated (Stecco & Stecco 2009,
Stecco et al. 2013, Hammer 2013).
Pain
As noted, outcomes measured should be client-important and this includes
gathering information about the client’s pain. Various, universal, scales for
assessing and documenting pain exist.
Three common scales used in MT to assess pain and its changes include the
Verbal Rating Scale (VRS), Visual Analog Scale (VAS) and the numeric rating
scale (NRS) (Gowan-Moody 2011). Examples of these can be readily accessed
via the internet.
As outcome measures, all pain intensity rating strategies are used by care
providers to establish a baseline, create a record of the client’s pain experience,
and to track any changes in pain over time (Gowan-Moody 2011).
It is important to note:
• The client’s (current) self-reported pain intensity
• What the client’s average pain intensity was over the past week (or other
defined time period)
• The least/worse pain intensity the client experienced.