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

Clinical Considerations
Non-threatening movement and loading during the healing process are
instrumental in decreasing the potential of functional loss. Movement
ensures that newly formed collagen fibers align in a manner that allows for
unrestricted motion, and loading stimulates the tissue to form in ways that
will support healthy function (e.g. the ability to meet tensional or loadbearing
demands). For example: with muscular injuries (following an
appropriate rest period allowing the scar tissue to stabilize) the benefits of
controlled loading include improved alignment of regenerating myotubes,
faster and more complete regeneration, and minimization of atrophy of
surrounding myotubes (Jarvinen et al. 2007). In studies conducted on
tendon (considered a form of fascia), controlled loading type exercise
resulted in a more normalized tendon structure, as gaged by thickness and
by the reduction of hypoechoic areas (Ohberg et al. 2004, Boyer et al.
2005). Movement also helps to reduce the potential of undue adhesions
that can impact not only local tissues but also associated tissues and/or
structures. It is important to follow standard therapeutic movement and
exercise protocols during the various stages of rehabilitation (e.g. passive,
active assisted, active, non-weight bearing, weight bearing).