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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Clinical ConsiderationsBurn rehabilitation MT has been shown to be effective in improving pain,pruritus, depression and scar characteristics in hypertrophic scars in postburnpatients (Roh et al. 2007, Cho et al. 2014).
Pathophysiological ConsiderationUnder normal, physiological conditions, restoration of a functionalepidermal barrier is highly efficient, whereas repair of the deeper layers isless so and can potentially result in a scar that causes substantial loss oforiginal tissue structure and function. Meaning: what we see on the surfacecan be very different than what may be happening in underlying tissues,such as the dermis, various CT and fascial layers. In all soft tissues andorgans comprising CT, the parenchymal tissue can be replaced by thedeposition of new ECM. If new ECM deposition is excessive this cangradually lead to tissue fibrosis and, ultimately, to diminished or loss offunction. In addition to initial damage, ongoing multiple acute or chronicstimuli, including autoimmune reactions, infections, or mechanical injurycan delay and negatively impact the healing process, resulting in abnormalremodeling (Guimberteau 2012, Eming et al. 2014).
- 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
- Page 737 and 738: Clinical ConsiderationHeat in the t
- Page 739 and 740: Clinical ConsiderationBest and co-w
- 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
- Page 757 and 758: Clinical ConsiderationsNon-threaten
- Page 759 and 760: Clinical ConsiderationsIt has been
- Page 761: Clinical ConsiderationsMT may be a
- Page 765 and 766: Clinical ConsiderationsIn the early
- Page 767 and 768: Clinical ConsiderationsAs the remod
- Page 769 and 770: Treatment outcomesEssentially, the
- Page 771 and 772: Dosage considerationsThe presence o
- Page 773 and 774: TechniquesAny carpenter will tell y
- Page 775 and 776: Pressure Level 4 - Strong pressure/
- Page 777 and 778: Grade 7 and 8• Firm, deep• Trig
- Page 779 and 780: Neutralize pHFacilitate healing pro
- Page 781 and 782: Manual Lymphatic TechniquesEarly ma
- Page 783 and 784: Table 9.4Treatment guideline summar
- Page 785 and 786: Clinical ConsiderationEdema, excess
- Page 788 and 789: Figure 9.2Half-moon/circles: cleari
- Page 791 and 792: Figure 9.3Pumping: clearing the ext
- Page 793: RotaryThe rotary technique is commo
- Page 797: Figure 9.5Rotary (thorax). Half-moo
- Page 800 and 801: One of the most obvious differences
- Page 802 and 803: Clinical ConsiderationVarious forms
- Page 804: Box 9.10Sensory amnesia and proprio
- Page 808 and 809: Clinical ConsiderationAs all of the
- Page 810 and 811: Compression techniqueCompression te
Clinical Considerations
Burn rehabilitation MT has been shown to be effective in improving pain,
pruritus, depression and scar characteristics in hypertrophic scars in postburn
patients (Roh et al. 2007, Cho et al. 2014).
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