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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Pathophysiological considerationIn addition to stimulating the differentiation of fibroblasts into MFBs, TGFβ1can also induce the differentiation of myogenic cells into fibrotic cells ininjured skeletal muscle, leading to fibrosis (Li et al. 2004, Cencetti et al.2010, Rodríguez & del Río 2013).Long-Standing/Mature Scars and ImpairmentsWhen working with long-standing or mature scars, treatment often shifts awayfrom the scar itself and focuses more on the dysfunctions or impairments thatdevelop as a result of the scar. These pathophysiological scars can be visiblyevident on the surface in the form of skin contractures, hypertrophic and keloidscars or less visibly evident under the surface in the form of adhesions, fibrosis,CT and fascial contractures.In some cases scars will become strongly fixed and may require surgical release,in which case, postsurgical MT care will be indicated.
Treatment outcomesEssentially, the restoration of pain-free functional capabilities reigns supreme. Itis in this stage that aberrant movement patterns may present and so myofascialchains/meridian considerations apply. It is also when chronic stress and chronicpain must be considered.Treatment will primarily focus on mechanical cleavage of pathological crosslinksand microadhesions, decreasing tissue density/GS viscosity and balancingSNS/PNS tone.
- 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 and 762: Clinical ConsiderationsMT may be a
- Page 763 and 764: Pathophysiological ConsiderationUnd
- Page 765 and 766: Clinical ConsiderationsIn the early
- Page 767: Clinical ConsiderationsAs the remod
- 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
- Page 812 and 813: Figure 9.8Tension. The lower leg is
- Page 814: Figure 9.9Approximation-compression
Pathophysiological consideration
In addition to stimulating the differentiation of fibroblasts into MFBs, TGFβ1
can also induce the differentiation of myogenic cells into fibrotic cells in
injured skeletal muscle, leading to fibrosis (Li et al. 2004, Cencetti et al.
2010, Rodríguez & del Río 2013).
Long-Standing/Mature Scars and Impairments
When working with long-standing or mature scars, treatment often shifts away
from the scar itself and focuses more on the dysfunctions or impairments that
develop as a result of the scar. These pathophysiological scars can be visibly
evident on the surface in the form of skin contractures, hypertrophic and keloid
scars or less visibly evident under the surface in the form of adhesions, fibrosis,
CT and fascial contractures.
In some cases scars will become strongly fixed and may require surgical release,
in which case, postsurgical MT care will be indicated.
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