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

Depth and Pressure Grading
The sensitivity and acuity of our hands are our most powerful clinical tools.
During scar assessment, evaluation and treatment, depth and pressure grading
are important considerations. An expert understanding of how to gauge depth
and pressure factors into client safety and enhances both the intake of important
assessment/evaluation information and the effectiveness of treatment.
Various factors are to be considered in determining how much pressure is
appropriate, including stage of healing, tissue type and location, technique type
and desired outcome and, most importantly, client comfort (Fourie 2014).
Two measures of pressure grading are provided. Walton’s (2011) five massage
pressure levels are used most commonly with fluid movement, neural sedating
and muscular techniques (e.g. Swedish and lymphatic techniques; see Box 9.7).
Fourie and Robb’s (2009) depth and grading of touch scale is used most
commonly with CT and fascial/myofascial techniques (e.g. skin rolling and
various loading techniques; see Box 9.8).