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

Grade 9 and 10
• Deep
• Client likely to experience extreme uncomfortableness and/or pain
• Strong potential for tissue damage and subsequent inflammation
• Deep transverse fractioning falls into this range
• Consistent with Walton’s pressure level 5.
Adapted from Fourie & Robb 2009.
Identifying the target tissue/structure (e.g. lymph vessel, fascia, muscle), what
the issue is (e.g. swelling, neural hypersensitivity, tissue adherence), and
determining desired outcome (e.g. shift in fluid dynamics or volume, sedation,
decreased tone) will guide selection of technique type and application, which
includes dosage considerations and the area treated (e.g. the scar itself, tissue
around the scar and scar-associated impairments in nearby or distant tissues).
(See Table 9.3).
Basic techniques common to MTs worldwide will not be covered in this book
(e.g. gliding, kneading and compressions with use of a lubricant).
As lymph, CT and fascia are key target tissues in scar tissue management, some
detail will be provided for the safe and effective application of these tissue/issue
specific techniques.
Influence fluid
Influence the CNS,
PNS and integrins
Cleve
microadhesions
and pathological
crosslinks
Influence HA
Edema transport Local
blood circulation ECM
volume and concentration
Facilitate neural,
physiological and
mechanotransductionmediated
effects
Disengage or
release stuck fibers
and tissue
Normalize HA chains Increase
HA
Attenuate edema-mediated
hysteresis
Dilute inflammatory milieu
Balance ANS
Dampen or accelerate
cellular activity
Reduce neural
distress and pain
Improve: slide
Reduce: neural distress and pain
Improve: fluid gap between
fibers/layers, hydration, slide