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

• Initiate contact with a slow, soft, yet somewhat firm, and confident touch
• Provide cycles of work interspersed with brief pauses and client feedback
• Be present, observe and appropriately respond to client verbal and nonverbal
cues
• Specific to loading techniques:
• Employ a layered approach
• Engage CT and fascia/myofascia 3-dimensionally (e.g. lifting,
torsion, bending)
• Meet and match tissue resistance (rather than over-power/force)
• Apply a consistent/sustained force or pressure until barrier
releases or apply consistent pressure while slowly moving along a
line/vector – approximately 2–3 millimeters or ⅛ of an inch per client
breath cycle
• To achieve desirable viscoelastic deformation a fairly constant
amount of manually applied force for up to 60 seconds is required
• Generally 3–5 minutes of sustained tissue loading is required to
shift GS viscosity (i.e. from viscous to more fluid)
• Employ gapping type force to disengage problematic collagen
cross-links and microadhesions (gapping within our scope of practice
– for example lifting and bending type techniques)
• It can be helpful to follow CT and fascial/myofascial work with
superficial fluid and/or sedating techniques, and/or heat in the
therapeutic range: 35–40°C or 99–104°F