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

Figure 9.6
Alternating pump and stationary circle technique. This technique is used on the side of the
thorax and extremites. The efficacy of the lymphatic system prior to the start of the specific scar
tissue work will ensure a much healthier environment for the entire session. All strokes begin
proximal to the terminus and move distal. (A–D) Red arrows indicate the direction of lymph flow.
If there is time available after you have completed other scar tissue work (e.g.
CT and fascia/myofascial techniques), repeating the lymphatic techniques may
prove helpful to removing waste products released by the tissue. It is imperative
the MT has proper training to recognize contraindications for performing
lymphatic techniques on clients.
Skin/CT and Fascia/Myofascial Techniques
MT affects fascia/myofascia through the same proposed biologically plausible
mechanisms associated with other MT soft-tissue techniques that use manual
force applied in various strain directions (Eagan et al. 2007, Simmonds et al.
2012, Fritz 2013).
There are various indirect and direct approaches to working with skin/CT and
fascia. Four of the most commonly known direct approaches include; Rolfing©
and Structural Integration (originating from the work of Ida P. Rolf and furthered
by many, including Myers), Fascial Manipulation© (the work of the Steccos),
fascial/myofascial therapy (covers a broad spectrum of methods, predominantly
originating from osteopathy) and CT massage (originating from the work of E.
Dicke and, later, M. Ebner).
The four identified approaches share similarities and differences in theory,
principles and technique application. Although the authors have studied all four
of these approaches, no specific training for any one identified approach will be
provided; however, general guidance for the application of common direct
therapeutic loading techniques known to achieve desirable scar and scar-related
impairment outcomes will be supplied.
Basic Principles of CT and Fascial/Myofascial Technique Application