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[libribook.com] Traumatic Scar Tissue Management 1st Edition
One of the most obvious differences between CT and fascial/myofascialtechniques and other massage techniques is that a lubricant is generally notapplied.Lack of lubricant allows for engaging or hooking into CT and fascia and theability to load the tissue and create drag. As tissue is therapeutically loaded andmoved it will eventually encounter barrier and bind. Recall, barrier is the firstfeltslight resistance to manually applied challenge, and bind is the point wheretissue no longer moves freely/easily with mechanical force application.Drag can be graded (Fritz 2013) (see Box 9.9). Generally speaking, whenworking with traumatic scar tissue, skin/CT and fascial/myofascial techniquesare aimed at drag level 2–3.As discussed throughout this book, pathophysiological scars are characterized bypathologically excessive dermal fibrosis and aberrant wound healing. During thewound-healing process, measures taken to prevent aberrant wound healing is tobe considered a primary treatment focus, and this includes employing techniquesdesigned to address undue tissue tension. As noted at the beginning of thischapter, employing techniques designed to interface with the tension/toneregulators, the nervous system (NS) and integrin system, will achieve the desiredoutcome.When working with established traumatic scar tissue, skin/CT andfascial/myofascial techniques are directed at releasing tissue restrictions or denseor stuck sliding layers that have been identified through assessment andevaluation.Box 9.9
Drag scale• 0: no drag• 1: moves the tissue but no bind occurs• 2: moves the tissue to bind• 3: maximum drag, moves the tissue beyond bind.Adapted from Fritz 2013.
- 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 and 768: Clinical ConsiderationsAs the remod
- Page 769 and 770: Treatment outcomesEssentially, the
- 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 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
- Page 818 and 819: Figure 9.11(A) Shear: begin by enga
- Page 820 and 821: Clinical ConsiderationIt is common
- Page 823 and 824: Figure 9.12Torsion/rotation. Begin
- Page 826 and 827: Figure 9.13Lifting. Begin by graspi
- Page 828 and 829: Gross stretchGross stretch techniqu
- Page 830 and 831: Figure 9.15‘Cs’. Begin as noted
- Page 833 and 834: Figure 9.17J-stroke. Begin at one e
- Page 835 and 836: Clinical ConsiderationIrritated ner
- Page 837 and 838: Pathophysiological ConsiderationCha
- Page 839 and 840: Clinical ConsiderationAs the mechan
- Page 841 and 842: Clinical ConsiderationIn various st
- Page 843 and 844: Chaudhry H, Schleip R, Ji Z et al (
- Page 845 and 846: principles and methods. Philadelphi
- Page 847 and 848: Pilat A (2003) Myofascial therapies
- Page 849 and 850: Yang G, Im HJ, Wang JHC (2005) Repe
Drag scale
• 0: no drag
• 1: moves the tissue but no bind occurs
• 2: moves the tissue to bind
• 3: maximum drag, moves the tissue beyond bind.
Adapted from Fritz 2013.
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