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

Fig 9.7
Traumatic scar formation
General application protocol:
• Engage at the edge of the first restriction barrier, and hold a constant
force/pressure until a release is felt – typically 60–90 seconds
• There is no movement of tissue or therapist hands once barrier is engaged, until
a release is felt
• Once release of the first barrier occurs, the therapist’s hands follow the release
to the next barrier
• The process is repeated through a possible 3–6 barriers, and subsequent
barriers may take longer to release (3–5 minutes) and for the client’s
pain/discomfort to diminish
• The entire treatment process, in one general locale, may take up to 25–30
minutes
• Pressure grading can vary, but is typically applied in the 4–6 range (see Box
9.8).
As previously noted, another protocol includes the ultra-slow drag or movement
of the therapist’s hands/fingers/elbow/forearm along a particular vector. This
approach is commonly employed when working with myofascial meridians and
will not be covered in depth in this book. For a deeper understanding of this
approach the authors recommend the study of Anatomy Trains (Myers 2013) or
other Structural Integration/Rolf type methods.