[libribook.com] Traumatic Scar Tissue Management 1st Edition
Figure 9.8Tension. The lower leg is being anchored by the therapist’s right hand, while the left hand engagesthe tissue by applying compression (begin at pressure grade 1–3 (see Box 9.8) and slowly increaseuntil barrier is felt), then glide slowly, creating drag and tensioning in a proximal direction.
ShearOblique or laterally applied gliding type movement of one tissue or layer inreference to another. Intended outcome is to influence fluid dynamics (e.g. GSand HA changes: shift GS viscosity and increase the lubrication potential of HAin the sliding layers), generate heat and mechanical cleavage/disengagement ofundue cross-links – culminating in improved tissue mobility and slide/glidecapabilities (see Fig. 9.10).Torsion/rotationTorsion/rotation is twisting-type loading; essentially, a combination ofcompression and tension where there is simultaneous compression of somefibers with elongation of others. Multiple intended outcomes associated withcompression and tension as noted above, as illustrated in Figure 9.11.
- 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 800 and 801: One of the most obvious differences
- 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 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
- Page 851 and 852: Medial thigh 4th degree skin grafts
- Page 853: Figure B.2 Post-treatmentSurgical s
- Page 857 and 858: Figure C.2 Post-treatment2 December
- Page 859 and 860: and to be consistent with any selfc
- Page 861 and 862: ability to resume social responsibi
Shear
Oblique or laterally applied gliding type movement of one tissue or layer in
reference to another. Intended outcome is to influence fluid dynamics (e.g. GS
and HA changes: shift GS viscosity and increase the lubrication potential of HA
in the sliding layers), generate heat and mechanical cleavage/disengagement of
undue cross-links – culminating in improved tissue mobility and slide/glide
capabilities (see Fig. 9.10).
Torsion/rotation
Torsion/rotation is twisting-type loading; essentially, a combination of
compression and tension where there is simultaneous compression of some
fibers with elongation of others. Multiple intended outcomes associated with
compression and tension as noted above, as illustrated in Figure 9.11.