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

16.06.2020 Views

Figure 9.11(A) Shear: begin by engaging the tissue with compression (begin at pressure grade 1–3 (see Box9.8) and slowly increase until barrier is felt) – once barrier is engaged, slowly shear-glide in alateral/angular direction. (A) The tissue is being sheared across the surface of the tibia. (B) Usingshearing for barrier/assessment: often dimpling or puckering can be observed when shearing isapplied near an area of stuck or adhered tissue – as noted in the circled area.Other Techniques

OscillationsOscillation techniques, in the form of shaking, movement back and forth, androcking, have been found to be effective in mobilizing tissue layers, disengagingstuck tissue and increasing the lubrication potential of HA in the sliding layers.Oscillations are commonly applied in combination with compression or lifting.Oscillations can be used to address superficial and deeper layers of tissue.Barrier considerations apply.

Oscillations

Oscillation techniques, in the form of shaking, movement back and forth, and

rocking, have been found to be effective in mobilizing tissue layers, disengaging

stuck tissue and increasing the lubrication potential of HA in the sliding layers.

Oscillations are commonly applied in combination with compression or lifting.

Oscillations can be used to address superficial and deeper layers of tissue.

Barrier considerations apply.

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