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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Clinical ConsiderationIt is common to employ combinations of loading techniques. Example:combining compression with shearing/oscillation creates a heat generatingand friction-like effect that impacts HA in ways that increase its lubricationpotential and thereby improves tissue slide/glide capabilities (Roman et al.2013).
Lifting techniquesThe techniques in this category are aimed at lifting and separating onecomponent away from another, such as muscle away from underlying bone orskin away from underlying SF. Lifting techniques can be combined with tension,bending, shear and torsion and can be utilized to address both superficial anddeeper tissues/layers. Barrier considerations apply.Vertical liftsVertical lifts, a form of tension loading, can be used to treat scars and/or tissuethat can be gripped between the thumb and fingers. A vertical or perpendicularlift/stretch is applied and held until a release is felt, allowing for further stretch.The technique can be applied in sequence, with brief rest periods, until nofurther tissue mobilization or stretch can be elicited (Fourie 2014), as illustratedin Figure 9.12.Skin rollingSkin that is stuck or adhered to SF can occur as a result of trauma and maysuggest underlying problems such as scarring that extends to deeper tissue.
- 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 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 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
- Page 863 and 864: Clinical ConsiderationTrauma can be
- Page 865 and 866: MaintenanceSelfcare maintenance is
- Page 867 and 868: ManagementSelfcare management is de
- Page 869 and 870: Client and Therapist PartnershipTo
Lifting techniques
The techniques in this category are aimed at lifting and separating one
component away from another, such as muscle away from underlying bone or
skin away from underlying SF. Lifting techniques can be combined with tension,
bending, shear and torsion and can be utilized to address both superficial and
deeper tissues/layers. Barrier considerations apply.
Vertical lifts
Vertical lifts, a form of tension loading, can be used to treat scars and/or tissue
that can be gripped between the thumb and fingers. A vertical or perpendicular
lift/stretch is applied and held until a release is felt, allowing for further stretch.
The technique can be applied in sequence, with brief rest periods, until no
further tissue mobilization or stretch can be elicited (Fourie 2014), as illustrated
in Figure 9.12.
Skin rolling
Skin that is stuck or adhered to SF can occur as a result of trauma and may
suggest underlying problems such as scarring that extends to deeper tissue.
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