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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Gross stretchGross stretch technique is a combination of tension and compression, and isutilized to engage broader areas of tissue. Gross stretch can be used when moreintense, isolating or deeper techniques, such as skin rolling or shear, areuncomfortable for the client to receive. Gross stretch can also be used to prewarmand soften tissue prior to applying more intense type of techniques. Thistechnique can be used to address either superficial or deeper tissue layers.Pressure can vary from very light (grade 1–3 – see Box 9.8) to moderate (grade4–6). Barrier considerations apply.
Gentle circlesGentle circle technique, a combination of tension and compression, is used totarget superficial tissue layers. Like J-strokes, gentle circles can be used in theearlier stages of healing, once the scar is stable (i.e. no risk of dehiscence).Typically, pressure grades 1–4 (see Box 9.8) are used when applying thistechnique. This technique is also commonly used as a form of client selfmassage.Lotion/lubricant is typically used to perform this technique.
- 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 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 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
- Page 871 and 872: Box 10.1Factors affecting, effectiv
- Page 873 and 874: Strategies to Facilitate Engagement
- Page 875 and 876: Clinical ConsiderationThe authors u
- Page 877 and 878: instances. Make your clients aware
Gentle circles
Gentle circle technique, a combination of tension and compression, is used to
target superficial tissue layers. Like J-strokes, gentle circles can be used in the
earlier stages of healing, once the scar is stable (i.e. no risk of dehiscence).
Typically, pressure grades 1–4 (see Box 9.8) are used when applying this
technique. This technique is also commonly used as a form of client selfmassage.
Lotion/lubricant is typically used to perform this technique.
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