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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Clinical ConsiderationIt is important to note that eliciting paresthesia sensations may indicateneural distress. Exercise caution if strong paresthesia sensations are elicitedwhen the barrier is challenged as too much strain/pulling or compression ofsensitive neural structures may exacerbate the client’s symptoms and/ordrive SNS hyperarousal. The authors discourage the application of toostrong or forceful barrier challenge, both during assessment and treatment,as this tends to prove counterproductive.
Pathophysiological ConsiderationChanges in the skin and SF often mirror changes in deeper fascia. Skinfolds or creases in the neck have been correlated with cervical jointdysfunction (Gunn & Milbrandt 1978). It has been shown that the skin andSF are more adherent and resistant to skin rolling techniques over spinallevels which are dysfunctional (Taylor et al. 1990). The same applies in thereverse, because the layers are interconnected, distortions or restrictions inDF are often reflected in the skin and SF.
- 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 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: Clinical ConsiderationIrritated ner
- 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
- Page 879 and 880: Relaxation MeasuresVarious relaxati
- Page 881 and 882: scope of practice, such as relaxati
- Page 883 and 884: Silicone gel and silicone sheetingS
- Page 885 and 886: Medicinal honeyThe use of honey for
Clinical Consideration
It is important to note that eliciting paresthesia sensations may indicate
neural distress. Exercise caution if strong paresthesia sensations are elicited
when the barrier is challenged as too much strain/pulling or compression of
sensitive neural structures may exacerbate the client’s symptoms and/or
drive SNS hyperarousal. The authors discourage the application of too
strong or forceful barrier challenge, both during assessment and treatment,
as this tends to prove counterproductive.
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