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

scope of practice, such as relaxation breathing methods and simple exercises.
Also within our scope is encouragement, demonstrating measurable positive
outcomes and staying current with research on scar management.
Muscle Relaxation Techniques
Muscle relaxation techniques can be incorporated into a treatment session or can
be recommended as client self/homecare and generally relaxed breathing is
performed simultaneously.
Progressive muscle relaxation (PMR), developed by Jacobson, involves the
sequential tensing and releasing of major skeletal muscle groups with the aim of
inducing relaxation by promoting awareness of tension in skeletal muscles
(Jacobson 1938, Cooke 2013). Bernstein and Borkovec (Bernstein et al. 2000)
developed a shortened, modified and most commonly used form of PMR.
Simple tense/release involves one muscle or muscle group.
It is thought that mind–body therapies, such as PMR, induce a relaxation
response by altering SNS activity, which in turn results in a decrease in pulse
rate, blood pressure and musculoskeletal tone, and altered neuroendocrine
function. It has been suggested that deep somatic restfulness and muscular
relaxation reduces anxiety and physical arousal (Campos de Carvalho et al.
2007, Payne & Donaghy 2010, Cooke 2013).
Nutrition and other wound care considerations
Nutritional counselling or guidance is not typically within the MT scope of
practice. The information provided is simply meant to inform the MT about the
role of certain macronutrients (proteins, fat and carbohydrates) and
micronutrients (vitamins, minerals and trace elements) in wound healing and
inflammation and pain management.
Nutrition is known to significantly influence successful wound healing
outcomes. The exuberant cellular and biochemical events that constitute the
wound-healing cascade require energy, amino acids, oxygen, metals, trace
minerals and vitamins for successful completion. Certain nutritional deficiencies
can impact wound healing by impeding fibroblast proliferation, collagen
synthesis, and epithelialization (Blass et al. 2012).
During wound healing, adequate protein intake supports the healthy formation of