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

16.06.2020 Views

Ssafety 192–4, 225therapeutic environment 164, 171see also dangerSappey, Marie 27scar (cicatrix), traumatic (basic references)assessment and evaluation 182–5defining 3, 85pathophysiological see pathophysiological scars Schwann cells 49–50sclerotomes 53scoliosis 187–8scooping technique 212, 214sebaceous glands 10–11self care 237–53client 4, 237–46maintenance 239management 239–40monitoring 239post-treatment recommendations 226therapist 154, 246–50sensitization 63, 65, 67central 65, 66, 67, 68–9peripheral 65, 67, 68–9sensory (afferent) nerves/nerve fibres 48, 50, 53in pathophysiological scars 93receptors 11sensory amnesia 217separating fascia 19, 20severity of trauma 96–7shearing (technique) 219lifting and 222silicone gel and sheeting 246skills (clinician) 241

interviewing 169–71skin 5–11fascia see fasciagrafts 111, 112innervation 10, 53, 55–6necrosis with liposuction 127structure and function 7–11therapeutic techniques 215–16rolling 220–1sleep disturbances 140, 141, 248sliding mechanism/systemconnective tissue/fascia 7, 9tendon 88smoking 86, 140soft tissue movement and barriers 186, 187somatic memory 149–51somatoemotional response 151somatosensory nervous systemneuropathic pain and the 64, 66receptors 56spinal cord 47, 48, 60pain and 69spinal nerves 47, 50, 52, 55spinal scoliosis 187–8spleen 32split-thickness skin grafts (STSG) 111, 112statins 178sternocleidomastoid (SCM), lymphatic techniques 209, 210, 214stiffness in assessment 190stress 135–49, 196definition 135disorders 143–9response 52, 135–49chronic/pathophysiological 138–9physiology 136–8therapist 248, 249wound healing and 139–43

interviewing 169–71

skin 5–11

fascia see fascia

grafts 111, 112

innervation 10, 53, 55–6

necrosis with liposuction 127

structure and function 7–11

therapeutic techniques 215–16

rolling 220–1

sleep disturbances 140, 141, 248

sliding mechanism/system

connective tissue/fascia 7, 9

tendon 88

smoking 86, 140

soft tissue movement and barriers 186, 187

somatic memory 149–51

somatoemotional response 151

somatosensory nervous system

neuropathic pain and the 64, 66

receptors 56

spinal cord 47, 48, 60

pain and 69

spinal nerves 47, 50, 52, 55

spinal scoliosis 187–8

spleen 32

split-thickness skin grafts (STSG) 111, 112

statins 178

sternocleidomastoid (SCM), lymphatic techniques 209, 210, 214

stiffness in assessment 190

stress 135–49, 196

definition 135

disorders 143–9

response 52, 135–49

chronic/pathophysiological 138–9

physiology 136–8

therapist 248, 249

wound healing and 139–43

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