University:
Swansea University
Course:
PM-139 | Human Physiology 1
Academic year:

2023
Views:

16

Pages:

5
Author:

Amal J.

SCARscar tissue is an non differentiated formof fibrous tissue which may develop someproperties of the originated tissue butwill not function in the same way as theNormal tissue wound.tissue proliteration cfibrous repair)1- 10 days + post injurypathophysiology :cellular phases during the stageincludeon going phagocytosisproliferation of fibroblastsAngiogenestsproduction of collegen tibersInitiated produced in an morderedand randam fashion].Absorption of inthammatomy enudatescar management :following skin graftAfter about 14 day S the graftbegins to contract and there is a dangerI t will become adherent tounderlying physio therapy :Svar management techniquesare required to maintain range ofmovement and saft tissue length.complication arising from scarformation :Adherence of graft to underlyingcontraction scar tissuehard immobile tissuesRed raised areas .Discomfort of tight skinPerisstant itchingobjectives of physiotherapy ,mobilise saft tissueIncrease active and passive rangeof motionprevent further contraction ofthe scarReduce redness and flates raisedareasLengthen saft tissue.Treatment techniques :passive stretchespressure garmentsmassagerspleit age passive stretches :pt performs gentle range ofmotion at the end of range to createa stretch to the scar.-7Applied farce will be controlledby the pain tolerance of the patientthe give of the tissue under stretchand circulation to 4 the area.pt must observe the colourchanges of the so scar carefullywhen a full stretch. It will blanchand this can be used as a guideto the effectiveness of the treatmentwhen the scar tissue does not res pondto repeated treatment or the contractionincreases in tissues will requiresurgical release to regain the RONDmassage: the grast is stablethe once edges feelly healed massageand be commenced. A maistering thiscan cream can be applied duringproces S. the massage should bevises initially carried out at the edgesof the graft with small movementsand superficial p° gradually workmore centrally as the graft maturesAvoid p° and sliding over theskin as this will cause blisteringof the graft. the aim is to softenand mobilise the grafted tissue toenable freedom of movement improvenutrition and therefore resforefunction.pressure garmentsthese are elastic garmentswhich are fit to the patientaffected body segments whichare constructed after measurements.They are worn nearly 24 has a dayand removed for washing andcream massage of the sears.They are used to reducehypertropic scaring [keloid ]which is encessive formation ofcollegen resulting in thick rope like unever scals which bothlimit function and look unsightlypressure garments also assis + inflatening raised areas andreeling the 6 redness of theSkin grasts.pressure by an elasticatedgarment worn almost continouslyfor up to 2yrs reduce the scaring.Individual assesment on aregular basis for adjustment togarment and shapes as the pteither groups or pats on weight.Different types of p° garmentsto of titting in to a to .sleeves tights concane (or) glove etc/ vests areacan be mailedsilicone p° various products concavity available orapply apply entra p°toto percistient raised scaring.