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Physical therapy of the skin and the treatment of the diseases and conditions associated with the integumentary system.
To help heal wounds, burns, skin ulcers, scars, and traumatic injuries, and promote tissue healing.
You must be able to examine and identify integumentary conditions, plan care for the patient, and make specialist/physician recommendations/referrals.
Pain level
Strength
Mobility
Flexibility
Balance
Coordination
Signs of infection
Activities and posture that are aggravating the wound
Characteristics such as bleeding, drainage, shape, and size
Scar tissue characteristics such as pliability, sensation, and texture
Integument is "the primary interface between an organism and the environment"
Integument was once the predominant skeletal system. Much of our knowledge of early vertebrates is based off of fossilized elements of the skin.
"protection against mechanical insult and physiological stresses, and also plays obvious roles in communication, locomotion, and external stimulus detection and reception"
The two most common components of the cell that are targets of cell damage are the DNA and the cell membrane.
DNA Damage: Both normal metabolic activities and environmental factors such as ultraviolet light and other radiations can cause DNA damage, resulting in as many as one million individual molecular lesions per cell per day.
Cell Membrane Damage: Disturbs the state of cell electrolytes, e.g. calcium, which when constantly increased, induces apoptosis
Distortion of microvilli
Loosening of intercellular attachments
Mitochondrial changes
Dilation of the endoplasmic reticulum
Three Phases:
1. Inflammatory
2. Proliferative
3. Remodelnig
Wound dressing
Manual therapy-massage for lymphatic drainage and pain reduction; range of motion stretching
Electrical stimulation (AKA "stim")
Fitting/ordering of adaptive, assistive, or protective equipment
Strengthening exercise
Patient education on current condition, risk factors, and plan of care
Someone suffering from wounds, burns, skin ulcers, traumatic injuries, scars, or abscesses.
Burns
Contusions
Neuropathic Ulcers
Pressure Ulcers
Vascular Disease
Surgical Wounds
Traumatic Injury
Abscesses