Integumentary Physical Therapy

This book is a practical guide to safe and effective physical therapy methods that can be applied in patients with diverse skin ailments, including scars, decubitus ulcers, burns, frostbite, photosensitivity disorders, inflammatory skin disease, skin cancers, obesity-related conditions, psoriasis, herpes zoster, tineapedis, and vitiligo. For each condition, physical therapy interventions therapeutic exercises, manual physical therapies, and therapeutic modalities employed in rehabilitation are described in detail. In addition, information is provided on symptoms and complications, examination and evaluation, medical interventions, and prevention and management methods. In the case of obesity-related skin problems, management is discussed from the point of view of Eastern as well as Western medicine. The text is complemented by more than 300 color photographs and illustrations. Integumentary Physical Therapy will help the reader to obtain optimal therapeutic results when treating patients with skin ailments. It will be of value for both practicing physical therapists and students in physical therapy.

Describes the use of physical therapy methods in a wide range of skin conditions Helps the reader to achieve optimal therapeutic results Offers guidance on examination, evaluation, and other interventions Includes more than 300 color photographs and illustrations

Autorentext
Ji-Whan Park is professor in Physical Therapy at Daejeon Health Sciences College. Dae-In Jung is professor in Physical Therapy at Gwangju Health University.

Inhalt
01 Outline of Integumentary System.- 1. Anatomical Structure of Integumentary System.- 1) Epidermis.- 2) Dermis.- 3) Subcutaneous Tissue.- 4) Appendages of the Skin or Skin Appendage.- 2. Cutaneous Sensation and Neurarchy.- 1) Cutaneous Sensation.- 2) Cutaneous Nerve.- 3) Sensory Pathway.- Characteristic of Integumentary System.- 1.Type of Integumentary System.- 1) Classification of General Integumentary System Type.- 2. Pathology and Recovery of Integumentary System Injury.- 1) Wound Healing Mechanism.- 3. Skin Aging.- 1) Classification of Skin Aging.- 2) Cause of Skin Aging.- 3) Age related Dermal Change Skin Change.- 4) Functional Change of Geroderma.- 4. Skin Histopathology.- 1) Change of Epidermis.- 2) Change of Dermoepidermal Junction.- 3) Change of Dermis.- 4) Neoplasm of Melanocyte.- 5) Panniculitis.- Evaluation of Integumentary System.- 1. General Cutaneous Symptom and Sign.- 1) Cutaneous Symptom.- 2) Cutaneous Sign.- 2. Cutaneous Symptom.- 1) Pruritus.- 2) Eczema.- 3) Erythroderma.- 4) Hives or Urticaria.- 5) Ganglion.- 6) Blood Vessel Lesion.- 7) Blush or Flush.- 8) Vesicle and Blister.- 9) Hypertrichosis and Hirsutism.- 10) Acanthosis Nigricans.- 11) Acquired Ichthyosis.- 3. Dermatological Examination Method.- 1) General Diagnosis.- 2) Physical Examination.- 3) Examination using Diagnosis Assist Device.- 4) Microbiologic Test.- 5) Skin Biopsy.- 6) Immunofluorescent Test.- 7) Electron Microscopy.- 8) Skin Reaction Test.- 9) Oral Provocation Test.- 4. Examination and Evaluation of Physical Therapy.- 1) Examination.- Problem Solving.- 02 Wound.- 1. Outline.- 2. Cause.- 1) Cutting.- 2) Tension.- 3) Compression.- 3. Classification.- 1) Partial Lamella Wound.- 2) Complete Lamella Wound.- 3) Other Classification.- 4. Symptom and Complication.- 1) Wound Infection.- 2) Suture Mark.- 3) Keloid and Hypertrophic Scarring.- 5. Examination and Evaluation.- 1) Initial Evaluation of Wound.- 2) Test to Wound.- 3) Test around Wound.- Intervention.- 1. Intervention.- 1)Interventional Approach.- 2) Medical Treatment.- Physical Therapy Intervention.- 1) Therapeutic Exercise.- 2) Manual Therapy.- 3) Physical Agent Therapy.- 3. Prevention and Management.- 1) Prevention.- 2) Management.- 3) Patient/Guardian Education.- Advice for Physical Therapist.- Problem Solving.- 03 Decubitus Ulcer.- 1. Outline.- 2. Cause.- 1) Pressure.- 2) Trauma Cutis.- 3) Chafing and Skin Friction.- 4) Loss of Cutaneous Sensation.- 5) Loss of Vasomotor.- 6) Humidity and Body Temperature.- 7) Nutritional Deficiency.- 3. Classification.- 1) Compressive Decubitus Ulcer.- 2) Diabetic Decubitus Ulcer.- 4. Symptom.- 1) Decubitus Ulcer according to the Posture.- 2) Advancing Stage of Decubitus Ulcer.- 5. Examination and Evaluation.- 1) Evaluation of Decubitus Ulcer.- 2) Record Guideline of Decubitus Ulcer.- 3) Evaluation Tool of Decubitus Ulcer.- 4) Peripheral Blood Vessel Circulation Examination.- Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Decubitus Ulcer Prevention Posture.- 2) Therapeutic Exercise.- 3) Manual Therapy.- 4) Physical Agent Therapy.- 3. Prevention and Management.- 1) Diabetic Decubitus Ulcer.- 2) Compressive Decubitus Ulcer.- 3) Management.- 4) Patient/Guardian Education.- Advice for Physical Therapist.- Problem Solving.- 04 Burn.- 1. Outline.- 2. Cause.- 1) Scalding Burn.- 2) Flame Burn.- 3) Electrical Burn.- 4) Chemical Burn.- 5) Contact Burn.- 6) Inhalation Burn.- 3. Classification.- 1) First Degree Burn.- 2) Second Degree Burn.- 3) Third Degree Burn.- 4) Fourth Degree Burn.- 4. Evaluation.- 1) Rule of Nines.- 2) Lund-Browder Formula.- 3) American Burn Association.- 5. Symptom.- 1) Pathophysiological Symptom according to Recovery Stage.- 2) Systematic Symptom of the Human Body.- 3) Systemic Symptom.- 6. Prognosis and Complication.- 1) Prognosis.- 2) Complication.- Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 3) Surgical Treatment.- 2. Physical Therapy Intervention.- 1) Therapy to Wound.- 2) Therapy to Edema.- 3) Take the Posture.- 4) Physical Agent Therapy.- 5) Therapeutic Exercise.- 6) Physical Therapy for Skin Graft.- 7) Scar Management by Burn.- 8) Orthosis.- 3. Prevention and Management.- 1) Prevention and Management.- 2) Patient/Guardian Education.- Advice for Physical Therapist.- Problem Solving.- 05 Frostbite.- 1. Outline.- 2. Cause.- 3. Classification.- 1) Non-Frozen Injury.- 2) Freeze Injury.- 3) Classification according to the Grade of Frostbite Injury.- 4. Symptom.- 1) Clinical Symptom.- 2) Pathological Stage of Frostbite.- 5. Examination and Evaluation.- Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Posture or Position.- 2) Therapeutic Exercise.- 3) Manual Therapy.- 4) Physical Agent Therapy.- 3. Prevention and Management.- 1) Prevention.- 2) Management.- 3) Patient/Guardian Education.- Advice for Physical Therapist.-Problem Solving.- 06 Photosensitivity Disorder.- 1. Outline.- 2. Cause.- 3. Classification.- 4. Symptom and Complication.- 1) Photoexacerbation Disorder.- 2) Idiopathic Disorder.- 3) Hereditary Disorder.- 4) Photosensitivity Disorder by Extrinsic Drug.- 5) Metabolic Disorder.- 6) Neoplastic Disorder.- 5. Examination and Evaluation.- 1) Clinical Inspection.- 2) Final Examination.- 3) Histopathological Finding.- 4) Clinical Examination.- Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Physical Agent Therapy.- 3. Prevention and Management.- 1) Prevention.- 2) Management.- 4. Patient and Guardian Education.- Advice for Physical Therapist.- Problem Solving.- 07 Inflammatory Skin Disease.- 1. Outline.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 2. Cause.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 3. Classification.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 4. Symptom and Complication.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 5. Examination and Evaluation.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Therapeutic Exercise.- 2) Physical Agent Therapy.- 3. Prevention and Management.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 3) Patient/Guardian Education.- Fibromyalgia Syndrome.- 1. …