Aktivní jizva

Nguyen, Dang Khoa

Background: The scar is an inferior fibrous tissue, which is formed after the lesion of soft tissues. In the cases where scars cause restriction of soft tissue mobility and it's ability to shift against underlying tissues, which might lead to the locomotor dysfunction and formation of pain syndrome, might be the cases of the active scars. Clinical features: A 33-year old patient with an almost 6-year old scar from C-section, during the examination the left part of the scar was stiffer and showed decreased mobility and shifting towards surrounding tissues, with no signs of hypertrophy or redness. Intervention and outcome: soft tissue techniques had been used for mobilization of scar tissue and it's surrounding soft tissues with restoration of their ability to shift against underlying tissues. To improve the efficiency of this treatment, therapeutic ultrasound was used before the soft tissue techniques. After the treatment the patient felt decreased level of stiffness in the left scar area , the soft tissue mobility in the proximity of the scar improved, however the results of kinesiologic assessment remained the same after intervention . Conclusion: The active scar is a complex pathology with various clinical features. Studies had shown that by restoring the mobility of soft tissues in its area we...

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