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| Functional
Rehabilitation |
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Burns/surgical scar
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Scarring maybe the result of
burns or scalds, skin grafts or surgical scars.
Problems includes hypertrophy of scar tissue, joint contracture
and disfigurement, limitation of active and passive movement as
well as psychological adjustment problem. |
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Pressure therapy: |
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To minimize effect of hypertrophy
of scar tissue by application of pressure on affected areas.
Pressure is achieved by means of made-to-measure pressure
garment with inserts either of paddings or conformers.
The first visit would involve decision for the type of pressure
garment according to the location of the scar. E.g. if the scar
is at the axilla, the pressure garment would need to be a
double-short-sleeved jacket; whereas a sleeve tube would suffice
if the scar is on the forearm. Measurement will be taken at the
first visit.
At the second visit, clients will be fitted with the pressure
garment and given instructions on how long to wear it for,
precautions, washing, etc.
Pressure paddings and /or conformers may be given on the second
visit or later, depending on the “ferocity” of the affected
site.
As pressure therapy is a rather complicated modality, follow-up
visits would be more frequent during the initial 1~2 months,
usually once every 1~2 weeks. For infants, the follow-up may
even by 2~3 days. After the initial period, when it is more
certain that clients are able to manage quite safely, follow-up
will be monthly.
Scars will mature eventually, when pressure garment will not be
required anymore. This would usually take a minimum of 9 months,
but some clients had needed to wear pressure garments for up to
3 years.
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Mobilisation: |
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For scars at or over joint areas,
it is important that clients perform mobilization, passive
and/or active mobilization, as specified by the therapists. |
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Splintage: |
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To prevent joint contracture and
deformities, sometimes it is necessary for clients to wear
splints, either active or passive, for night or day use,
according to advice from doctors and therapists. |
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Psychological counseling: |
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Some clients are distressed by
the appearance of the scars, the “tediousness” of pressure
therapy and splintage, etc. Our therapists are fully aware of
these difficulties and are ready and willing to talk about these
problems with our clients. |
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Our Services |
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