Lewit Karel, Olsanska Sarka
J Manipulative Physiol Ther. 2004 Jul-Aug;27(6):399-402. doi: 10.1016/j.jmpt.2004.05.004.
Active scars are a model of soft tissue lesions. Soft tissues surround the locomotor system everywhere. These tissues shift and stretch in harmony with joints and muscles. Active scars interfere with this type of movement, thus disturbing the function of the entire motor system.
The purpose of this article is to show the importance of such scars, their diagnosis, and the importance of manipulative therapy.
After discussing the diagnosis, 51 cases are presented, the majority being scars after operation. The patients suffered from various types of myofascial pain from all sections of the locomotor system. The type of operation and the clinical symptoms are given. The method of treatment is soft tissue manipulation, making use mainly of the barrier phenomenon.
In 36 of the cases, treatment of scars proved highly relevant, giving striking results at first treatment and in the course of therapy. In 13 further cases, the scar was partly relevant, ie, one of several pathogenic lesions. It proved irrelevant in 3 cases.
The treatment of active scars can be of importance in a great number of cases; untreated, active scars are an important cause of therapeutic failure. Treatment also widens the scope of manipulative therapy.
活动性瘢痕是软组织损伤的一种模型。软组织遍布运动系统周围。这些组织与关节和肌肉协调地移动和伸展。活动性瘢痕干扰这种运动类型，从而扰乱整个运动系统的功能。
本文旨在阐述此类瘢痕的重要性、其诊断方法以及手法治疗的重要性。
在讨论诊断之后，呈现了51个病例，大多数为术后瘢痕。患者患有来自运动系统各部位的各种类型的肌筋膜疼痛。给出了手术类型和临床症状。治疗方法是软组织手法治疗，主要利用屏障现象。
在36例病例中，瘢痕治疗显示高度相关，在首次治疗及治疗过程中均取得显著效果。另有13例病例中，瘢痕部分相关，即它是几种致病损伤之一。在3例病例中证明瘢痕不相关。
活动性瘢痕的治疗在大量病例中可能具有重要意义；未经治疗的活动性瘢痕是治疗失败的重要原因。治疗也拓宽了手法治疗的范围。
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