Principles of Physiotherapy Management in Skin Dysfunctions

In this article, we will discuss the Principles of Physiotherapy Management in Skin Dysfunctions. So, let’s get started.

Principles

Parameters to monitor skin dysfunctions
• Colour of the skin
• Elasticity
• Moisture
• Cleanliness
• Dryness
• Temperature changes
• Oedema

To prevent unnecessary trauma
• Avoid unnecessary skin pressure
• Relieve pressure at regular intervals
• Maintain hygiene, lubricate the skin
• Minimize skin shearing and rubbing forces
• Protect from sun and harmful substances
• Frequent examination of skin

To relieve underlying blomechanical causes
• Loose and comfortable clothing
• Encourage activity of weight shifting
• Ergonomies at the work place
• Avoid allergie contributors, eg, dust
• Keep the skin dry to prevent constant moisture
• Avoid pressure points from trauma

To reduce pain and oedema
• Compression, elevation and ice
• Ultrasound therapy
• Electrical stimulation
• Cryotherapy
• Superficial heat, TENS
• PEME

To facilitate healing and repair
• Debridement
• Topical and systemic antibiotics
• UVR (ultraviolet radiation)
• Improve the blood flow maintain hygiene,
• hydration (drink lots of water)
• Increase O2 to the wound
• Well balanced diet
• Avoid pressure
• Soft tissue mobilization around the wound
• Control oedema and infection
• Keep the patient generally active

To maintain and restore function
• If immobilization needed use functional position
• Keep mobile parts moving
• Soft tissue and joint mobilization to release adhesion and scars
• Use assistive devices to support the area and enable independent functional ambulation

To maintain overall fitness and health
• Regular exercise with rest
• Practice relaxation
• Reduce stress
• Maintain good hydration

(Philosophy of wound care: ” no pressure, no ulcer: once the ulcer, always an ulcer “)

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