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.


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

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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