This book is a practical guide to safe and effective physical therapy methods that can be applied in patients with diverse skin ailments, including scars, decubitus ulcers, burns, frostbite, photosensitivity disorders, inflammatory skin disease, skin cancers, obesity-related conditions, psoriasis, herpes zoster, tineapedis, and vitiligo. For each condition, physical therapy interventions– therapeutic exercises, manual physical therapies, and therapeutic modalities employed in rehabilitation– are described in detail. In addition, information is provided on symptoms and complications, examination and evaluation, medical interventions, and prevention and management methods. In the case of obesity-related skin problems, management is discussed from the point of view of Eastern as well as Western medicine. The text is complemented by more than 300 color photographs and illustrations. Integumentary Physical Therapy will help the reader to obtain optimal therapeutic results when treating patients with skin ailments. It will be of value for both practicing physical therapists and students in physical therapy.
01 Outline of Integumentary
System.- 1. Anatomical Structure of Integumentary System.- 1) Epidermis.- 2)
Dermis.- 3) Subcutaneous Tissue.- 4) Appendages of the Skin or Skin Appendage.-
2. Cutaneous Sensation and Neurarchy.- 1) Cutaneous Sensation.- 2) Cutaneous
Nerve.- 3) Sensory Pathway.- Characteristic of Integumentary System.- 1.Type of
Integumentary System.- 1) Classification of General Integumentary System Type.-
2. Pathology and Recovery of Integumentary System Injury.- 1) Wound Healing
Mechanism.- 3. Skin Aging.- 1) Classification of Skin Aging.- 2) Cause of Skin
Aging.- 3) Age related Dermal Change Skin Change.- 4) Functional Change of
Geroderma.- 4. Skin Histopathology.- 1) Change of Epidermis.- 2) Change of
Dermoepidermal Junction.- 3) Change of Dermis.- 4) Neoplasm of Melanocyte.- 5)
Panniculitis.- Evaluation of Integumentary System.- 1. General Cutaneous
Symptom and Sign.- 1) Cutaneous Symptom.- 2) Cutaneous Sign.- 2. Cutaneous
Symptom.- 1) Pruritus.- 2) Eczema.- 3) Erythroderma.- 4) Hives or Urticaria.-
5) Ganglion.- 6) Blood Vessel Lesion.- 7) Blush or Flush.- 8) Vesicle and
Blister.- 9) Hypertrichosis and Hirsutism.- 10) Acanthosis Nigricans.- 11)
Acquired Ichthyosis.- 3. Dermatological Examination Method.- 1) General
Diagnosis.- 2) Physical Examination.- 3) Examination using Diagnosis Assist
Device.- 4) Microbiologic Test.- 5) Skin Biopsy.- 6) Immunofluorescent Test.-
7) Electron Microscopy.- 8) Skin Reaction Test.- 9) Oral Provocation Test.- 4.
Examination and Evaluation of Physical Therapy.- 1) Examination.- Problem
Solving.- 02 Wound.- 1. Outline.- 2. Cause.- 1) Cutting.- 2) Tension.- 3)
Compression.- 3. Classification.- 1) Partial Lamella Wound.- 2) Complete
Lamella Wound.- 3) Other Classification.- 4. Symptom and Complication.- 1)
Wound Infection.- 2) Suture Mark.- 3) Keloid and Hypertrophic Scarring.- 5.
Examination and Evaluation.- 1) Initial Evaluation of Wound.- 2) Test to
Wound.- 3) Test around Wound.- Intervention.- 1. Intervention.- 1) Interventional
Approach.- 2) Medical Treatment.- Physical Therapy Intervention.- 1)
Therapeutic Exercise.- 2) Manual Therapy.- 3) Physical Agent Therapy.- 3. Prevention
and Management.- 1) Prevention.- 2) Management.- 3) Patient/Guardian
Education.- Advice for Physical Therapist.- Problem Solving.- 03 Decubitus
Ulcer.- 1. Outline.- 2. Cause.- 1) Pressure.- 2) Trauma Cutis.- 3) Chafing and
Skin Friction.- 4) Loss of Cutaneous Sensation.- 5) Loss of Vasomotor.- 6)
Humidity and Body Temperature.- 7) Nutritional Deficiency.- 3. Classification.-
1) Compressive Decubitus Ulcer.- 2) Diabetic Decubitus Ulcer.- 4. Symptom.- 1)
Decubitus Ulcer according to the Posture.- 2) Advancing Stage of Decubitus
Ulcer.- 5. Examination and Evaluation.- 1) Evaluation of Decubitus Ulcer.- 2) Record
Guideline of Decubitus Ulcer.- 3) Evaluation Tool of Decubitus Ulcer.- 4)
Peripheral Blood Vessel Circulation Examination.- Intervention.- 1.
Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical
Therapy Intervention.- 1) Decubitus Ulcer Prevention Posture.- 2) Therapeutic
Exercise.- 3) Manual Therapy.- 4) Physical Agent Therapy.- 3. Prevention and
Management.- 1) Diabetic Decubitus Ulcer.- 2) Compressive Decubitus Ulcer.- 3)
Management.- 4) Patient/Guardian Education.- Advice for Physical Therapist.-
Problem Solving.- 04 Burn.- 1. Outline.- 2. Cause.- 1) Scalding Burn.- 2) Flame
Burn.- 3) Electrical Burn.- 4) Chemical Burn.- 5) Contact Burn.- 6) Inhalation
Burn.- 3. Classification.- 1) First Degree Burn.- 2) Second Degree Burn.- 3)
Third Degree Burn.- 4) Fourth Degree Burn.- 4. Evaluation.- 1) Rule of Nines.-
2) Lund-Browder Formula.- 3) American Burn Association.- 5. Symptom.- 1)
Pathophysiological Symptom according to Recovery Stage.- 2) Systematic Symptom
of the Human Body.- 3) Systemic Symptom.- 6. Prognosis and Complication.- 1)
Prognosis.- 2) Complication.- Intervention.- 1. Intervention.- 1)
Interventional Approach.- 2) Medical Treatment.- 3) Surgical Treatment.- 2.
Physical Therapy Intervention.- 1) Therapy to Wound.- 2) Therapy to Edema.- 3)
Take the Posture.- 4) Physical Agent Therapy.- 5) Therapeutic Exercise.- 6)
Physical Therapy for Skin Graft.- 7) Scar Management by Burn.- 8) Orthosis.- 3.
Prevention and Management.- 1) Prevention and Management.- 2) Patient/Guardian
Education.- Advice for Physical Therapist.- Problem Solving.- 05 Frostbite.- 1.
Outline.- 2. Cause.- 3. Classification.- 1) Non-Frozen Injury.- 2) Freeze
Injury.- 3) Classification according to the Grade of Frostbite Injury.- 4.
Symptom.- 1) Clinical Symptom.- 2) Pathological Stage of Frostbite.- 5.
Examination and Evaluation.- Intervention.- 1. Intervention.- 1) Interventional
Approach.- 2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Posture
or Position.- 2) Therapeutic Exercise.- 3) Manual Therapy.- 4) Physical Agent
Therapy.- 3. Prevention and Management.- 1) Prevention.- 2) Management.- 3) Patient/Guardian
Education.- Advice for Physical Therapist.- Problem Solving.- 06
Photosensitivity Disorder.- 1. Outline.- 2. Cause.- 3. Classification.- 4.
Symptom and Complication.- 1) Photoexacerbation Disorder.- 2) Idiopathic
Disorder.- 3) Hereditary Disorder.- 4) Photosensitivity Disorder by Extrinsic
Drug.- 5) Metabolic Disorder.- 6) Neoplastic Disorder.- 5. Examination and
Evaluation.- 1) Clinical Inspection.- 2) Final Examination.- 3)
Histopathological Finding.- 4) Clinical Examination.- Intervention.- 1.
Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical
Therapy Intervention.- 1) Physical Agent Therapy.- 3. Prevention and
Management.- 1) Prevention.- 2) Management.- 4. Patient and Guardian
Education.- Advice for Physical Therapist.- Problem Solving.- 07 Inflammatory
Skin Disease.- 1. Outline.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 2.
Cause.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 3. Classification.- 1)
Atopic Dermatitis.- 2) Contact Dermatitis.- 4. Symptom and Complication.- 1)
Atopic Dermatitis.- 2) Contact Dermatitis.- 5. Examination and Evaluation.- 1)
Atopic Dermatitis.- 2) Contact Dermatitis.- Intervention.- 1. Intervention.- 1)
Interventional Approach.- 2) Medical Treatment.- 2. Physical Therapy
Intervention.- 1) Therapeutic Exercise.- 2) Physical Agent Therapy.- 3.
Prevention and Management.- 1) Atopic Dermatitis.- 2) Contact Dermatitis.- 3)
Patient/Guardian Education.- Fibromyalgia Syndrome.- 1. Outline.- 2. Cause.- 1)
Loss of Sufficient Sleep.- 2) Abnormal Neurochemical Reaction.- 3) Sympathetic
Nervous System Disorder.- 4) Factor of Local Tissue.- 3. Symptom.- 4. Examination
and Evaluation.- Intervention.- 1. Intervention.- 1) Interventional Approach.-
2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Therapeutic
Exercise.- 2) Manual Therapy.- 3) Physical Agent Therapy.- 3. Prevention and
Management.- 1) Prevention and Management.- 2) Patient/Guardian Education.-
Advice for Physical Therapist.- Problem Solving.- 08 Skin Cancer.- 1. Outline.-
2. Cause.- 3. Classification.- 1) Squamous Cell Carcinoma.- 2) Basal Cell
Carcinoma.- 3) Malignant Melanoma.- 4) Actinic Keratosis.- 4. Symptom and
Complication.- 1) Squamous Cell Carcinoma.- 2) Basal Cell Carcinoma.- 3)
Malignant Melanoma.- 5. Examination and Evaluation.- 1) Diagnosis of Skin
Cancer.- 2) Stage of Skin Cancer.- Intervention.- 1. Intervention.- 1)
Interventional Approach.- 2) Medical Treatment.- 2. Physical Therapy
Intervention.- 1) Posture or Position.- 2) Therapeutic Exercise.- 3) Manual
Therapy.- 4) Physical Agent Therapy.- 3. Prevention and Management.- 1)
Prevention of Skin Cancer.- 2) Management of Skin Cancer.- 3) Patient/Guardian
Education.- Lymphedema.- 1. Outline.- 2. Cause.- 3. Classification.- 1) Primary
Lymphedema.- 2) Secondary Lymphedema.- 4. Symptom and Complication.- 5.
Examination and Evaluation.- 1) Radiologic Examination.- 2) Physical Therapy
Examination.- 3) Circumference Self Measurement of Tapeline.- 4) Skin Edema
Volume-meter Examination.- 5) using Body Composition Analyzer(Inbody).- 6)
Prodromal Symptom Identification.- 7) Symptom and Severity Evaluation.-
Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical
Treatment.- 2. Physical Therapy Intervention.- 1) Posture or Position.- 2)
Therapeutic Exercise.- 3) Manual Therapy.- 4) Skin Care.- 5) Physical Agent
Therapy.- 3. Prevention and Management.- 1) Prevention of Lymphedema.- 2) Management
of Lymphedema.- 3) Patient/Guardian Education.- Advice for Physical Therapist.-
Problem Solving.- 09 Obesity.- 1. Outline.- 2. Cause.- 1) Environment Factor.-
2) Genetic and Congenital Cause.- 3) Neurological and Endocrine System
Disorder.- 4) Drug.- 5) Psychological Factor.- 3. Classification.- 1)
Classification by Cause of Obesity.- 2) Classification according to Adipocyte
Number and Size.- 3) Classification according to Distribution in Vivo of
Adipose Tissue.- 4) Classification according to Time of Obesity Onset.- 4.
Symptom and Complication.- 1) Symptom of Obesity.- 2) Complication of Obesity.-
5. Examination and Evaluation.- 1) Method using Weight Length Index.- 2)
Evaluation Method at Fat Distribution.- 3) Other Body Fat Mass Measurement.-
Intervention.- 1. Intervention.- 1) Interventional Approach.- 2) Medical
Treatment.- 2. Physical Therapy Intervention.- 1) Therapeutic Exercise.- 2)
Manual Therapy.- 3) Physical Agent Therapy.- 3. Prevention and Management.- 1)
Prevention.- 2) Management.- 3) Patient/Guardian Education.- Advice for
Physical Therapist.- Problem Solving.- 10 Other Skin Disorder(Psoriasis, Herpes
Zoster, Tinea Pedis, Vitiligo).- Psoriasis.- 1. Outline.- 2. Cause.- 3.
Classification.- 1) Plaque Psoriasis.- 2) Guttate Psoriasis.- 3) Inverse
Psoriasis.- 4) Exfoliative Psoriasis.- 5) Pustular Psoriasis.- 6) Psoriatic
Arthritis.- 7) Scalp Psoriasis.- 8) Fingernail and Toenail Psoriasis.- 4.
Symptom and Complication.- 5. Examination and Evaluation.- Intervention.- 1.
Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical
Therapy Intervention.- 1) Posture or Position.- 2) Therapeutic Exercise.- 3)
Manual Therapy.- 4) Physical Agent Therapy.- 3. Prevention and Management.- 1)
Prevention.- 2) Management.- 3) Patient/Guardian Education.- Herpes Zoster.- 1.
Outline.- 2. Cause.- 3. Symptom and Complication.- 1) General Symptom.- 2) Part
of Origin.- 3) Pain.- 4) Motor Disturbance or Motor Disorder.- 4. Examination
and Evaluation.- Intervention.- 1. Intervention.- 1) Interventional Approach.-
2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Posture or
Position.- 2) Therapeutic Exercise.- 3) Manual Therapy.- 4) Physical Agent
Therapy.- 3. Prevention and Management.- 1) Prevention.- 2) Management.- 3)
Patient/Guardian Education.- Tinea Pedis.- 1. Outline.- 2. Cause.- 3. Symptom
and Complication.- 4. Examination and Evaluation.- 1) Direct Smear Test.- 2)
Fungal Culture Test.- Intervention.- 1. Intervention.- 1) Interventional
Approach.- 2) Medical Treatment.- 2. Physical Therapy Intervention.- 1) Posture
or Position.- 2) Therapeutic Exercise.- 3) Manual Therapy.- 4) Physical Agent
Therapy.- 3. Prevention and Management.- 1) Prevention.- 2) Management.- 3)
Patient/Guardian Education.- Vitiligo.- 1. Outline.- 2. Cause.- 1) Immune
Theory.- 2) Nerve Liquid Theory.- 3) Melanocyte Self Destruction Theory.- 3.
Symptom and Complication.- 4. Examination and Evaluation.- Intervention.- 1.
Intervention.- 1) Interventional Approach.- 2) Medical Treatment.- 2. Physical
Therapy Intervention.- 1) Posture or Position.- 2) Therapeutic Exercise.- 3)
Manual Therapy.- 4) Physical Agent Therapy.- 3. Prevention and Management.- 1)
Prevention.- 2) Management.- 3) Patient/Guardian Education.- Advice for
Physical Therapist.- Problem Solving.
Ji-Whan Park is professor in Physical Therapy at Daejeon Health Sciences College.
Dae-In Jung is professor in Physical Therapy at Gwangju Health University. This book is a practical guide to safe and effective physical therapy methods that can be applied in patients with diverse skin ailments, including scars, decubitus ulcers, burns, frostbite, photosensitivity disorders, inflammatory skin disease, skin cancers, obesity-related conditions, psoriasis, herpes zoster, tineapedis, and vitiligo. For each condition, physical therapy interventions– therapeutic exercises, manual physical therapies, and therapeutic modalities employed in rehabilitation– are described in detail. In addition, information is provided on symptoms and complications, examination and evaluation, medical interventions, and prevention and management methods. In the case of obesity-related skin problems, management is discussed from the point of view of Eastern as well as Western medicine. The text is complemented by more than 300 color photographs and illustrations. Integumentary Physical Therapy will help the reader to obtain optimal therapeutic results when treating patients with skin ailments. It will be of value for both practicing physical therapists and students in physical therapy.
Describes the use of physical therapy methods in a wide range of skin conditions
Helps the reader to achieve optimal therapeutic results
Offers guidance on examination, evaluation, and other interventions
Includes more than 300 color photographs and illustrations
