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Scars and adhesions & breast cancer met Susan Chapelle RMT, MBA and researcher
The modern education system for manual therapy, including Massage Therapy, Physiotherapy, Osteopathy and Chiropractic works on the acceptance that manipulation of tissues for scars and adhesions is of therapeutic value. Manual Therapy in its various forms is now being introduced in a growing number of integrated health clinics and is accepted by many to be a valuable addition to allopathic care. Much of the manual therapy literature is conceptual. Sometimes for lack of data, often using outdated concepts that may have been dispelled by modern science’s ability to measure and observe cellular level mechanisms accurately.
This course will offer you a practical and evidence-informed understanding of the mechanisms of scar and adhesion formation for post-surgical care. Learn when to apply techniques, and the timing and rational behind your treatments from a neurobiological understanding.
Susan Chapelle is a researcher in the mechanisms of peripheral pain and adhesion formation, and has been teaching and practicing for over 25 years. This three-day course looks at the neurobiological mechanisms of formation, prevention and treatment of abdominal and breast tissue adhesions and pain. Learn techniques that can prevent debilitating conditions such as lymphedema as well as abdominal blockages and pain post-surgery.
Abstract
OBJECTIVE: Peritoneal adhesions are almost ubiquitous following surgery. Peritoneal adhesions can lead to bowel obstruction, digestive problems, infertility, and pain, resulting in many hospital readmissions. Many approaches have been used to prevent or treat adhesions, but none offer reliable results. A method that consistently prevented or treated adhesions would benefit many patients. We hypothesized that an anatomically-based visceral mobilization, designed to promote normal mobility of the abdominal contents, could manually lyse and prevent surgically-induced adhesions.
MATERIAL AND METHODS:Cecal and abdominal wall abrasion was used to induce adhesions in 3 groups of 10 rats (Control, Lysis, and Preventive). All rats were evaluated 7 days following surgery. On postoperative day 7, unsedated rats in the Lysis group were treated using visceral mobilization, consisting of digital palpation, efforts to manually lyse restrictions, and mobilization of their abdominal walls and viscera. This was followed by immediate post-mortem adhesion evaluation. The rats in the Preventive group were treated daily in a similar fashion, starting the day after surgery. Adhesions in the Control rats were evaluated 7 days after surgery without any visceral mobilization.
RESULTS: The therapist could palpate adhesions between the cecum and other viscera or the abdominal wall. Adhesion severity and number of adhesions were significantly lower in the Preventive group compared to other groups. In the Lysis and Preventive groups there were clear signs of disrupted adhesions.
CONCLUSIONS: These initial observations support visceral mobilization may have a role in the prevention and treatment of post-operative adhesions.
See more about the work of Susan Chapelle through this link: https://www.researchgate.net/profile/Susan-Chapelle-2
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Outlook (online)