KNES 377 Lecture Notes - Lecture 2: Revascularization, Manual Therapy, Granulation Tissue

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Guide exercise program and guidelines for intensity. End result of tissue healing is formation of scar tissue: clinicians can affect and mold scar tissue to result in improved function. Predictable: chemically mediated: varies on severity, tissue type, and health of tissue/individual. Heals either through primary or secondary intention: primary intention: bridge of cells form at site of injury. Good approximation (small area of injury: secondary intention: tissue ends and cannot be brought together; Cells do not bridge: cells form for bottom and from sides. Three phases; each phase overlaps into the next until the wound is fully healed: inflammation, proliferation, remodeling (maturation) Body stabilizes area by sending chemical mediators. 2-3 days or up to 7-10 days, depending on severity. Necessary but if this phase lingers, it can slow down healing. Injury leads to blood and lymph vessel disruption: vasoconstriction triggers hypoxia, vasodilation leads to influx of blood, serum, platelets, clotting.

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