Integumentary Physical Therapy (eBook)

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.

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.