A Webinar on:

Physiology of Stress Application on Healing Tissues

On March 13th, 2021 from 10.00 AM – 11.30 AM

Presented by:

Shrikant J. Chinchalkar, OTR., CHT

Following an injury, the tissues progress through various stages of healing such as inflammatory, fibroplastic and remodeling. During each phase of healing, certain physiological, biochemical and biomechanical changes occur in the tissue. Each tissue responds differently and heals with a specific time frame. For a longest time, it was believed that rest is critical in allowing injuries to heal. However, the animal studies on traumatized tissues have proven that the visco-elastic properties of the healing tissues are lost over time and contracture forms if tissues are not mobilized in accordance with the stages of healing. These studies have also concluded that the process of contracture formation is profound in the first three weeks following trauma. It is known that during fibroblastic period the collagen fibers are laid down randomly and haphazardly and remain unchanged even though the healing phase has advanced to the remodeling phase. Consequently, the detrimental effect of immobilization such as decreased tendon excursion, joint stiffness, reduced hemodynamics, lymphodynamics and also joint hydrodynamics has been observed. In order to facilitate remodeling of the healing tissues tissue internal and external stresses are applied in a form of induction and tension theories to re-organise fibroblast and collagen fibers deposition in a more organised manner so that the linear deposition of the scar tissue facilitates motion of the joints. Furthermore, the motion of the soft tissues and the joints help improve visco-elastic properties of healing tissues and various lost dynamics. This presentation provides an in-depth discussion of all phases of tissue healing and gives physiological, and biomechanical reasoning clinically of how the stresses convert highly cross-linked scar into loosely coiled scar, improve production of glycol-amino-glycans, visco-elastic properties of the tissues, hemodynamics, lymphodynamics and joint hydrodynamics. In this webinar we will also discuss clinical reasoning of internal stress application during inflammatory external stresses during fibroplastic phase and a combination of both, internal and external stresses during remodeling phase to achieve maximum range of motion and strength in an injured extremity. The presentation highlights various clinical cases to simplify understanding of the application of stresses during tissue healing

Webinar Objectives:

Upon completion of the course the participants will understand the following;
– Understand stages of wound healing
– Describe induction and tension theories used at various stages of tissue healing
– Describe physiology of internal stress application during inflammatory and early stages of fibroplastic phase
– Describe application of external stress during late phase of fibroplastic and both these stresses during remodeling phase
– Understand physiological effect of stress on hemodynamics, lymphodynamics and joint hydrodynamics and remodeling of the tissues.
-Effectively manage simple as well as multi-tissue trauma successfully based on the understanding of stress application during healing phases

Please download Microsoft Teams prior to attending the Webinar

This Webinar Constitutes 1.5 CEU Credit

All contents of this webinar series is accepted as Category A credit toward recertification by Hand Therapy Certification Commission (HTCC)