Goals - Ultimate goal is to restore complete and painless function with a strong mobile scar at the lesion site. Intensity must be specific to the patient s tolerance and degree of injury. PROM within the limits of pain. Intermittent muscle setting with the injured muscle in the shortened position. Very gently at first to keep scar tissue from adhering to the surrounding tissues e. Gentle massage to increase circulation and disperse edema.
New tissue is fragile and easily reinjured.
Muscle weakness is usually present secondary to joint immobilization or restricted motion during the acute stage. Pain occurs as the end of the available range is approached. Goals of treatment a. Control pain and swelling . Strengthen surrounding musculature. Treatment Specific to Tissue Type a. Joints and ligamentous structures 1.