Integumentary Physical Therapy

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.