RT Book, Section A1 Migliore, Suzanne F. A2 Effgen, Susan K. A2 Fiss, Alyssa LaForme SR Print(0) ID 1187760801 T1 Integumentary System T2 Meeting the Physical Therapy Needs of Children, Third Edition YR 2021 FD 2021 PB F. A. Davis Company PP New York, NY SN 9780803697287 LK fadavispt.mhmedical.com/content.aspx?aid=1187760801 RD 2024/03/28 AB The role of the physical therapist in wound care has evolved over the past several decades. The Academy of Clinical Electrophysiology and Wound Management’s white paper in 2017 outlined the role of physical therapists in wound management. This paper highlights the principles of normal tissue healing, examination, systems review, tests and measures, differential diagnosis, and interventions, which are covered in the entry-level curriculum. Skills for the entry-level clinician are foundational and include pressure redistribution, wound cleansing/irrigation, knowledge of nonsurgical débridement, and basic scar management. Clinicians in the postgraduate phase of their education will need to increase the depth of their knowledge for the type of integumentary disruption and demonstrate skill with advanced interventions such as sharp/ultrasonic débridement and use of advanced topical therapeutic agents (Woelfel & Gibbs, 2017). Physical therapists who desire to be active in wound management need to expand their knowledge through continuing education and, as with any specialty, competency-based training with a mentor. Pediatric clinicians need to be prepared to encounter a wide range of integumentary issues with children. Children are at risk for thermal injuries, pressure injuries, and traumatic wounds. There are also specific congenital integumentary impairments that will challenge the pediatric clinician’s ability to provide timely and age-appropriate interventions. This chapter will serve as an introduction to wound and burn management for the physical therapist as part of an interdisciplinary pediatric wound-management team.