Treatment - Lymphedema Flashcards
(45 cards)
Complete decongestive therapy
phase 1
phase 2
phase 1 —> CDT
5 components of daily tx
5 components of daily tx –> phase 1
manual lymphatic drainage (MLD)
compression bandaging
skin care
remedial exercises
pt education of self care management
phase 2 –> CDT
maintenance phase
maintenance phase
compression garments during the day
self-bandaging at night or use night time garment
meticulous skin care
daily remedial exercises
self MLD daily
types of compression garments
standard v. custom
class 1,2,3
stypes
standard compression garment
circular knit
risk of tourniquet
class 1,2,3
40-50 mmHg
tx goals
volume reduction
infection
improve
-skin integrity
-cosmesis
-psychosocial morbidity
-fxnal mobility and QOL
what is MLD
gentle manual therapy which improves activity of lymph vascular systems
increases re-absorption of protein rich fluid
what does MLD do
re-routes lymph flow around the blocked areas into more centrally located healthy lymph vessels
which drain into the venous system
what does MLD improve
lymph production
lymph circulation increasing the volume of lymph fluid transported
what does MLD help do
breakdown fibrotic areas
what does MLD promote
relaxation
analgesic effect
MLD has a
diuretic effect
increases urine output
what type of bandages do we use w/ compressive bandaging
short stretch bandages only
what does compression bandaging improve
efficiency of the muscle and joint pumps
what does compression bandaging increase
tissue pressure in the swollen limb
compression bandaging prevents
re-accumulation of evacuated lymph fluids
compression bandaging helps
break up deposits of accumulated scar tissue and connective tissue
how long do bandages stay in place
remain in place until next MLD session begins during phase 1 of tx
contraindication to compression bandaging
ABI < 0.7
how should exercise be performed
lower exertion
slow
rhythmic
what should exercise be performed w/
compression bandaging/garments on
