competency 5

Question 1

Pectoral traction

Answer 1

• increases lymph movement by increasing negative pressure in thorax
• grab dem pectoralis majors
• apply force when pt inhales and resist movement of exhalation

Question 2

Dome Diaphragm lymphatic treatment

Answer 2

• increases lymph flow by relaxing the diaphragm so it can make greater pressure gradients
• get lymph back to venous circulation
• improves diaphragm excursion–> improves ability to move lymph back centrally

Question 3

Rib Raise Seated

Answer 3

purpose is to stimulate sympathetic chain ganglia and improve lymph flow in area 1

Question 4

Rib raise Supine

Answer 4

helps lymph flow by stimulating sympathetic chain ganglia initially followed by decreased stimulation
-improves rib cage excursion with resulting increase pressure gradients

Question 5

Tapotement lymphatic treatment

Answer 5

-this helps to break loos consolidated material for improved drainage and expulsion from lungs

Question 6

Thoracic pump

Answer 6

• moves lymph fluid by affecting pressure gradients
• meant to clear thoracic duct region
• works well for COPD, URI, LRI, swollen upper extremities,
• enhances immune function
• remember this one has the 2 components to it

Question 7

Abdominal pump

Answer 7

helps to move lymph fluid by INDIRECTLY affecting pressure gradients and indirectly massaging the thoracic duct at its origin in cisterna chyli

Question 8

Sacral Rocking

Answer 8

purpose is to relax the muscles at the lumbosacral junction

Question 9

Effleurage lymphatic treatment for zone 3

Answer 9

purpose is to aid in movement of lymph fluid toward central core of body (direct pressure technique to move lymph)

Question 10

Petrissage lymphatic treatment for zone 3

Answer 10

purpose is to aid in movement of lymph fluid toward central core of body (direct pressure technique to move lymph)

Question 11

Effleurage for zone 4

Answer 11

purpose is to aid in movement of lymph fluid toward central core of body (direct pressure technique to move lymph)

Question 12

Petrissage for zone 4

Answer 12

purpose is to aid in movement of lymph fluid toward central core of body (direct pressure technique to move lymph)

Question 13

Iliotibial Band Effleurage for zone 4

Answer 13

-purpose is to reduce lymphatic congestion to aid other treatments to the IT band

Question 14

Pedal Pump

Answer 14

-purpose is to passively move fluid centrally by creating an oscillatory pump

Question 15

Cervical stroking

Answer 15

• purpose is to stretch muscle groups surrounding cervical vertebrae and move lymph fluid in process
• remember to do this one side at a time…

Question 16

Anterior Cervical traction for zone 5

Answer 16

• this is the one with the sternocleidomastoid

- may be repeated up to 3 times

Question 17

Pre and Post auricular

Answer 17

-purpose is to provide a direct pressure technique to move lymph fluid in the head and neck region

Question 18

Mandibular drainage: Galbreath Technique

Answer 18

-purpose is to do a direct pressure technique to move lymph fluid in the head and neck

Question 19

Submandibular lymphatic treatment

Answer 19

-purpose is to do a direct pressure technique to move lymph fluid in the head and neck region

Question 20

Anterior tracheal/ deep cervical

Answer 20

-purpose is to perform a direct pressure technique to move lymph fluid int he per-tracheal node region

Question 21

Suprahyoid and Infrahyoid

Answer 21

-purpose is to perform a direct pressure technique to move lymph in area 5

Question 22

Thoracic Inlet (myofascial release)

Answer 22

contact the SC, angle of rib1, thumbs on T-1 transverse process bilaterally