Competency 5

Question 1

Thoracic Inlet (myofascial release)

Answer 1

“Drive the bus”, rotate left and right

“Waiting for the tissue creep or release”

Contact SC joint, angle of rib 1, thumbs on T-1 transverse process

Question 2

Pectoral Traction

Answer 2

↑ lymph movement, ↑ negative pressure in thorax

Question 3

Dome Diaphragm (Redoming the diaphragm)

Answer 3

Relaxes diaphragm, produces greater pressure gradients to promote lymph drainage, improves ability to move lymph back centrally

Question 4

Rib Raise- Seated

Answer 4

Purpose is to stimulate Sympathetic chain ganglia and/or improve lymph flow in area 1

Question 5

Rib Raise- Supine

Answer 5

Helps lymph flow, stimulates sympathetic chain ganglia, improved lymph flow, increase pressure gradients

Question 6

Tapotement

Answer 6

Forces help break loose consolidated material for improved drainage and expulsion from lungs

Question 7

Thoracic Pump

Answer 7

Moves lymph fluid, affects pressure gradients, clears thoracic duct region, good for COPD, URI, LRI, enhance immune function

Question 8

Abdominal Pump

Answer 8

Helps to move lymph fluid, indirectly affects pressure gradients, indirectly massage thoracic duct at its origin in cisterna chyli

Question 9

Sacral rocking

Answer 9

Purpose: relax muscles at lumbosacral junction

Put hands on sacral base

Question 10

Effleurage (zone three)

Answer 10

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

(hand)

Question 11

Petrissage (zone three)

Answer 11

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

(hand)

Question 12

Effleurage (zone four)

Answer 12

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

(leg)

Question 13

Petrissage (zone four)

Answer 13

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

(leg)

Question 14

Iliotibial Band Effleurage

Answer 14

Reduce lymphatic congestion to aid other treatments to the IT band

Question 15

Pedal Pump

Answer 15

Passively move fluid centrally by creating an oscillatory pump (100x/min)

Question 16

Cervical Stroking

Answer 16

Stretch muscle groups surrounding cervical vertebrae and move lymph fluid in process

(head to feet direction)

Question 17

Anterior Cervical traction

Answer 17

(Thumb will be on top of sternocleidomastoid) and you pull anteriorly and laterally towards you

(towards you)
(Cervical Stroking is the opposite direction)

Question 18

Pre and Post auricular lymphatic treatment

Answer 18

Direct pressure technique to move lymph fluid in the head and neck region

(clockwise and counterclockwise for 1 min)

Question 19

Mandibular Drainage: Galbreath Technique

Answer 19

Direct pressure technique to move lymph fluid in head and neck.

Indications: Eustachian tube dysfunction, lymphatic congestion in ENT or submandibular region (good for when on airplane)

*Make claw hand and pull on muscle behind mandible and go down along the mandible, stabilize head

Question 20

Submandibular

Answer 20

“Happy fingers”- under the mandible and towards chin

Direct pressure technique to move lymph fluid in head and neck region

Question 21

Anterior tracheal/Deep cervical

Answer 21

Direct pressure technique to move lymph fluid in the peri-tracheal node region

Question 22

Suprahyoid and Infrahyoid

Answer 22

Direct pressure technique to move lymph in area 5 (head and neck)