Day 5 Flashcards
What does MLD do?
Increases activity of lymph vessel
Mobilize lymph fluid
Re-route lymph around blocked areas to more centrally located healthy areas
Increase local sympathetic response
Increase in general parasympathetic effect
Increase lymph production
Stimulates lymphangiomotorocity
Fibronolytic effect
Creates suction effect on distal collectors
Reverses flow of lymph
Increase venous return
Analgesic effect
Compression does what
Prevents reaccumulation
Is required to hold back swelling
Supports damaged elastic fibers of skin
Padding does what and types
Distributes pressure
- artiflex or cellona
- cast padding
- gray foam
- comprifoam - rosidal soft
Phase 1 compression
Short-stretch bandages are used to provide adequate compression
Compression includes
Short stretch bandages: high working pressure with low resting pressure
“Ace” bandages: low working pressure with high resting pressure
Finger bandages
Toe bandages
Kidneys
Phase 2 compression
CC1: 20-30 mm Hg: profalatic
CC2: 30-40 mm Hg: arms
CC3: 40-50 mm Hg: legs
CC4: 60 mm Hg
Compression is measured at most distal end of limb
Effects of compression
Reduce filtration
Increase reabsorption
Improve efficiency of joint and muscle pump
Prevents reaccumulation of lymph fluid
Maintain results achieved during MLD
Break-down of scar tissue or fibrosis
Provide support for tissues that have lost elasticity
Decongestive exercise
Integral part of lymphedema management
Must be performed with compression on
Keep it simple
Superficial LS located beneath skin and above fascia
Bandages/garments increase external TP
Increased external TP enables mms to act as internal pumping mechanism
Mms contract against bandages/garments
Importance of exercise
Improve lymph transportation
Improve venous return
To optimize joint and mms pump
To increase lymphangiomotorocity
Deep breathing increases the volume of fluid returned via thoracic duct to the venous angle
Decongestive exercise should look like
Simple
10-15 min 1-2x/day
3-4 exercises
Pool only with compression
Avoid strenuous and highly repetitive exercise
