Exercise & the Lymphatic System Flashcards
During rest, lymphatic flow is ____, almost ____. This is why it’s important to move the body and prevent swelling/edema.
minimal; zero
During the first 10 minutes of exercise, there is an initial flow increase of ___x the resting lymph flow, then decreases to ___x afterwards
5x; 2-3x
The lymphatic vessels are innervated by what kind of neurons, which subsequently can be affected by exercise and ___ flow?
sympathetic; increase
Increased lymph flow flushes more ____ out of the interstitium and into circulation
proteins
Exercise causes colloid osmotic pressure to ____ within the ISF and ___ within the capillaries
decrease; increase
Muscle activity and ____ mean arterial pressure aid in the maintenance of ___ lymph flow
increased; elevated
During exercise, there is an increase in ______ which is thought to be caused by an increase in _____
plasma protein; lymphatic flow
Muscle contraction pushes lymphatic fluid back toward what?
the heart
____ pulls open the lymphatic capillary cells, allowing fluid to flow in
stretching
Lymphatic vessels are innervated by the ____ autonomic nervous system which most likely contributes to the ____ in lymphatic flow during exercise
sympathetic; increase
The lymphatic research has not been well _____ compared to other body systems
researched
A new steady state of what is reached during exercise?
Starling Forces
During exercise, protein return to the ____ from the interstitial space
vasculature
Hypotonic fluid ___ into the interstitium
efflux
What is needed to activate the skeletal muscle? (2)
blood flow and hydrostatic capillary pressure
Edema is related to a lymphatic ____ or increase in ___
blockage; interstitial fluid
What are the 2 kinds of edema?
Pitting and Non-Pitting
What is lymphedema?
edema related to a blockage specifically in the lymphatic vessels
What are the 4 main causes of Edema?
- Too little blood ____
- Too much ____ protein
- ____ hydrostatic capillary pressure (either arterial OR venous)
- Changes to the ____ of the capillaries
- Too little blood protein
- Too much interstitial protein
- Increased hydrostatic capillary pressure (either arterial OR venous)
- Changes to the permeability of the capillaries
What type of edema does NOT leave an indentation if you press your finger on it, and usually results from lymphedema, thyroid issues or injury?
Non-pitting
What type of edema leaves an indentation if you press your finger on it, and usually results from liver, heart or kidney problems? (Also, you can grade it from 1+ to 4+)
Pitting
What type of edema is caused by a blockage of the lymphatic drainage?
Lymphedema
What does MLD mean?
Manual lymphatic drainage
Lymphedema can sometimes result from the use of what modality used in treating cancerous tissue?
radiation
Inflammatory conditions that cause the tissue to swell may permanently damage the lymphatic system, such as what?
RA and eczema
More rarely, severe skin ____ or anything that results in excessive ____ may raise the risk of developing lymphedema
burns; scarring
What are the 3 main treatments for activating the lymphatic pump in physical therapy settings?
- Remedial Exercises
- Skincare
- MLD - manual lymphatic drainage
____ infusion improves blood pressure
Albumin
___% colloid osmotic pressure is from albumin, 20% is from ___ and almost none is from ____
80%
globulins
fibrogens
The most important protein for maintaining colloid osmotic pressure is what?
albumin
What type of edema is rated from stage 1 through stage 4?
Lymphedema
What type of edema is rated from 1+ through 4+?
Pitting edema
