Exercise & the Lymphatic System Flashcards

1
Q

During rest, lymphatic flow is ____, almost ____. This is why it’s important to move the body and prevent swelling/edema.

A

minimal; zero

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2
Q

During the first 10 minutes of exercise, there is an initial flow increase of ___x the resting lymph flow, then decreases to ___x afterwards

A

5x; 2-3x

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3
Q

The lymphatic vessels are innervated by what kind of neurons, which subsequently can be affected by exercise and ___ flow?

A

sympathetic; increase

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4
Q

Increased lymph flow flushes more ____ out of the interstitium and into circulation

A

proteins

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5
Q

Exercise causes colloid osmotic pressure to ____ within the ISF and ___ within the capillaries

A

decrease; increase

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6
Q

Muscle activity and ____ mean arterial pressure aid in the maintenance of ___ lymph flow

A

increased; elevated

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7
Q

During exercise, there is an increase in ______ which is thought to be caused by an increase in _____

A

plasma protein; lymphatic flow

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8
Q

Muscle contraction pushes lymphatic fluid back toward what?

A

the heart

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9
Q

____ pulls open the lymphatic capillary cells, allowing fluid to flow in

A

stretching

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10
Q

Lymphatic vessels are innervated by the ____ autonomic nervous system which most likely contributes to the ____ in lymphatic flow during exercise

A

sympathetic; increase

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11
Q

The lymphatic research has not been well _____ compared to other body systems

A

researched

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12
Q

A new steady state of what is reached during exercise?

A

Starling Forces

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13
Q

During exercise, protein return to the ____ from the interstitial space

A

vasculature

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14
Q

Hypotonic fluid ___ into the interstitium

A

efflux

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15
Q

What is needed to activate the skeletal muscle? (2)

A

blood flow and hydrostatic capillary pressure

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16
Q

Edema is related to a lymphatic ____ or increase in ___

A

blockage; interstitial fluid

17
Q

What are the 2 kinds of edema?

A

Pitting and Non-Pitting

18
Q

What is lymphedema?

A

edema related to a blockage specifically in the lymphatic vessels

19
Q

What are the 4 main causes of Edema?

  1. Too little blood ____
  2. Too much ____ protein
  3. ____ hydrostatic capillary pressure (either arterial OR venous)
  4. Changes to the ____ of the capillaries
A
  1. Too little blood protein
  2. Too much interstitial protein
  3. Increased hydrostatic capillary pressure (either arterial OR venous)
  4. Changes to the permeability of the capillaries
20
Q

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?

A

Non-pitting

21
Q

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+)

A

Pitting

22
Q

What type of edema is caused by a blockage of the lymphatic drainage?

A

Lymphedema

23
Q

What does MLD mean?

A

Manual lymphatic drainage

24
Q

Lymphedema can sometimes result from the use of what modality used in treating cancerous tissue?

A

radiation

25
Q

Inflammatory conditions that cause the tissue to swell may permanently damage the lymphatic system, such as what?

A

RA and eczema

26
Q

More rarely, severe skin ____ or anything that results in excessive ____ may raise the risk of developing lymphedema

A

burns; scarring

27
Q

What are the 3 main treatments for activating the lymphatic pump in physical therapy settings?

A
  1. Remedial Exercises
  2. Skincare
  3. MLD - manual lymphatic drainage
28
Q

____ infusion improves blood pressure

A

Albumin

29
Q

___% colloid osmotic pressure is from albumin, 20% is from ___ and almost none is from ____

A

80%
globulins
fibrogens

30
Q

The most important protein for maintaining colloid osmotic pressure is what?

A

albumin

31
Q

What type of edema is rated from stage 1 through stage 4?

A

Lymphedema

32
Q

What type of edema is rated from 1+ through 4+?

A

Pitting edema