Lymphatics Competency

Question 1

purpose of thoracic inlet myofascial release

Answer 1

release restrictions around the thoracic duct’s junction with the venous system

Question 2

pectoral traction purpose

Answer 2

increase negative pressure in thorax to pull lymph centrally

Question 3

doming the diaphragm purpose

Answer 3

relaxes diaphragm to improve natural domed shape so that greater pressure gradients can be produced to pull lymph fluid centrally; directly exerts pressure on thoracic duct to push fluid superiorly

Question 4

rib raised seated purpose

Answer 4

normalize sympathetic tone at the sympathetic chain ganglia to improve lymph flow in zone 1; improves lymph flow by increasing thoracic cage excursion -> increasing pressure gradients

Question 5

rib raised supine purpose

Answer 5

normalize sympathize tone at the sympathetic chain ganglia to improve lymph flow in zone 1; improves lymph flow by increasing thoracic cage excursion -> increasing pressure gradients

Question 6

tapotement treatment purpose

Answer 6

break loose consolidated for improved drainage and expulsion from lungs

Question 7

thoracic pump treatment purpose

Answer 7

affect pressure gradients; clears thoracic duct region; for COPD, URI, LRI, swollen upper extremities; enhances immune function

Question 8

abdominal pump treatment purpose

Answer 8

indirectly affects pressure gradients, indirectly massages thoracic duct at the cisterns chyli

Question 9

sacral rocking treatment purpose

Answer 9

relax muscles at lumbosacral junction to improve lymph flow centrally

Question 10

effleurage for zone 3 treatment purpose

Answer 10

direct pressure technique to aid in movement of lymph fluid centrally

Question 11

petrissage for zone 3 treatment purpose

Answer 11

direct pressure technique to aid in movement of lymph fluid centrally

Question 12

effleurage for zone 4 treatment purpose

Answer 12

direct pressure technique to aid in movement of lymph fluid centrally

Question 13

petrissage for zone 4 treatment purpose

Answer 13

direct pressure technique to aid in movement of lymph fluid centrally

Question 14

illiotibial band effleurage for zone four treatment purpose

Answer 14

reduce lymphatic congestion to aid other treatments to the IT band (MFR/ST) and to increase lymph flow centrally

Question 15

pedal pump treatment for zone 4 purpose

Answer 15

passively move fluid centrally by creating an oscillatory pump

Question 16

cervical stroking treatment purpose

Answer 16

move lymph from zone 5 -> zone 1 by relaxing soft tissue in the cervical spine

Question 17

cervical chain drainage treatment purpose

Answer 17

move lymph within the anterior and posterior cervical chains to zone 1

Question 18

pre and post auricular treatment purpose

Answer 18

move congested lymph within ear region, temporal scalp, and lateral eyelids

Question 19

mandibular drainage: galbreath technique treatment purpose

Answer 19

direct pressure technique to move lymph fluid in the head and neck; for Eustachian tube dysfunction, lymphatic congestion in ENT or submandibular regions

Question 20

submandibular treatment for zone five purpose

Answer 20

direct pressure technique to move lymph from zone 5 -> zone 1for lymphatic congestion effecting tongue, salivary glands, and lower teeth

Question 21

anterior tracheal/deep cervical treatment purpose

Answer 21

direct pressure technique to move lymph fluid around trachea and deep cervical nodes

Question 22

suprahyoid and infrahyoid treatment purpose

Answer 22

direct pressure technique to move lymph from zone 5 (head and neck)