[libribook.com] Traumatic Scar Tissue Management 1st Edition
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[libribook.com] Traumatic Scar Tissue Management 1st Edition

hongchingyee
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Table 9.3Summary of manually mediated outcomes

Manual Lymphatic TechniquesEarly manual lymphatic work is credited to A.T. Still, dating back to the 1880s.Throughout the 1930s, E. Vodder, a clinical scientist, further developedtreatment of various pathologies by manipulating the lymphatic system. TheVodder method is known as manual lymphatic drainage (MLD) (Chikly 2005,Zuther 2011).In the late 20th century, Chickly developed lymph drainage therapy (LDT). Hiswork has incorporated adapted techniques to `work the lymphatic system`. Boththe Vodder and Chikly methods are taught extensively, with only slightvariations in the techniques. In the authors’ experience, both LDT and MLDeffectively work with the lymphatic system.Lymphatic technique protocol is quite complex and involves several levels oftraining. The explanation of techniques as follows is not to be misconstrued as asubstitute for Lymphatic Certification. The technique guidance provided in thischapter is applicable for general swelling and mild edema associated with woundhealing and mature scars. The authors emphasize that full certification in manuallymphatic work is warranted in order to better understand the application andprotocol for the traumatic scar tissue client presenting with more seriouslymphedema.It is imperative the MT has proper training to recognize contraindications forperforming lymphatic techniques on clients.Basic Principle of Lymphatic Technique ApplicationLymphatic techniques includes the manipulation of healthy lymph nodes andvessels located adjacent to the area with insuffienct lymph flow. Thismanipulation will result in lymphangiomotoricity in the areas (Zuther 2011).• Establish a safe and productive intensity parameter with your clientbefore beginning treatment. The authors recommend that an initial safe‘stop’ point is 4 on the 0–10 numeric rating scale• Consider treatment room temperature – a warmer environment isrecommended

Table 9.3

Summary of manually mediated outcomes

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