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

Manual Lymphatic Techniques
Early manual lymphatic work is credited to A.T. Still, dating back to the 1880s.
Throughout the 1930s, E. Vodder, a clinical scientist, further developed
treatment of various pathologies by manipulating the lymphatic system. The
Vodder method is known as manual lymphatic drainage (MLD) (Chikly 2005,
Zuther 2011).
In the late 20th century, Chickly developed lymph drainage therapy (LDT). His
work has incorporated adapted techniques to `work the lymphatic system`. Both
the Vodder and Chikly methods are taught extensively, with only slight
variations in the techniques. In the authors’ experience, both LDT and MLD
effectively work with the lymphatic system.
Lymphatic technique protocol is quite complex and involves several levels of
training. The explanation of techniques as follows is not to be misconstrued as a
substitute for Lymphatic Certification. The technique guidance provided in this
chapter is applicable for general swelling and mild edema associated with wound
healing and mature scars. The authors emphasize that full certification in manual
lymphatic work is warranted in order to better understand the application and
protocol for the traumatic scar tissue client presenting with more serious
lymphedema.
It is imperative the MT has proper training to recognize contraindications for
performing lymphatic techniques on clients.
Basic Principle of Lymphatic Technique Application
Lymphatic techniques includes the manipulation of healthy lymph nodes and
vessels located adjacent to the area with insuffienct lymph flow. This
manipulation will result in lymphangiomotoricity in the areas (Zuther 2011).
• Establish a safe and productive intensity parameter with your client
before 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 is
recommended