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February 4, 2012
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e-Integrative Lymphedema Certification Course

Manual Lymph Drainage (MLD) & Complete Decongestive Therapy (CDT)
  
Course Description:
This 135-hour course combines a 45-hour internet-based home-study program with 90 hours of classroom (lab) instruction.

Most of the didactic lessons are available online and can be completed at the student’s own pace. Because the required home-study program must be completed before the classroom instruction begins, therapists participating in our class are encouraged to register at least four weeks prior to the start of the course.

About CDT:
CDT is the most successful treatment for chronic extremity lymphedema. Primary and secondary (e.g. post-mastectomy) lymphedema and other related conditions respond extremely well to this gentle, non-invasive and highly-effective therapy. CDT is sometimes referred to as Complete Decongestive Physiotherapy (CDP). CDT consists of the following four steps:

  
                                                                                                                       

Klose Training-Manual Lymph Drainage (MLD)

            
Manual Lymph Drainage (MLD):
MLD is a very gentle manual treatment which improves the function of the lymphatic system throughout the body. In the 1930s, the techniques of MLD were first introduced by Dr. Emil Vodder, PhD, MT, from Denmark. MLD is widely recognized in the United States as a treatment for many pathologies including post-surgical swelling, post-traumatic edema (e.g. sports injuries), migraine headaches, rheumatoid arthritis, and fibromyalgia. MLD is further used to promote general relaxation and for cleansing (detoxification) of the skin and superficial fascia. In lymphedema therapy, MLD is used to re-route the lymph flow around blocked areas into healthy lymph vessels which drain into the venous circulation.
           
           

Compression Therapy:

Compression therapy, through the use of multi-layered bandages, increases the tissue pressure and is applied between treatments to prevent the re-accumulation of evacuated fluid. Compression therapy also increases the efficiency of the muscle and joint pump and is used until the limb is sufficiently decongested and ready to be fitted for compression garments.
           
           
Klose Training-Compression Therapy
Klose Training-Exercise for Lymphedema

           
Exercises:
Exercises, with the bandages in place, are performed to activate the muscle and joint pumps of the affected extremity. This results in an increase in lymphokinetic activity and, over time, in further reduction of the swollen limb.

           
Skin Care:

Skin care and general hygiene are essential to eliminate bacterial and fungal growth, either of which can cause repeated attacks of cellulitis or erysipelas. Infections are very common complications of lymphedema, therefore meticulous skin and nail care is vital.
           
Location and Dates:
See KTC Course Schedule

  
Course Topics:

Online (Home Study) Program
• Anatomy, physiology and pathophysiology of the lymphatic system
• Diagnosis and differential diagnosis of lymphedema
• Introduction to MLD
• Introduction to lymphedema bandaging and compression therapy
• Indications and contraindications of MLD and CDT
• Exercises for patients with lymphedema
• Patient evaluation and weekly measuring (circumference and volume)   
 
Classroom (Lab) Topics:
• Basic and advanced techniques and sequences of MLD (Vodder technique)   
• Treatment of primary and secondary extremity lymphedema    
• Treatment of head and neck, genital and pediatric lymphedema   
• Lymphedema bandaging techniques for upper and lower extremities   
• Skin and nail care for patients with lymphedema   
• Measuring and fitting techniques for lymphedema support garments   
• Home maintenance and self-treatment for lymphedema   
 
Course Objectives:
Each participant will be trained in the four components of Complete Decongestive Therapy. Upon completion of the class, the therapist will be able to differentiate between a variety of peripheral edemas, as well as understand the application, medical indications, and contraindications for MLD and CDT. The therapist will be able to establish a CDT treatment plan for individuals with primary and secondary lymphedema and perform the treatment for lymphedema accordingly.
 
Course Materials:
The following items are included in the tuition and are given to each participant prior to, during and after their training. 
• Textbook of Lymphology by Profs. M. and E. Foeldi (optional)  
• Course Study Manual divided into 15 individual sections   
• Lymphedema Bandaging Materials for upper and lower extremities   
• Lymphatic System Posters (set of three)    
• Manual Lymph Drainage DVD  
• Genital Lymphedema Treatment DVD    
• Limb Volume Calculation Software (CD)   
• Reference Manual containing more than 25 relevant journal articles (CD-ROM)  
• Elvarex Training Manual  
• Free Internet Therapist Directory Listing  
• Samples, brochures and catalogs from many companies who support patients with lymphedema  
• Measuring tapes and more...  
 
Faculty:
Instructors vary according to location. See our KTC Faculty page
for a complete listing of Klose Training Instructors.
 
Class Times:
A total of 135 hours of instruction is provided in this MLD/CDT Certification course; 90 hours of classroom instruction is given over a 9-day period. Usual class hours are: Friday - Saturday (of the following week) 8:00am - 7:00pm. In addition, the completion of the 45-hour Online Home Study is mandatory prior to the start of the lab portion of the course.
 
Online Lymphedema Home Study:
The Online Lymphedema Home Study will be made available and must be completed prior to the class. This portion of the training consists of an Online Module, a Home-Study Course Manual, a DVD about the treatment of lymphedema and a Reference Manual on a CD-ROM (pdf documents) with assigned readings. Forty-five (45) hours of home study and the completion of several online quizzes are expected of each student prior to the first day of class. The Online Lymphedema Home Study will provide an opportunity for each student to develop a more extensive knowledge of the anatomy and physiology of the lymphatic system and will facilitate the smooth entry into and progression of the training.
 
Prerequisites:
This course is offered to all Medical Doctors, Doctors of Osteopathic Medicine, Doctors of Chiropractic, Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistants, Athletic Trainers Certified, Nurses, Nurse Practitioners, Licensed Practical Nurses, Massage Therapists*.

*Massage therapists must show proof of completion of a minimum 500 hours training program or be certified through the NCBTMB.
 
Tuition:
The total tuition for the course is currently $2700.00 (full certification). As of January 1, 2012, course tuition will cost $3100. A deposit of $700.00 is required at the time of registration and will hold your spot until the total amount is due three (3) weeks prior to the first day of class. For our refund and cancellation policy, please refer to the
student agreement.

Please contact our office for information on discounts and payment plans.
 
Registration:
Please click here to
print the registration form or to register online.
 
Student Agreement:
The following student agreement must be signed and submitted before the commencement of class.
 
Certificate/Continuing Education Credits (CEUs):
135 Contact Hours are available for Physical, Occupational and Massage Therapists. Contact hours are approved for LANA certification. For more information
Click Here.
 
LANA Certification Exam:
This course meets the educational requirements to sit for the Lymphology Association of North America (LANA) exam. For more information on the LANA exam, visit
www.clt-LANA.org.
 
Dir
ection & Accommodations:
Directions and suggested accommodations will be provided with your confirmation packet. Course location details can also be accessed from the KTC Schedule by clicking on the location name of the course. You may also contact our office toll free at 866-621-7888 or email us at info@klosetraining.com.
 

Student Testimonials:
 
 
 
"Jodi is professional and funny which is imperative to engage the class for so many days. Her experience and compassion for this population is impressive and motivating. I would highly recommend to others to take this course." (OT)
 
"Guenter is very approachable and professional and his years of experience is impressive! His teaching of hands-on techniques was fairly easy to follow and providing a non-intimidating environment. He is passionate about what he does which shows, and his calm mannerism helps with the learning process." (OT)
 
"The course was awesome. The instructors and support staff were good! I would definitely recommend!" (PT)
 
"Thank you for all your knowledge and expertise. This is the most relevant course I have taken to date and most complete instruction. The curriculum had good flow. Nine days actually flew! I am thrilled to be Klose trained. I feel you have educated me well, thoroughly and will make yourself available (if need be) to advise as needed. I’m glad to be done, but proud to be on your “team!” I chose the right course and will recommend you all over town. I even saw a few hours of Boulder!" (PT)    Boulder, Colorado  -  December 2011
 
"Jan is an excellent teacher – sensitive, encouraging, fosters learning in a relaxed manner, professional, funny and listens well. I really appreciate her teaching style. A great big thanks, Jan!" (PT)
 
"Jan is a wonderful instructor and is able to convey class content in a knowledgeable manner with grace and humor. I appreciated that Jan is a practicing clinician and able to give practical solutions to complex patient situations in the clinic setting. I am encouraged and feel well-equipped in returning back to the clinic setting to start treating patients with lymphedema. (PT)"
 
"Nine days straight could have been a disaster; however, it wasn’t. I attribute much of this to Jan. She was an excellent resource and really helped me synthesize the vast amount of training and education I’ve received in a short amount of time. Jan was energetic, positive, and encouraging. I am fortunate and grateful to have learned from her." (OT)  Portland, Oregon - November 2011
 
"Jodi is a very enthusiastic presenter. She made the class educational, informative, and exciting. She’s awesome." (OT)

"Appreciated learning from the “guru” of CDT! Extremely knowledgeable about all aspects of patient care and so willing to share his experience. Easily approachable and very kind. Thank you so much Guenter! I fell prepared!!" (PT)

"Great course. I feel that I can confidently go back to the clinic and evaluate and treat patients. I also like the emphasis that was placed on maintaining communication and available support once we return to practice." (PT)
 
"Jodi was awesome! Excellent speaker and instructor and obviously a gifted clinician. Loved her sense of humor and analogies! I will never forget them. Looking forward to attending a future breast cancer course taught by Jodi." (PT)    San Antonio, Texas  -  October, 2011
 
"Great class! Great learning experience!  Chris led the course with organization, attentiveness, and excellent clinical knowledge!"
 
"This class was very well organized. I feel that it prepared me and made me comfortable in the skills that I have learned. The schedule and setup of the class was great!"  St. Louis, Missouri - July 2011
 
"Linda is an amazing instructor with impeccable knowledge. She has an awesome ability to impact student learning beyond a brain/knowledge level. She helps us love the knowledge, feel excited about it, and passionate about it!"
 
"All the hands- on and lab time was very organized and helped bring the course material together. I would highly recommend this course to all my colleagues and PT professionals."
 
"I thouroughly enjoyed the course. The instructors were wonderful! I really appreciated having the online study ahead of time and being able to learn the anatomy and physiology at my own pace. Ther was enough repetition that which helped me learn the material. Thanks!"     Minneapolis, MN  -  May 2011
 
"This was the best organized class I have ever taken!  The learning and testing components were broken up so that you had a comfortable combination of hands- on and lecture, etc. The teachers were knowledgeable, sensitive, and made themselves available to answer our many questions. They do everything the can to make sure you were comfortable enough to return to your clinic and treat patients appropriately."
 
"Joanne led the class with skill, intelligence, groudedness, and a repertoire of information that was educational and impressive. She is a natural teacher:  an engaging and fun personality which helps us as students absorb all this new information."
 
"Joanne was very helpful at explaining the more difficult concepts to the whole class.  She provided extra review/lecture time and was available to answer questions before and after class, as well as answering all of our questions during class time."
 
"I have rated instructors from other courses a "5" so Joanne should be a "6". I learned so much from her."       Baltimore, Maryland  -  April 2011
 
Jan brings so much knowledge, experience, and care to class. She shared her experiences with generosity, is a fantastic instructor, and a true teacher at heart."
 
"Guenter is a great presenter. He offers very interesting material. I feel equipped to measure for garments and provide proper care to lymphedema patients. "
 
"I'm proud to say I'm Klose Lymphedema Certified!"    Charlotte, North Carolia - April 2011
 
"Guenter is exceedingly helpful in answering questions. I Appreciated his insight/input in regards to looking at the whole picture when treating a lymphedema patient & assessing the patient."
 
"This course is wonderful. It is really nice to take a class that has structure and is passing down great techniques & knowledge yet at the same time allows much flexibility for how the sequences are applied w/ strokes and such." 
 
"This was an exceptional class and experience. I loved the course content and the way the program was structured. It has added so much to my personal life as well as my work."
 
"Jodi is very knowledgeable. Great dynamic instructor. I look forward to taking subsequent classes with her."   Boulder, Colorado - March, 2011
 
"I can't imagine taking this intensive class from anyone else. Linda took sincere interest in enhancing our knowledge/skills and presented information in an enlightening manor." 
 
"Linda was fantastic!  She is a phenomenal teacher and resource.  She provided a perfect balance of feedback to facilitate our learning."
 
"Overall, this nine day course went by so quickly. There was such a great mix of lab & lectures that really enhanced our overall learning. It was really nice to complete the home course material ahead of time, which offered a great start to my understanding of lymphedema."                 Chicago, Illinois - February, 2011
 
"I feel like I learned a tremendous amount during ths course. My skills and knowledge have improved greatly."
 
"This course was invaluable to the treatment of my lymphedema patient. I had very little knowledge concerning the treatment of lymphedema prior to the course and now feel that I could go back to my place of employment and feel comfortable with my skills and knowledge."
 
"Being new to this treatment population, I am now comfortable going back to the clinic to service the many patients I never realized needed my help."
 
"Jan was a wonderful instructor who was always patient with us and willing to go over material until we fully understood. Her experience in the field and teaching style made this experience not only educational but interesting and fun."     Pittsburgh, Pennsylvania - February, 2011
 
 
"Jodi is an incredibly phenominal instructor! She is fast, thorough, and has marvelous humor!"
 
"Guenter is a wonderful instructor. He is personable, precise, very organized, and has great communication."
 
"This course is the most organized and well presented I have ever taken. I was excited to come to class each day."
 
"As I progressed through the course, I became increasingly inspired/excited about helping this population!!  A friend said that this course would change my life and now I understand what she meant."     Long Beach, California - January 2011