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June 18, 2013
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Lymphedema Certification for MLD-Certified Therapists Course

Manual Lymph Drainage (MLD) Review & Complete Decongestive Therapy (CDT)
  
Course Description:
This 90-hour course combines a 45-hour internet-based home-study program with 45 hours of classroom (lab) instruction that will review the MLD strokes and sequences for lymphedema and teach the remaining three components of CDT: compression therapy, exercises and skin care.

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 of lymphokinetic activity and, over time, 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 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 90 hours of instruction is provided in this MLD/CDT Certification course; 45 hours of classroom instruction is given over a 5 1/2-day period. Usual class hours are: Monday - Friday 8:00am-6:00pm; Saturday 8:00-12:30pm. 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 lab portion of 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 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:
Students registering for this course must have successfully completed the Klose Training Manual Lymph Drainage (MLD) Certification course.
 
This course is offered to all Medical Doctors, 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.
 
Disability Accommodations:
All classes are held in accessible hotels or medical facilities. In addition, Klose Training is committed to providing reasonable accommodations to individual students who have a disability. Students should call Klose Training directly (303-245-0333) at least three weeks before the start of your class to discuss your needs. 
 
Tuition:
The total tuition for the course is $1800.00 (full certification). 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.

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):
90 Contact Hours are available for Physical, Occupational and Massage Therapists. Contact hours are approved for LANA certification. For more information
Click Here.
 
 
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:
 
“Great class–I learned a lot and I'm very excited to integrate what I've learned into my practice.  I will be back for more Klose Training courses!  Learning material was comprehensive and very useful. Jodi was a great, wonderful, & witty instructor.”  
 
“Jodi has a calm, relaxed teaching style--she understood that the skill level of a new student on Day 1 will certainly change and improve by Day 8/9. She was encouraging, yet firm in her correction of manual/bandaging techniques; this allowed for improved learning and helped motivate me personally to try harder, pay attention, and improve my skills. Good job!” 
 
“Jodi is a true asset to this program with all of her knowledge, experience, and clinical applications. She was clear in her instruction for both lectures and practical application of MLD and bandaging. Great analogies really cleared up questions.” 
 
“Jodi was very patient with me and made it a point to answer all my questions and concerns.”  
 
“Guenter was very knowledgeable and approachable with an easy, relaxed style. I like that he constantly looks for ways to improve the program and how it is taught.”  
 
“I enjoyed that Mr. Klose stayed after class to help me.”  
 
“Guenter was very patient and knowledgeable with a great wealth of knowledge and expertise–and he communicates so clearly!” 
 
The lectures in the home study allowed me to review often and take more comprehensive notes.”  
 
“This class was intense, but fun! It opened up a whole new world of therapy for me. I am so excited to apply these new skills in the clinic–I'm actually excited to get back to work to use them!”     Santa Monica, California 2010
 
 
 
“Jodi was a great instructor. She was very knowledgeable and fun to learn from.” 
 
"Guenter is an exceptional instructor with a vast amount of knowledge to share.”
 
“…I felt the course was done quite well. I appreciate the support. The material in the binder is phenomenal for resources to go to following the course. The material we come home with to practice with and show our patients for demos is incredible.”
 
“The case studies & live patient presentations enhanced the practical applications. Both instructors were fabulous!”
 
“I am truly thankful for this learning experience. I look forward to future courses and meetings. I feel I have a good foundation to build upon. Thank you! I am VERY glad I chose Klose Training for my Education.”     Boulder, Colorado, December 2009
 
 
 
“This is the best CE course ever.”
 
“Pleasant to be at a conference that student learning is the #1 priority. Feel confident to go back to work and use techniques”
 
“Joanne is a wonderful educator with a tremendous ability to adapt her teaching style to each individual student needs.”
 
“Absolutely top notch.” 
 
“Your materials: the depth, detail, and range of them – were outstanding.”     Ellsworth, Maine, October 2009
 
 
 
“I found the course inspirational and so interesting. Linda’s knowledge and enthusiasm was dynamic and never waivered the whole week. Her energy levels are to be envied! The lectures were delivered with great patience and humor. A big thank you to her and Klose training.”
 
“My main aim of coming to the course was to learn MLD. I have learned so much more than this though. It has been a fantastic course and I feel excited as well as more confident to use and further develop the tools I have leaned for treating lymphedema. Thank you!”
 
“Linda Roherty’s facilitation is remarkable. She is able to lecture at varying levels to promote understanding to students. She is open to all questions and her personal depth of knowledge and clinical expertise is an inspiration to further my studies and practice Lymphedema Therapy. Linda’s demonstration of MLD and bandaging were very effective and her patience while we practiced was much appreciated.”
 
“I thoroughly enjoyed the lymphedema course. Linda is approachable and very knowledgeable. Her class was structured, clear, and logical. Linda was professional at all times and understanding when we, as a class, were quite tired at the end of the course. Yet somehow she managed to keep us all interested.”     Letterkenny, Co. Donegal, Ireland, October 2009
 
 
 
“I knew very little about the lymphatic system prior to course but know a lot more now. I feel competent to begin treating lymphedema patients and have resources for any questions that arise. For some people who are more reserved/shy the “invasive” techniques of MLD could be a bit awkward to learn, but Chris demonstrated the highest professionalism and had a great attitude. He kept class interesting with humor and explanation of application. Great!”
 
“This was an excellent course! The material was thorough and presented in a casual way, which enhanced understanding. Chris was the perfect instructor for our group! He was very professional and related to our group with patience and gave us every opportunity to present questions and concerns. The quality of the material taught at this course exceeded my expectations and will serve as the solid foundation on which I’ll establish my career as a CLT! Thank you for this special opportunity!”
 
“When I registered for the class, I chose it based on location and dates. I now know that I was extremely fortunate to register for a Klose Training class. Chris was an amazing instructor, the class was well organized and the many resources provided during class were amazing. In addition, I know that Chris and Klose Training will be excellent resources for the future of my practice as a CLT. As we move toward opening a large cancer treatment center, I look forward to taking additional Klose courses!”
 
“Chris was exceptional in presentation of the course content. I was allowed to think through the process and method without being fed answers. We were encouraged to apply the techniques to the specific situation. I really can’t tell you how much I enjoyed the course! It was a great treat to see Guenter and it helped shake up the pace.“
 
“Very well done in every aspect. Course materials were not only comprehensive, but I feel I have a wealth of resources to refer to after I return to my job. Thank you! “     Dallas, Texas, September 2009
 
 
 
“Both instructors were fabulous- it was actually nice that we got to have one for one week and one for the 2nd week--it gave nice perspective! Both took extra time to help ensure students understood concepts. I appreciated the balance between lecture and lab. I would definitely recommend Klose Training courses to anyone and everyone.”
 
“I liked how the instructors took their time to explain concepts vs. rushing through. I liked the overall pace of the course. It was a challenging course--made me work and think harder than I had in a long time!”
 
“Guenter and Jan both went beyond class time to aid in students understanding of the material.”     Charlotte, North Carolina, August 2009
 
 
 
"Excellent Course–very well organized. Content and practice reinforced multiple times and in a variety of ways."  
 
"Impressed with bridging A&P into clinical application. Excellent alternative approaches provided for complicated cases. Very impressed."
 
"Presenters were excellent. Great course!!"
 
"A lot of material in a short time, but presented well. Nice to have 2 instructors with such impressive knowledge."
 
"Thanks so much to Linda, Guenter, and Dr. Hutchison for all the information and all the patience. I can’t wait to get out and perform lymphedema treatment on patients."
 
"This is an awesome course. I feel very lucky to have had both Guenter and Linda. Thanks so much. I can’t  wait to apply my new knowledge. Very nice course overall!"
 
"All the instructors were fabulous, helpful, supportive, and knowledgeable. It was intimidating for me to come and learn this new technique, but everyone made me feel comfortable. Thank you, thank you!"      Minneapolis, Minnesota, July/August 2009