Lymphedema
Course Description
Manual
Lymph Drainage (MLD) and Complete Decongestive Therapy (CDT) Training
About
CDT
CDT
is the most successful treatment for chronic extremity lymphedema.
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) or Complex Decongestive Physiotherapy. CDT
consists of the following four steps:
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1.
Manual Lymph Drainage (MLD)
MLD is a very gentle manual treatment which improves
the function of the lymphatic system throughout the
body. In the 1930’s, the techniques of MLD were
first introduced by Dr. Emil Vodder, PhD, MT, from Denmark.
MLD is becoming widely recognized in the United States
as a treatment for many pathologies, including post
surgical swelling, post traumatic edema (e.g. sports
injuries), migraine headache, 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. |
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2.
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 edema 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. |
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3.
Exercises
Remedial 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. |
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4.
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,
the importance of meticulous skin and nail care is taught. |
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Course
Topics
- Anatomy,
physiology and pathophysiology of the lymphatic system.
- Basic
techniques and sequences of Manual Lymph Drainage (Vodder
technique).
- Indications
and contraindications of Manual Lymph Drainage and Complete
Decongestive Therapy.
- Treatment
of primary and secondary lymphedema.
- Lymphedema
bandaging techniques for upper and lower extremities.
- Remedial
lymphedema exercises.
- Hygienic
skin and nail care for lymphedema.
- Measuring
and fitting techniques for lymphedema support garments.
- Patient
evaluation and weekly measuring (circumference and volume).
- 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 their
training.
- Textbook of Lymphology by M. Foeldi
- Course Study Manual divided into
15 individual subject matters
- Lymphedema Bandaging Materials for
upper and lower extremities
- Lymphatic System Posters (set of
three)
- Lymphedema Exercise Videotapes
- Genital Lymphedema Treatment Videotape
- Limb Volume Calculation Software
(CD)
- Elvarex Training Manual
- Measuring Tapes and more
- Free Internet Therapist Directory
Listing
Class
Times
A
total of 135 hours of instructions are provided in this MLD/CDT
Certification Course; 105 hours of classroom instruction is
given over a 13 day period. Class hours for the first week are:
Monday through Saturday 8:00am – 6:00pm; Second week: Monday
through Friday 8:00am – 6:00pm, Saturday 8:00am – 2:00pm. In addition, the completion of a 30 hour Home Study
Course is expected prior to the start of the course.
Home
Study Course
A
Home Study Course will be sent to each participant prior to
the class. This portion of the training consists of a Home
Study Course Manual, a DVD about the treatment of lymphedema
and the newly published "Textbook
of Lymphology" by Prof. Dr. M. Földi and Dr. E.
Földi (EDS). Approximately 30 hours
of home study are expected of each student prior to the first
day of class. The Home Study Course will provide an opportunity
for each student to develop a more extensive knowledge of
the anatomy and physiology of the lymphatic system as it will
facilitate the smooth entry and progression of the training.
Pre-requisites
The following
professions are accepted for training; Medical Doctors, Physical
Therapists, Physical Therapist Assistants, Occupational Therapists,
Occupational Therapist Assistants, Athletic Trainers, 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 $2700.00. A deposit of $500.00 is required at the time of registration
and will hold your spot until the total amount is received two
(2) weeks prior to the first day of class. For the refund policy,
please refer to the student agreement.
Certificate/Continuing
Education Credits (CEU’s)
Participants
will receive, upon successful completion*, a certificate as Therapist
for Manual Lymph Drainage (Vodder Technique)/ Complete Decongestive
Therapy. CEU's are available for Physical Therapists through the
Florida PTA and for Massage Therapists through the NCBTMB. For
questions about receiving CEU’s please call 732-530-7888
*pass the written
and practical final exams
LANA 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.
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