MTF/NCBTMB Lymphatic Massage Quiz
Thank you for viewing the NCB/MTF Webinar, "Massage for Recover: Lymphatic Massage." In order to receive one (1) CE credit, you must receive a score of 70% or greater on this quiz. You can take the quiz multiple times.
What is the main difference(s) between a Certified Lymphedema Therapist (CLT) and a massage therapist who has earned a Certificate in Manual Lymphatic Drainage?
Scope of practice may be determined by your individual state regulations.
CLTs can work with patients who have been formally diagnosed with Lymphedema whereas MLD therapists can only work with healthy individuals who are experiencing edematous tissue recovery due to elective surgery or simple injury such as bruising or sprains from a sports activity.
There is no difference between CLTs and MLD therapists; they are both certified.
None of the above
What happens to the lymphatic system when cosmetic surgery such as liposuction or abdominoplasty are performed?
Edema is caused by injured lymphatic vessels and increased capillary filtration caused by blunt trauma.
Tumescent fluid lingers and overuse of external compression garments post operatively compounds the swelling.
Lymph vessels are surgically divided, often near nodal basins, causing slower or lack of lymphatic flow until the vessels have recovered and reconnected.
All of the above.
When is it safe to start MLD post-operatively?
Within 24 hours.
Whenever the surgeon provides clearance. You must get clearance beforehand.
Generally, within a few days to 2 weeks, depending on drain removals or other minor complications, and if the incisions are healing and beginning to scab over without any infections
It is decided between the massage therapist and the client during their first session.
What are the effects of massage during post-operative care?
Reduced swelling and bruising, reduced back/neck discomfort from changes in sleep positioning while recovering, reduced overall surgical pain and discomfort.
Decrease in edema by at least 50%, enhancing the plastic surgeon’s body contouring work.
Improved quality of sleep and pain reduction.
Minimize appearance of scarring
What would be some reasons to send your client back to their plastic surgeon while providing post-operative recovery massage?
Untreated infection, possible seroma present, or abnormality in the skin quality
Fever
Absolute contraindications arise such as cellulitis or suspected DVT
All of the above.
While there are many approaches to performing MLD for post-operative care, which of the following is NOT a safe massage treatment approach?
Gentle application of strokes
Aggressive application of strokes or strokes that force fluid out of incisions
Mild myofascial work
Referral to a CLT for MLD work because the client has a compromised lymphatic system
How can you foster interprofessional collaboration with your local plastic surgeon or orthopedic surgeon to obtain referrals from them?
Provide information on the benefits of MLD
Complete detailed documentation and keep the doctor abreast of client progress
Remember your own scope of practice and do not contradict the doctor’s orders
All of the above.
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