Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

COMPLETE DECONGESTIVE THERAPY

جج

MANUAL LYMPHATIC DRAINAGE

Dr- AHMED ABD EL-HAMIED

ةشةشي general concepts of MLD بنميبنتمةةةشىيسس

general concepts in MLD

the effect of MLD

The effect of MLD

1-Analgesic : gate control- drainage of nociceptive substances

2- soothing.

3- lymphangiomotoricity and lymph production

Basic strokes

BASIC STROKES

Click to edit text

stationary circles

Click to edit text

Click to edit text

pump

Click to edit text

Click to edit text

scoop

Click to edit text

Click to edit text

rotatory

additional techniques

contraindication for MLD

Click to edit text

Click to edit text

CARDIAC EDEMA

Click to edit text

Click to edit text

RENAL FAILURE

Click to edit text

Click to edit text

ACUTE INFECTIONS

Click to edit text

Click to edit text

ACUTE BRONCHITIS

Click to edit text

Click to edit text

ACUTR DEEP VEIN THROMBOSIS

Click to edit text

Click to edit text

ةشMalignancies

Click to edit text

Click to edit text

bronchial athma

Click to edit text

Click to edit text

hypertension

local contraindication

1- carotid sinus syndrome

2- hyperthyroidism.

3- age: >60

local contraindication

for

abdomen

1-pregnancy.

7-Inflammatory conditions.

2-dysmenrrhea

3-Illus

8- Radiation fibrosis

4- Diverticulosis.

9- unexplaind pain

5- Aortic aneurysm.

6-DVT.

Mind map to learn

LYMPH - COLLECTORRS- PRECPLLECTORS - TRUNK>>ETC

lymphatic edema

ANASTOMOSES

WATERSHEDS

Regions of the trunk

REGIONS OF THE TRUNK

1- manipulation of the axillary lymph nodes (bimanual stationary ccircles between latissmus dorsi and pectoralis-toward the apex of axilla )

2- efflurage (to the axillary) and do not touch nipple.

3- ةساتسmanipulation of the lymph vesseles in health mammary gland( rotatory and pump in the mammary fold- glandular tissue- below the nipple)

4- ةشىهحعمشفهخmanipulation of lateral thorax (from lower horizantal watershed toward axillary lymph nodes follow the IA anastomoses)

Ant. trunk

5- manipulation of anterior and lateral thorax( anterior sagittal watershed to the thoracic portion of IA anastomosis) followed by step 4.

ant. trunk 2

6- manipulation of anterior axillo-axillary anastomosis (stationary circles toward the axillary lymph nodes) .

7- manipulation of parasternal lymph nodes and vessels.

ثمم

8- manipulation of intercostal lymph vesseles (stationary circles from lateral to medial and deep )

9- efflurage

1- efflurage from the back of the head following the descending trapizus to the accromion.

3- manipulation of the occipital and parital regions( stationary circles from the posterior head toward the paritak area and direction toward ocipital and ear)

post.neck and occipital area

4-manipulation of the parotid and retroauricular lymph nodes (in front and behind the ear stationary circles ) and repeat step 2

2- manipulation of the deep lateral cervical lymph nodes(stationary circles from the angle of the jaw to supraclavicular fossa) bi hand use.

5- manipulation of shoulder collectors (pump technique- from acromion to upper tapizius in direction of supraclavicular fossa)

6-manipulation of the inferior cervical lymph nodes(stationary circles on supraclavicular fossa)

post neck and occipital area2

7- manipulation of paravertebral lymph nodes and vesseles

8-efflurage

1-efflurage 2-3 times (from posterior sagittal watershed to inguinal lymph nodes)

2-manipulation of lumbar area(alterating rotatory from sagital watershed to the ASIS ) the upper hand is parellal to lower horizantal watershed, the lower hand follow posterior inguinal anastomosis. (pii anastomosis)

3- manipulation of PII anastomosis (bimanual stationary circles from pii anastomosis toward inguinal lymph nodes)

4- manipulation of paravertebral lymph nodes and vesseles(stationary circles paravertebrally)

lumbar area

5-efflurage

1- manipulation of the axillary lymph nodes(stationary circles bimanually toward the apex of axilla)

2- efflurage ( from sagittal wtershed to axillary nodes)

3- manipulation of the lat. thorax(stationary circles from horizantal watershed to axillary lymph nodes(thoracic portion of the IA anastomosis))

post . trunk 1

4- manipulation of the posterior thorax (rotatory teqnique from sagittal watershed to lymph nodes)

5- manipulation of the posterior and lateral thorax (alternating rotatoary technique from the sagittal watershed to thoracic portion of IA anastomosis (followed by step 3))

6. manipulation of the post. axillo-axillary anastomosis( bimanual stationary circles psrallel with sagittal watershed )

7- manipulation of the paravertebral lymph nodes (stationary circles )

post. trunk 2

8-manipulation of the intercostal lymph vesseles( stationary circles -finger pad )

9- efflurage

1-efflurage (from sternum to accromion)

2- manipulation of inferior cervical lymph nodes(stationary circles- supraclavicular fossa)

3- manipulation of the deep lateral cervical lymph nodes( stationary circle- from earlobe to supraclvicular fossa)

4- manipulation of the parotid and retroauricular lymphnodes( fan finger- followed by step 3)

lateral neck

5- manipulation of sub mandibular lymph nodes ( stationary-repeaat step 3)

neck 2

UPPER LIMB AND LOWER LIMB

EXTERMITIES

1- manipulation of axillary lymph nodes.

upper limb

2-efflurage (2-3 times covering the arm).

3-manipulation of the medial aspect of upper arm(stationary circle from medial epicondyle to axillary lymph nodes).

4-manipulation of the tissue covering the ant. and post. portion of deltoid muscle(stationary circles - may bimanual- toeard axillary lymph nodes)

5- manipulation of lateral aspect of the upper arm( pump technique from lat. epicondyle to acromion- may use alternating pump and stationary).

upper limb 2

6- manipulation of antecubital fossa (thumb circles -stationary - from distal to proximal -5 cm above and below).

7- manipulation of the forearm (scoop technique- anterior and posterior aspect of the forearm).

8- manipulation of the dorsom of the hand(stationary thumb circles- from MP to styloid process)

9-manipulation of the palmar aspect of the hand and ant. wrist(stationary- thumb-from center of the palm to radial and ulnar edge).

11- rework.

10- fingers from proximal to distal.

12- efflurage.

ant. leg

1-manipulation of the inguinal lymph nodes(stationary circles -working phase directed toward inguinal ligament).

2- efflurage.

3- manipulation of ant. thigh (alternating pump following rectus femoris between the base of patella to ASIS).

4-manipulation of ant. and lat. thigh (pump and stationary -ant pathway take the rectus femoris- lat. pathway take illiotibial band.

5- manipulation of the medial thigh (stationary from medial knee to the groin).

ant. leg

7- manipulation of the lower leg (scoop from calf to knee) .

8 - manipulation of the foot(stationary circle by the thumb).

9- rework.

10- final efflurage.

post.

leg

1- efflurage

2- manipulation of the posterior thigh(pump from popleteal fossa to horizantal gluteal fold).

3-manipulation of the medial thigh(stationary circles from medial knee to groin)

4-manipulation of the posterior and lat. thigh (pump and stationary )

5- manipulation of the knee (stationary covering popleteal fossa.

6- lower leg.

7-rework.

8-efflurage.

Learn more about creating dynamic, engaging presentations with Prezi