CLT CLT Exercise & Movement Therapy 3

Question 1

Based on current evidence, what is the effect of slowly progressive resistance training on lymphedema in breast cancer survivors?

Accepted Answer

It does not worsen and may reduce lymphedema symptoms while improving strength and quality of life

Answer

It consistently worsens lymphedema and should never be prescribed

Answer

It has no measurable effect on lymphedema outcomes

Answer

It is only safe for Stage I lymphedema, not Stage II or III

Question 2

Which breathing technique is specifically used during MLD and remedial exercises to maximize lymphatic drainage?

Accepted Answer

Diaphragmatic breathing (abdominal breathing) with slow, deep inhalation and full exhalation

Answer

Pursed-lip breathing to prolong exhalation

Answer

Rapid shallow chest breathing to increase respiratory rate

Answer

Breath-holding at peak inhalation for 10 seconds

Question 3

What post-exercise recommendation helps maintain the reduction gained during a CDT exercise session?

Accepted Answer

Continue wearing compression garment and elevate the limb if swelling increases after exercise

Answer

Remove the compression garment immediately after exercise to let skin breathe

Answer

Apply heat to the limb post-exercise to maintain vessel dilation

Answer

Rest completely for 4 hours without any limb movement

Question 4

How does yoga or tai chi benefit patients with lymphedema?

Accepted Answer

Rhythmic movement, diaphragmatic breathing, and postural awareness combine to enhance lymphatic flow without high-intensity load

Answer

Yoga's inverted poses reverse lymphatic flow to clear congested nodes

Answer

Tai chi's rapid movements create a strong muscle pump equivalent to running

Answer

These activities are contraindicated in lymphedema due to unpredictable limb positions

Question 5

What is the primary concern with high-intensity exercise in lymphedema patients?

Accepted Answer

Rapid increase in capillary filtration overwhelms the already-reduced lymphatic transport capacity, risking a flare

Answer

High intensity permanently damages lymphatic vessel walls

Answer

It causes excessive weight loss that destabilizes compression garment fit

Answer

High heart rate prevents lymph from entering the venous system at the thoracic duct

Question 6

What role does posture correction play in upper extremity lymphedema management?

Accepted Answer

Proper posture prevents compression of axillary and cervical lymphatic pathways that impair proximal lymph drainage

Answer

Posture has no measurable impact on lymphatic flow in the upper extremity

Answer

Upright posture increases hydrostatic pressure in arm veins, worsening lymphedema

Answer

Slouching is preferred as it shortens the distance lymph must travel to reach the thoracic duct