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

Evidence from multiple randomized controlled trials shows slowly progressive resistance training is safe and may decrease the number of lymphedema exacerbations while improving upper extremity strength.

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

Deep diaphragmatic breathing maximizes intrathoracic pressure changes, creating the strongest suction effect on the thoracic duct and cisterna chyli to draw lymph proximally.

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

Maintaining compression post-exercise prevents the reaccumulation of fluid mobilized during exercise, and elevation uses gravity to assist lymphatic drainage back toward the trunk.

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 and tai chi combine slow rhythmic movement, conscious deep breathing, and postural correction, all of which facilitate gentle lymph propulsion without generating excessive filtration.

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 exercise dramatically increases capillary filtration from elevated blood flow and pressure, producing more interstitial fluid than a compromised lymphatic system can clear, potentially triggering acute swelling.

CLT - Certified Lymphedema Therapist Practice Test

CLT - Certified Lymphedema Therapist Practice Test

CLT CLT Exercise & Movement Therapy 3