CLT Compression Therapy & Bandaging 2 — Questions and Answers
Question 1: Flat-knit compression garments differ from circular-knit garments in what key way relevant to lymphedema patients?
- Flat-knit is cheaper and available over the counter
- Flat-knit has a seam, can be custom-made in any shape, and provides higher stiffness suitable for fibrotic or large limbs (Correct answer)
- Circular-knit provides higher compression pressure
- There is no clinically meaningful difference
Correct answer: Flat-knit has a seam, can be custom-made in any shape, and provides higher stiffness suitable for fibrotic or large limbs
Flat-knit garments are custom-fabricated with a seam, offer greater stiffness (working pressure), and accommodate irregular limb shapes better than circular-knit products.
Question 2: During compression bandaging of a lower extremity, the toes should be bandaged in what position?
- Fully flexed (curled)
- Slightly extended and individually wrapped to prevent maceration (Correct answer)
- Left uncovered to monitor circulation
- Taped together to maintain alignment
Correct answer: Slightly extended and individually wrapped to prevent maceration
The toes should be gently extended and each toe wrapped separately to include them in the pressure gradient while preventing skin breakdown from moisture between toes.
Question 3: A lymphedema patient who cannot don a compression garment due to strength or dexterity issues may benefit from what device?
- Increasing garment compression class
- Donning aids (such as donning frames, slippery socks, or rubber grips) (Correct answer)
- Switching to a looser garment
- Applying lubricant to the skin only
Correct answer: Donning aids (such as donning frames, slippery socks, or rubber grips)
Donning aids and frames allow patients with limited hand strength or range of motion to independently apply compression garments, supporting self-care adherence.
Question 4: The compression gradient in a properly applied bandage or garment should be highest where?
- At the proximal end (groin or shoulder)
- At the distal end (ankle or wrist) and decrease toward the trunk (Correct answer)
- Uniform throughout the length
- At the knee or elbow joint
Correct answer: At the distal end (ankle or wrist) and decrease toward the trunk
Graduated compression with highest pressure distally drives fluid proximally toward lymph node basins, following the normal direction of lymph flow.
Question 5: Intermittent pneumatic compression (IPC) devices are most appropriately used in lymphedema as what?
- A standalone replacement for CDT
- An adjunct to MLD and compression bandaging to assist with decongestion (Correct answer)
- The first-line treatment before MLD is initiated
- Treatment for lymphedema with active infection
Correct answer: An adjunct to MLD and compression bandaging to assist with decongestion
IPC is used as an adjunct to CDT, helping to mobilize fluid during the intensive phase, but it does not replace MLD, which addresses the trunk and node regions IPC cannot reach.
Question 6: How often should compression bandaging be changed during the intensive phase of CDT?
- Once per week
- Every 5–7 days only if intact
- Daily, after each MLD session (Correct answer)
- Twice per day in the morning and evening
Correct answer: Daily, after each MLD session
During the intensive decongestion phase, bandages are reapplied daily after each MLD session to maintain effective compression as limb volume decreases.
CLT Compression Therapy & Bandaging 2
Flat-knit compression garments differ from circular-knit garments in what key way relevant to lymphedema patients?