CLT Compression Therapy & Bandaging

Question 1

In Complete Decongestive Therapy (CDT), multi-layer compression bandaging applied during the intensive phase uses what type of bandage as the primary working layer?

Accepted Answer

Short-stretch (low-stretch) bandages

Answer

Short-stretch bandages have low elasticity and create high working pressure during muscle contraction and low resting pressure when the muscle is relaxed, ideal for lymphedema.

Question 2

What is the primary difference between 'working pressure' and 'resting pressure' in compression therapy?

Accepted Answer

Working pressure is generated when muscles contract against the bandage; resting pressure exists when the limb is still

Answer

Working pressure is the high pressure created when muscles expand against the inelastic bandage during exercise; resting pressure is the low constant pressure when the limb is at rest.

Question 3

Compression garments for lymphedema are classified by compression class. What pressure range defines Class I (mild) compression in the US (Juzo/Sigvaris flat-knit classification)?

Accepted Answer

20–30 mmHg

Answer

Class I compression in US lymphedema garment classification corresponds to 20–30 mmHg and is often prescribed for mild or well-controlled lymphedema maintenance.

Question 4

Foam padding layers applied beneath short-stretch bandages serve what purpose?

Accepted Answer

They protect bony prominences and evening out the pressure distribution over irregular contours

Answer

Foam and chip-bag padding protect bony prominences, fill concavities, and redistribute pressure evenly to prevent localized pressure injuries under bandages.

Question 5

Which of the following is a contraindication to compression bandaging in a lymphedema patient?

Accepted Answer

Acute cellulitis with systemic infection signs

Answer

Active cellulitis with systemic signs (fever, spreading erythema) is a contraindication because compression over infected tissue can spread infection and cause pain.

CLT - Certified Lymphatic Therapist Practice Test

CLT - Certified Lymphatic Therapist Practice Test

CLT Compression Therapy & Bandaging