CLT Manual Lymphatic Drainage Techniques

Question 1

Who developed the original Manual Lymphatic Drainage (MLD) technique in the 1930s?

Accepted Answer

Emil and Estrid Vodder

Answer

Dr. Emil Vodder and his wife Estrid developed MLD in France in the 1930s based on their observations of patients with chronic sinusitis and swollen lymph nodes.

Question 2

What is the correct pressure range used in Manual Lymphatic Drainage strokes?

Accepted Answer

Approximately 30–40 g/cm² (very light skin-stretching pressure)

Answer

MLD uses approximately 30–40 grams per square centimeter, a very light pressure sufficient to stretch the superficial dermis and stimulate initial lymphatics without compressing them.

Question 3

In the Vodder MLD technique, which basic stroke is applied in a circular, skin-stretching motion on the lymph nodes themselves?

Accepted Answer

Stationary circles

Answer

Stationary circles are applied directly over lymph node groups to stimulate node activity before treating the surrounding territory.

Question 4

Why must MLD always begin proximally (near the trunk) before treating the distal extremity?

Accepted Answer

To clear space in proximal collectors so distal fluid has a pathway to flow into

Answer

Starting proximally empties the receiving lymph node regions and collectors, creating a pressure gradient that draws fluid from the distal congested area.

Question 5

The Foeldi MLD method's 'effleurage' finishing strokes differ from opening strokes in that they are applied in which direction?

Accepted Answer

Proximal to distal as gentle gliding strokes

Answer

Finishing effleurage strokes in MLD move proximally to distally to soothe the tissue after deep MLD work, though they do not drive lymph flow.

CLT - Certified Lymphatic Therapist Practice Test

CLT - Certified Lymphatic Therapist Practice Test

CLT Manual Lymphatic Drainage Techniques