MLD Compression Therapy & Bandaging

Question 1

Which layer of a short-stretch multilayer bandage system is applied directly against the patient's skin to protect it from pressure and friction?

Accepted Answer

Stockinette or tubular sleeve

Answer

The stockinette or tubular sleeve is the innermost layer and serves as a skin protector before any padding or bandages are applied.

Question 2

What is the primary mechanical effect of short-stretch bandages on the lymphatic system during muscle activity?

Accepted Answer

They create a rigid casing that increases tissue pressure during muscle contraction to enhance lymph propulsion

Answer

Short-stretch bandages have a high working pressure and low resting pressure; the rigid casing increases interstitial pressure during muscle contraction, which drives lymph propulsion.

Question 3

In the context of complete decongestive therapy (CDT), bandaging is typically applied during which phase?

Accepted Answer

Both Phase I and Phase II

Answer

Multilayer compression bandaging is used in Phase I to reduce limb volume and is continued or transitioned to compression garments in Phase II to maintain results.

Question 4

When applying a compression bandage to a lower extremity, the therapist should begin at which anatomical location?

Accepted Answer

The digits or foot (most distal point)

Answer

Bandaging always starts at the most distal point (toes/foot) and proceeds proximally to create a distal-to-proximal pressure gradient that promotes fluid movement toward drainage areas.

Question 5

Which of the following best describes the pressure gradient that should be achieved with a well-applied compression bandage?

Accepted Answer

Higher pressure distally than proximally

Answer

A correct compression bandage creates a graduated pressure gradient with the highest pressure distally and decreasing pressure moving proximally, facilitating lymph flow toward the trunk.

MLD - Manual Lymphatic Drainage Certified Practice Test

MLD - Manual Lymphatic Drainage Certified Practice Test

MLD Compression Therapy & Bandaging