Articles and links about Manual Lymph Drainage, Lymphedema (LE), Treatment, Research, Medical Best Practices.
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A Primary Lymphedema Case Study
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www.voddermld.com |
A case history and relevant LE/MLD theory. The etiology, history and treatment of a 51 yr old male with primary lymphedema (illustrated). 4 pages. By permission of the author. Catherine DiCecca, RMT, is a Dr Vodder School International MLD instructor.
Three case studies indicating the effectiveness of MLD
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Science Ltd |
LINK: The superficial lymphatic system ... When the lymphatic system fails to remove its load either due to surgery, radiotherapy or some congenital malformation of it then the fluid (and the proteins and wastes contained within it) accumulates in that territory... We examined the movement of fluids from the affected limbs of three lymphedema patients who underwent a standardized 45-min treatment using the Dr Vodder method of MLD... The tools used were tonometry, multi-frequency bioelectrical impedance and perometry. All three evaluation tools indicated a movement of fluid to different and unblocked lymphatic territories as well as a softening of tissues ... It is hypothesized that a series of treatments (as is the norm) would result in even more significant improvements. by Robert Harris, Director and Senior Instructor, Dr Vodder School International, and Prof. Neil Piller. Flinders University. Journal of Bodywork and Movement Therapies (2003) 7(4), 213^221. 8 pages.
ALTERNATE SHORT VERSION: From Massage Therapy Canada at: Three case studies... Approx. 4 pages. Accessed 11-8-2010.
A Painful Lymph Illness Often Follows Cancer
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NY Times |
LINK: The relationship between cancer and lymphedema and possible triggers or dangers is explored in this NY Times article. Search the site for more related lymphedema articles. Accessed 11-11-2010.
Weight Lifting and Lymphedema: Clearing up Misconceptions
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www.VodderMLD.com |
A controversial lymphedema weightlifting study recently received inaccurate interpretations in the mass media. An abstract of the original study is combined with a comprehensive guide to lymphedema care and clarification written by one of the original study authors. 4 pages. By permission of the author. Kathryn H. Schmitz, PhD, Kathryn Schmitz, PhD, MPH, Associate Professor of Epidemiology, University of Pennsylvania SOM; Adjunct Associate Professor Division of Epidemiology, School of Public Health, University of Minnesota, winner of the Catalyst Award from NLN. Dr. Schmitz is also an International Advisory Board member with the ALFP.
Template For Practice: Compression Hosiery in Upper Body Lymphoedema
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HealthComm UK Ltd |
LINK: The construction and classification of compression garments; Principles of anatomy and physiology in relation to compression of the upper limb and thorax; Evidence for the use of upper body compression garments in patients with lymphoedema Selecting compression hosiery for hand, arm and midline trunk lymphoedema.
Section by section this document includes:
Compression garments in upper body lymphoedema. by CJ Moffatt Page 1.
Compression hosiery is at the centre of long-term management of lymphoedema and is one of the most important aspects of ... This Template for Practice is unique in attempting to provide an international resource that provides guidance on the appropriate use of compression garments for the upper body.
The construction and classification of compression garments. by G Krimmel Page 2.
Flat- and circular-knitting are the two main methods employed ... construction influences the finished garment and how garments are classified, so that they are able to select products that deliver effective compression, fit correctly, are comfortable and encourage long-term use.
Principles of anatomy and physiology in relation to compression of the upper limb and thorax. by C Carati, B Gannon, N Piller Page 6.
An understanding of arterial, venous and lymphatic flow in the upper body in normal limbs and those at risk of, or with, lymphoedema ... the unknown effects of individual, diurnal and seasonal variances on compression efficacy, means that future research should focus upon ways to monitor the pressure delivered by a garment, and its effects upon the fluids we are trying to control.
Evidence for the use of upper body compression garments in patients with lymphoedema. by K Johansson. Page 16.
Garments are a widely used form of compression in the management ... the literature available to date is reviewed in this paper ... lymphoedema in the upper limb using compression garments but there is a lack of evidence for the thorax and breast.
Selecting compression hosiery for hand, arm and midline trunk lymphoedema. by D Doherty, A Williams. Page 21.
A wide variety of factors must be taken into consideration when determining if a patient is suitable for the use of a compression garment ... guides the practitioner through the processes involved in prescribing upper body compression garments ...
ALTERNATE DOWNLOAD: Template For Practice: Compression Hosiery in Upper Body Lymphoedema Approx. 36 pages. Accessed 11-8-2010.
ONS Lymphedema PEP Card - Purchase Download $5.99
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Oncology Nursing Society |
LINK: The Lymphedema Putting Evidence Into Practice® (PEP) card is available for purchase on this page. This is the single most useful rapid reference and learning tool for lymphedema patient treatments to be found anywhere. The revised PEP card is now a download of 10 pages. Cost is $5.99 online: Page C183 - C192.
Copyright - 2009. by - Ellen G. Poage MSN, ARNP, MPH, CLT-LANA, Jane M. Armer RN, PhD, FAAN. 10 pages.Links to the Oncology Nursing Society (ONS) supporting documents for the Lymphedema Putting Evidence Into Practice® (PEP) card are found on this page, including: » Definitions; »Tables of Evidence; » Meta-analysis; »Systematic Review Table; »Measurement Summary; »Lymphedema References; »Lymphedema Quick View Resource , a one page summary. Also see Demystifying Lymphedema: Development of the Lymphedema Putting Evidence Into Practice® Card
ALTERNATE: The Oncology Nursing Society (ONS) Accessed 11-8-2010.
Demystifying Lymphedema: Development of the Lymphedema Putting Evidence Into Practice® Card
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Clinical Journal of Oncology Nursing |
LINK: Lymphedema treatment metadata for ranking Best LE Practices. Read the article, then order the Putting Evidence Into Practice® (PEP) card chart from the ONS. The definitive survey of all known lymphedema treatment practices graded for effectiveness (or harm). Intended for MLD/CDT practitioners, clinics, hospitals, lymphologists, others. Practical, applicable, and relevant. 14 fact-filled pages. Accessed 11-10-2010 List of research documentation is available at: ONS Lymphedema Research & Supporting Resources. 1 page of links. Accessed 11-10-2010.
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www.voddermld.com |
The skin is the largest organ of the body. It provides protection from the toxins in our environment, i.e. chemicals, bacteria, viruses, etc. We can affect the health of the epidermis from the outside. The most effective treatment of the dermis comes from cleansing the Loose Connective Tissues which is the cellular structure of the dermis, using MLD.1 page. GL Gulbrandson is a Dr Vodder School International MLD instructor. 1 page.
Benefits & Effects of MLD used in Esthetics
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www.voddermld.com |
Dr. Vodder's MLD and a healthy lymph system. Discusses drainage of dermis, other systems briefly. GL Gulbrandson is a Dr Vodder School International MLD instructor. 1 page.
The Dr Vodder School Esthetician Training Program, A Synopsis
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www.voddermld.com |
The relationship between the Dr Vodder School MLD training program and the esthetics / skin care industry. Covers historical relationship, background, and more. By permission of the author. Linda 'Koby' Blanchfield, RMT, CLT-LANA, is a Dr Vodder School International senior MLD instructor. 1 page.
MLD and a Healthy Lymph System
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www.voddermld.com |
Dr. Vodder's MLD and a healthy lymph system. Discusses drainage of dermis, other systems briefly. GL Gulbrandson is a Dr Vodder School International MLD instructor. 1 page.
From Client To Career, How MLD Changed My Life
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www.voddermld.com |
An MLD teacher and therapist reflects on the wonders and benefits of learning, practicing, and finally teaching Vodder MLD in the UK, after training in Austria. 2 pages. By permission of the author. Deborah Berry, MLD UK (CDT), BLS, APNT, BCMA is a Vodder School UK MLD instructor.
Pressure Test System (PTS) Description for MLD and garment pressure measurement
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voddermld.com |
This revolutionary tool allows MLD teachers, compression garment fitters, clinics, and MLD/CDT therapists to validate the exact pressure of MLD (30 - 32 mmHg for many strokes). A computer based software application with a simple flexible sensor allows instant and accurate real-time display on a computer monitor. Readings (images) can be saved, archived, repeated, printed, calibrated. GL Gulbrandson is a Dr Vodder School International MLD instructor.
Pressure Test System (PTS) User Info and Specs for MLD
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www.VodderMLD.com |
This revolutionary sensing device allows therapists to validate the exact pressure of MLD (30 - 32 mmHg) for example. A computer based software application and simple flexible sensor allows accurate rapid real-time display on a computer monitor. Suitable for teachers to demonstrate and compression garment fitters/wearers to validate correct pressure, clinics to verify correct pressure of MLD strokes.1 page. GL Gulbrandson is a Dr Vodder School International MLD instructor.
National Lymphedema Network (NLN Lymphnet)
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NLN Lymphnet |
Includes a toll-free information line. Referrals to lymphedema treatment centers, health care professionals, training programs, and support groups. A quarterly newsletter with a resource guide and more. Educational materials. A biennial conference, a computer database, and more.
Books: Child Apart, by Juanita McDonald, A detailed account of the author’s experience growing up with Milroy’s disease. Coping with Lymphedema by Joan Swirsky, RN & Diane Nannery. Practical guide to understanding, treating and living with lymphedema, describes benefits of early intervention with professional help. Accessed 11-03-2010.
Lebed Method Lymphedema Exercises
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Healthy-Steps |
Vital Essence: Understanding the Lymphatic System in Health and Disease, is available in both Professional and Patient versions in a CD-ROM format. The professional version uses medical terminology to present a more in depth explanation of the lymphatic system. The patient version uses lay terms and is easier to understand. From the Vital Essence project at Flinders University, Australia. Producer of the best visualizations and dramatizations of lymph system processes, functions, and anatomy. Exceptional resource, loaded with value. Available from the Dr Vodder School International. (2003 V1.2; 2 versions). Project leader Professor Neil Piller, Flinders Clinical and Molecular Medicine, Surgery Dept. Represents the culmination of knowledge from his and others experience in the Lymphedema Assessment Clinic and the Experimental Lymphology and Microcirculatory laboratories in Flinders University and Flinders Medical Centre in South Australia. Accessed 11-10-2010.
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LLN Newsletter |
Whether you are newly-diagnosed with lymphedema and want more information, or perhaps you are interested in learning what the latest research promises. Accessed 11-2010. The LLN, a regional support network, publishes an e-newsletter. You can view past newsletters, or subscribe.
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Forum, Articles, etc. |
An organization and website dedicated to people who experience all types of lymphedema. Accessed 11-2010. Forums: This is a great place for patients to start. All are welcome to join and participate. Wiki: An ever-expanding wealth of information, articles, and links. Contains research relevant to both patients and health care providers. Articles: Yet more information, articles, and links in HTML format. Archive: Links to older material. Other site related information.
http://www.nabco.org/ |
This clinic has over 40 years of experience in the treatment of all types of patients with lymphedema. There are many inpatient packages. Co-located with the Dr Vodder School, Austria. Articles are under "Therapies" heading. Accessed 11-10-2010. Information about Lymphedema of the arm, leg or head; lipedema; precautions for arm- and leg edema patients; national and international Links for patients (Chat-rooms, Clinics, Cancer-associations, Support groups, mostly in Europe.)
MOVIE: CancerQuest Lymphedema Module
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CancerQuest is affilated with the Winship Cancer Institute of Emory University and Emory College. |
Webmovie with audio. Introduction to induced lymphedema as a result of cancer treatment. Discussion of causes, precautions, bandaging technique, and arm exercises for arm lymphedema. Fails to include MLD, patient education, or skin care. Accessed 11-03-2010. Generally informative.
Wittlinger Therapy Centre (Austria)
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Textbooks, DVDs, etc. |
This clinic has over 40 years of experience in the treatment of all types of patients with lymphedema. There are many inpatient packages. Co-located with the Dr Vodder School, Austria. Articles are under "Therapies" heading. Accessed 11-10-2010. Information about Lymphedema of the arm, leg or head; lipedema; precautions for arm- and leg edema patients; national and international Links for patients (Chat-rooms, Clinics, Cancer-associations, Support groups, mostly in Europe.)
The Research of Prof. Dr. P. Hutzschenreuter
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Dr Vodder School International |
LINK: Compilation and synopsis of Dr. P. Hutzschenreuter's decades of research on effects of MLD, written by a colleague. Technically detailed, addresses MLD effects on smooth muscle, paralyzed limbs, skin resistance, whiplash, microcirculation, peristalsis of the intestines, further research. Detailed bibliography. More Dr Vodder School International (DVSI) online articles are at: DVSI Online Articles. Approx. 5 pages. Accessed 11-6-2010. Professor Hildegard Wittlinger is a founder of the Dr. Vodder School (Schule) and the Wittlinger Therapy Center (Therapiezentrum) for treatment of lymphedema in Walchsee, Austria.
Lipedema: A Frequently Misdiagnosed and Misunderstood Fatty Deposition Syndrome
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Wound Care Journal, Clinical Management Extra, February 2010, Pg 81 |
LINK: A definitive survey of current knowledge about Lipedema, including the relationship to lymphedema. Technical but readable for lymphologists and others (illustrated). Practical and relevant. 12 pages. Accesses 11-10-2010
LYMPHEDEMA (LE) RESEARCH ORGANIZATIONS & FOUNDATIONS
Please cut and paste the URL into a browser if needed.
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Online: Lymphedema PDQ; Cancer Library, more. |
US government agency, part of the National Institutes of Health. Online documents on the website reflect official attitudes relating to lymphedema. Open access for non-registered researchers. Accessed 11-10-2010. Topics include: General Information About Lymphedema; Managing Lymphedema; Treatment of Lymphedema; Get More Information From NCI
American Lymphedema Framework Project
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Lymphoedema Framework (2006) |
Since 2008, the American Lymphedema Framework Project (ALFP) in collaboration with the International Lymphoedema Framework (ILF), serves as an international resource to clinicians, investigators and patients. By creating awareness of treatment options, the ALFP will improve the overall well-being of patients with LE through proper utilization of therapy, garments, etc.
RELATED PUBLICATION: Lymphoedema Framework (2006) UK national publication available at: Best Practice for The Management of Lymphoedema. Approx. 58 pages. Accessed 11-8-2010.
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CA: A CANCER JOURNAL FOR CLINICIANS |
Extensive research activities related to cancer. Major website focused on cancer with many diverse resources. Accessed 11-03-2010. CA is a peer-reviewed journal of the ACS on the latest ACS guidelines, review articles covering many areas of oncology; evidence-based advice for cancer prevention and early detection. Additional resources to stay abreast of the latest facts, figures, and info essential to healthcare professionals. 6 issues / yr (print and online) Physicians and healthcare professionals can subscribe to the print journal free. All articles are free at the journal's website upon publication. CANCER Cancer is a peer-reviewed journal of the ACS that provides clinicians and researchers with the latest information they need to give patients the best-quality cancer care possible with the latest clinical research findings and information. 24 issues / yr Paid print or online subscription
McGill Lymphedema Research Program
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Lymphoedema, Ch. 87, Palliative Medicine Elsevier 2008 more. |
A Canadian university-based research project under the guidance of Dr. Anna Towers involving Dr. Vodder school-certified therapists. Accessed 11-10-2010. Articles include: Information About Lymphedema; Treatment For Lymphedema; Lymphedema Therapy Offered by McGill Teaching Hospitals; Canadian Lymphedema Framework; About The McGill Lymphedema Research Program; Research Interests; Research Studies; Presentations And Publications; Links
The Lymphoedema Journal |
Since 2002, the aim of the International Lymphoedema Framework (ILF) is to develop and evaluate appropriate health care services for patients with all forms of lymphedema, building on the national lymphedema framework established in the UK. Partnership with clinicians, researchers, health care organizations, patient support groups and industry; has a national research study involving implementation of internationally agreed standards of best practice and the development of a global electronic data set for research.
QUALITY PUBLICATIONS: Available FREE at: Best Practice for The Management of Lymphoedema; Compression hoisery in lymphedema; Developing a lym[phedema service; Compression hoisery in upper body lymphedema; Lymphedema Framework, The Way Forward; Care of Children with lymphedema, and more. Accessed 11-8-2010. Accessed 11-10-2010.
Flinders University Lymphoedema Project
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Vital Essence DVDs |
Vital Essence: Understanding the Lymphatic System in Health and Disease, is available in both Professional and Patient versions in a CD-ROM format. The professional version uses medical terminology to present a more in depth explanation of the lymphatic system. The patient version uses lay terms and is easier to understand. From the Vital Essence project at Flinders University, Australia. Producer of the best visualizations and dramatizations of lymph system processes, functions, and anatomy. Exceptional resource, loaded with value. Available from the Dr Vodder School International. (2003 V1.2; 2 versions). Project leader Professor Neil Piller, Flinders Clinical and Molecular Medicine, Surgery Dept. Represents the culmination of knowledge from his and others experience in the Lymphedema Assessment Clinic and the Experimental Lymphology and Microcirculatory laboratories in Flinders University and Flinders Medical Centre in South Australia. Accessed 11-10-2010.
The Diagnosis and Treatment of Peripheral Lymphedema
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ISL Consensus Document |
LINK: This ISL Consensus Document is the current revision of the 1995 Document for the evaluation and management of peripheral lymphedema. One of the definitive documents on state of the art thinking about Lymphedema treatment. 11 pages. Lymphology 42 (2009) 51-60. Look to left side menu at bottom: Lymphology Consensus Document. Accessed 11-10-10
Additional useful pages on this site include:
- Find an MLD Therapist or Clinic location.
- Lymphedema Risks and Precautions.
- Comparison Chart: MLD & Traditional Massage.
- What is Lymphedema?
- What Is MLD?
- Bibliography of Books and Texts
No attempt has been made to present an exhaustive list of articles about lymphedema and MLD here. Instead, see the • Research Articles List pages.
In addition to trolling my website, a web search for key words such as “lymphedema” and "MLD" will be helpful.
If you would like to recommend an article or link for inclusion here, please let me know. Contact.
Gay Lee Gulbrandson, Instructor
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