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Lymph Taping

MTC

Lymph Taping (Theory / Technique / Practice) - by Josya Sijmonsma / 2010

Page 2

MANUAL

MTC
Lymph Taping
Author - Josya Sijmonsma
Since the 1970s Manual Lymph Drainage has increasingly been used for decongestion in case
of oedema and above all for lymphoedema which until then could not be treated. At the same
time, due to clinical observation the knowledge has developed that this manual drainage should
be combined with other decongestive measures such as compression therapy, exercise therapy
as well as careful skin care the development of CDPT (complex or combined decongestive physical therapy).
Lymph taping has to some extent blown a fresh wind into this proven decongestion concept,
enriching this proven and recognised combination therapy in an excellent way, so that many are
already talking of the 5th column of CDPT. Josya Sijmonsma is a Dutch physiotherapist who has
been intensively involved in this technique since the beginning of Medical Taping in Europe
(introduced over 10 years ago). This book reflects Josya Sijmonsma s enormous wealth of experience. In addition to the extraordinarily instructive illustrations for a wide variety of indications,
the most important theoretical background is also set out in a concise and easily understandable form. This book is to my knowledge the first and only book which explains the technique of
taping using anatomical-physiological and also pathophysiological explanation models. Trained
lymph therapists will therefore easily understand the taping systems directly, as they cover the
treatment concepts of the complex physical decongestion therapy. The many case descriptions
make this book a vital reference work for practitioners. Otto Schreiner Physiotherapist Specialist
teacher for MLD/CDPT since 1985 Specialist Manager of the Lymph Academy of German

ISBN - 789491038020
Language - English
Implementation - Hardcover
Number of pages - 200
Publisher - Fysionair
Release Date - 01-11-2010
Illustrator - Roger Trompert, Tjerk van der Veen

Lymph Taping (Theory / Technique / Practice) - by Josya Sijmonsma / 2010

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TABLE OF CONTENTS
Foreword
1.

Introduction
1.1
1.2
1.3
1.4
1.5

2.

Anatomy of the lymphatic system


2.1
2.1.1
2.1.2
2.1.3
2.1.4
2.2
2.2.1
2.2.2
2.2.3
2.2.4
2.3
2.3.1
2.3.2
2.3.3

3.

Introduction
The circulation system
Function of the lymphatic system
Lympnatic organs
Lymph nodes
Prelymphatic channels and lymph vessels
Initial lymph vessels
Precollector
Collectors
Trunci lymphatici or lymph stems
The subcutaneous lymph drainage system
Areas, skin zones and territories
Watersheds
Anastomoses and alternative routes

Physiology and pathophysiology


3.1
3.2
3.2.1
3.2.2
3.3
3.3.1
3.4
3.4.1
3.4.2
3.4.3
3.4.4
3.5
3.5.1
3.5.2

4.

Medical Taping and Lymph Taping


Properties of the Tape
Effects
General points for attention
Contra indications

Introduction
Circulation and blood pressure
Vasomotion
Transport
Physiology of the lymphatic system
Insufficiency of the lymphatic system
Lymphoedema
Primary lymphoedema
Secondary lymphoedema
Grades of lymphoedema
Identification of lymphoedema
Other forms of oedema
Lipoedema amd lipo-lymphoedema
Venous oedema and phlebolymphoedema

Lymph taping
4.1
4.2
4.3
4.4
4.5
4.5.1
4.5.2
4.5.3
4.5.4
4.6
4.6.1
4.6.2
4.6.3
4.6.4
4.6.5
4.6.6
4.7
4.7.1
4.7.2
4.7.3
4.8
4.8.1
4.8.2
4.8.3

Introduction
Effects of lymph taping
Lymph taping compared with manual lymph drainage
Lymph taping versus compression therapy
Misunderstandings about lymph taping
Introduction
The effect of the watershed
Lymph taping for the lower extremities
Taping from a lymph node station?
Lymph taping, the technique
Stretch in the tape
Width of the tape strips
Direction of the tape strips
Length of the lymph strips
Space between the strips
Combined techniques
Choices in tape forms
Fan shape versus separate strips
Spiral, anatomical or wavelike
Parallel or crossed
Treatment structure and treatment intensity
Structure and intensity in a healthy lymphatic system
Structure and instensity in primary or secondary lymphoedema
Anastornoses lymph tapes

9
11
11
12
13
16
17

19
19
20
22
22
23
26
28
30
30
31
33
33
34
36

37
37
37
38
38
39
42
44
45
49
51
52
54
54
56

57
57
58
62
63
65
65
66
68
69
69
69
70
70
71
72
72
73
73
76
78
80
80
82
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Lymph Taping (Theory / Technique / Practice) - by Josya Sijmonsma / 2010

5.

Healthy lymphatic system with temporary overload


5.1
5.2
5.2.1
5.2.2
5.2.3
5.2.4
5.2.5
5.3
5.3.1
5.3.2
5.3.3
5.3.4
5.3.5
5.3.6
5.3.7
5.4
5.4.1
5.4.2
5.4.3
5.4.4
5.4.5
5.4.6
5.4.7
5.4.8
5.4.9
5.4.10
5.5
5.5.1
5.5.2
5.5.3
5.5.4
5.5.5
5.5.6
5.5.7
5.5.8
5.6
5.7
5.7.1
5.7.2
5.7.3
5.7.4
5.7.5

6.

7.

Indtroduction
Head and face
Sinusitus
Irritation or inflammations in the jaw area
Ear infections
Eyelid corrections or swellings around the eyes
Facial trauma
Spine, back and abdomen
Cervical spine, case 8
Whiplash, case 12
Nech trauma, case 25
Brachialgia, case 29
Back symptoms lumbar spine, case 21
Abdomen complaints
Gynaecological, post-operative, case 19
Upper extremety
Shoulder complaints, case 6
Shoulder complaints, case 14
Lower arm fracture
Wrist fracture, case 17
Bursitis olecrani
Tennis elbow, case 8
Dystrophy underarm
Hand
Fingers, case 10
Mallet finger, case 30
Lower extremity
Hip, case 23
Hydrops knee
Cruciate ligament plasty, case 27
Arthrolith, case 28
Ankle distortion
Inversion trauma, case 16
Ankle distortion
Hallux valgus, post-opertive, case 5
Pregnancy, case 15
Haematomas, fibrosis and scars
Haematomas, local swellings and fibrosis
Haematoma, case 32
Trauma with haematoma, case 2
Scars
Scar treatment, case 31

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93
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100
103
104
104
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112
113
115
117
119
120
120
121
125
126
127
128
130
132
133
135
135
138
139
142
143

Secondary lymphoedema

145

6.1
6.2
6.3
6.3.1
6.3.2
6.3.3
6.4
6.4.1
6.5
6.5.1
6.6

145
146
148
152
156
164
167
170
172
175
176

Introduction
Lymph taping after radiotherapy
Axillary node dissection
Axillary node dissection, case 4
Axillary node dissection, case 20
Axillary node dissection, case 34
Cervical lymph node dissection
Correlation secondary lymphoedema? Case 33
Groin lymph node dissection
Genital oedema
Diaphragm / gastric area

Primary lymphoedema and lipo - lymphoedema


7.1
7.2
7.3
7.4

Introduction
Primary lymphoedema, case 3
Turner syndrome, case 22
Lipo-lymphoedema, case 36

179
179
180
185
187

Bibliography

191

Index

193

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