Manual Lymphatic Drainage Techniques Flashcards

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

Answer: Emil and Estrid Vodder

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.

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

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

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.

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

Answer: Stationary circles

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

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

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

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

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

Answer: Proximal to distal as gentle gliding strokes

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

During MLD of the upper extremity, which node group is treated first after the neck nodes?

Answer: Axillary nodes

After clearing the neck and supraclavicular region, the axillary nodes are activated next before working distally down the arm.