CLT Compression Therapy & Bandaging

Question 1

In Complete Decongestive Therapy (CDT), multi-layer compression bandaging applied during the intensive phase uses what type of bandage as the primary working layer?

Accepted Answer

Short-stretch (low-stretch) bandages

Answer

High-stretch elastic bandages

Answer

Foam padding only

Answer

Cohesive self-adhesive elastic wraps

Question 2

What is the primary difference between 'working pressure' and 'resting pressure' in compression therapy?

Accepted Answer

Working pressure is generated when muscles contract against the bandage; resting pressure exists when the limb is still

Answer

Working pressure is applied by the therapist; resting pressure is applied by the patient

Answer

Working pressure refers to compression garment class; resting pressure to bandage layers

Answer

They describe the same concept with different names

Question 3

Compression garments for lymphedema are classified by compression class. What pressure range defines Class I (mild) compression in the US (Juzo/Sigvaris flat-knit classification)?

Accepted Answer

20–30 mmHg

Answer

8–15 mmHg

Answer

15–20 mmHg

Answer

30–40 mmHg

Question 4

Foam padding layers applied beneath short-stretch bandages serve what purpose?

Accepted Answer

They protect bony prominences and evening out the pressure distribution over irregular contours

Answer

They replace the need for MLD

Answer

They increase total compression pressure

Answer

They are used only for cosmetic reasons

Question 5

Which of the following is a contraindication to compression bandaging in a lymphedema patient?

Accepted Answer

Acute cellulitis with systemic infection signs

Answer

Mild pitting edema

Answer

Post-surgical swelling after 6 weeks

Answer

Moderate fibrotic tissue changes

Question 6

What is the recommended ankle-brachial index (ABI) minimum threshold before applying compression wrapping to a patient's lower extremity?

Accepted Answer

ABI > 0.8

Answer

ABI > 0.5

Answer

ABI > 1.0

Answer

ABI does not need to be checked for lymphedema