基本説明
Provides thorough coverage of the anatomy, physiology, and pathology of the lymphatic system, and explains everything to know about manual lymph drainage (Vodder technique), complete decongestive therapy, and other treatment modalities. Prev. ed.: 2009.
Full Description
In this expanded third edition, with more than a dozen new sections and completely updated chapters, Lymphedema Management once again provides a clear and accessible introduction to the circulatory and lymphatic systems, the disturbances that lead to lymphedema and related conditions, and the most effective treatments. Covering key areas from anatomy, physiology, and pathology, to diagnosis, evaluation, hands-on therapeutic interventions, and practice management, this new edition is a complete and essential handbook for lymphedema management.Special features of the third edition:Addition of editor Steve Norton, one of the pioneers of lymphatic studies in the U.S., and 13 international contributorsIllustrated, step-by-step coverage of complete decongestive therapy (CDT): a highly effective combination of manual lymph drainage, compression therapies, decongestive exercises, and skin careNew sections on genetics and imaging, surgical and pharmaceutical options, compression strategies for wounds and limb paralysis, management of the morbidly obese, truncal and genital lymphedema, cancer rehabilitation, and much moreExpanded coverage of bandaging and taping techniques for the upper and lower extremities, compression garment selection and care, complication management, risk reduction, the role of exercise, and more New, larger format with up to 400 photographs, anatomical diagrams, and illustrationsA wealth of exercises and self-care tips for patientsIdeal for physical therapists, physicians, nurses, other health care professionals, and students who need a full understanding of this complex topic, Lymphedema Management offers the current, evidence-based techniques that are essential for treatment success.
Contents
1 ANATOMY1.1 Circulatory SystemComponentsSystemic Circulation1.2 Lymphatic SystemEmbryology and Development of the Lymphatic System1.3 Topography1.4 ComponentsLymph FluidLymphatic LoadsLymphatic VesselsLymphatic Tissues1.5 Lymphatic WatershedsSagittal WatershedHorizontal WatershedWatersheds between the Trunk and the Extremities1.6 Interterritorial Anastomoses1.7 Lymphatic Drainage and Regional Lymph Node Groups of Different Body PartsLymphatic Drainage of the Scalp, Face, and NeckLymphatic Drainage of the NeckLymphatic Drainage of the TrunkLymphatic Drainage of the Upper ExtremityLymphatic Drainage of the Lower ExtremityRecommended Reading2 PHYSIOLOGY2.1 Heart and Circulation2.2 Blood PressureBlood Capillary Pressure2.3 Capillary ExchangeDiffusionOsmosis and Osmotic PressureColloid Osmosis and Colloid Osmotic PressureFiltration and Reabsorption2.4 Physiology of the Lymphatic SystemLymph Time Volume and Transport Capacity of the Lymphatic SystemSafety Factor of the Lymphatic System2.5 Insufficiencies of the Lymphatic SystemDynamic InsufficiencyMechanical InsufficiencyCombined Insufficiency2.6 Edema and Lymphedema at a GlanceEdemaLymphedema2.7 Understanding Starlings EquilibriumRecommended Reading3 PATHOLOGY3.1 LymphedemaDefinitionIncidence of LymphedemaLymphedema Incidence among Non-Breast Cancer PatientsLymphedema GeneticsEtiology of LymphedemaStages of LymphedemaGrading of Lymphedema Based on SeverityPrecipitating Factors for LymphedemaAvoidance MechanismsComplications in LymphedemaAxillary Web SyndromeImpact of Lymphedema on Quality of LifeDiagnosis of Lymphedema3.2 Evaluation of LymphedemaResearch in Lymphedema: Issues of Measurement and Assessment of Occurrence Radiation-Induced Brachial Plexopathy and LymphedemaImaging of the Lymphatic SystemTherapeutic Approach to Lymphedema3.3 Chronic Venous and Lymphovenous InsufficiencyDefinition of CVIPost-thrombotic SyndromeVenous Dynamics in the Lower ExtremitiesPathophysiology of CVIStages of CVIComplicationsEvaluationTherapeutic Approach3.4 Wounds and Skin LesionsCommon Skin Changes and Wound Types Associated with Chronic LymphedemaWound Bed Preparation3.5 LipedemaDefinitionEtiology and Natural HistoryPathology and Pathophysiology of LipedemaStagesEvaluationTherapeutic ApproachInvasive Modalities3.6 Traumatic EdemaDefinitionPathophysiologyEffects of Inflammation on the Lymphatic SystemTherapeutic Approach3.7 Inflammatory RheumatismDefinitionAnatomy of a Synovial JointPathophysiologyEffects on the Lymphatic SystemTherapeutic Approach3.8 Reflex Sympathetic DystrophyDefinitionPathology and StagesLymphatic InvolvementTherapeutic Approach3.9 Cyclic Idiopathic EdemaComplete Decongestive TherapyReferencesRecommended Reading4 COMPLETE DECONGESTIVE THERAPY4.1 History and BackgroundDiscovery of the Lymphatic SystemDevelopment of Complete Decongestive Therapy4.2 Goal of Complete Decongestive Therapy4.3 Components of Complete Decongestive TherapyManual Lymph Drainage4.4 Compression TherapyEffects of Compression TherapyLaplace's LawCompression BandagesCompression Garments4.5 Exercises and LymphedemaBreathing ExercisesResistive ExercisesAerobic Exercises for Lymphedema4.6 Skin and Nail Care4.7 The Two-Phase Approach in Lymphedema ManagementIntensive PhaseSelf-Management Phase4.8 Documentation Techniques for Lymphedema4.9 CDT for Cancer SurvivorsIntroductionSurgeryRadiation TherapyBreast RadiationChemotherapyTargeted TherapyGuidelines for Safe CDT InterventionSummaryReferencesRecommended Reading5 TREATMENT5.1 General Considerations5.2 Application of Basic MLD Techniques on Different Parts of the BodyLateral Neck and Submandibular AreaAbbreviated Neck SequencePosterior Neck and Occipital AreaFacePosterior ThoraxLumbar AreaAnterior ThoraxAbdomen (Superficial and Deep Manipulations)Upper ExtremityLower Extremity5.3 Treatment SequencesTruncal LymphedemaUnilateral Secondary Upper Extremity LymphedemaBilateral Secondary Upper Extremity LymphedemaUnilateral Secondary Lower Extremity LymphedemaBilateral Secondary Lower Extremity LymphedemaUnilateral Primary Lower Extremity LymphedemaBilateral Primary Lower Extremity LymphedemaGenital LymphedemaPhlebolymphostatic EdemaLipolymphedemaHead and Neck LymphedemaPediatric Lymphedema5.4 Elastic Taping for LymphedemaGeneral InformationIndications and ContraindicationsPreparation and MaterialsApplicationPatient Education for Elastic TapingRemoval5.5 Treatment Strategies for Common Complications of LymphedemaSurgical ScarsDebulking ScarsHyperkeratosis Abnormal FoldsOdors and Odor ControlFungal infections Radiation TraumaPapillomasLymph cysts, varicosities Collateral veins Limb paralysisSelf induced lymphedema (Artificial, Factitious)Malignant lymphedemaCellulitis5.6 CDT Treatment Protocol Variations: Primary and Secondary LymphedemaAdaptations for the primary lymphedema patientAdaptations for the secondary lymphedema patient5.7 Adapting CDT to the palliative patientSet realistic goalsStrengths and limitations of each CDT modalityCDT management of generalized edemaConclusion5.8 Lipedema Treatment: Understanding the diagnosis and patient profileMisguidance and misdiagnosisPsychological perspective and Personality attributesIdentifying lipedema and adapting treatmentPractical guidelines for therapyAlternative treatmentsCompression garments (see also garment fitting section)5.9 Application of Compression BandagesRequired MaterialsLymphedema Bandaging: Selecting Foam PaddingLymphedema Bandaging: Practical GuidelinesUpper Extremity BandagingLower Extremity Bandaging5.10 Bandaging Procedures using Foam PaddingArm Bandaging Procedure using foam padding (in detail)Leg Bandaging Procedure using foam padding (in detail)5.11 Genital Lymphedema TreatmentSecondary Genital LymphedemaPrimary Genital LymphedemaPredisposition to develop lymphedemaComplicationsSurgical TreatmentConservative Therapy5.12 Truncal LymphedemaLymphedema of the ThoraxLymphedema of the Abdomen5.13 Bandaging in Presence of WoundsPrecautions and ContraindicationsTreat the WoundApply CompressionSummary5.14 Measurements for Compression GarmentsMeasuring for Stockings and PantyhoseMeasuring for Arm SleevesMeasuring for Hand and Finger Compression GarmentsCompression Neck and Chin Straps and Face MasksCompression Garments for the Upper Thorax and Breast5.15 Compression Bandaging Alternatives: Guidelines to Choosing the Right Homecare SystemsRationale for an AlternativeImportant ConsiderationsProduct CategoriesMaximizing the Benefits of Alternative DevicesPatient Education/Long-term Compression TherapySuggested modifications by product category5.16 Treatment Considerations in Managing the Morbidly Obese PatientThe ProblemEquipmentTreatment Challenges5.17 Patient EducationLymphedema TherapistsSelf-BandagingDecongestive ExercisesSelf-MLDPrecautionsLymphedema and Air Travel5.18 Surgical TreatmentSurgical Treatment of Lymphedema Breast and Axillary Reconstruction Primer for the Certified Lymphedema TherapistReferencesRecommended Reading6 ADMINISTRATION6.1 Setting Up a Lymphedema ClinicPersonnelRequired SpaceEquipmentMarketing Issues6.2 Suggested Materials to Start Up a Lymphedema Program6.3 Reimbursements and BillingCPT CodesRecommended Reading
