Technique of Complex Decongestive Therapy (CDT)
摘要
In the collaboration between doctor, pharmacist, and pharmaceutical industry, the issuance of a prescription leads to the dispensing of the substance by the treatment partners, with the control of the effect being the responsibility of the physician. The same applies to the prescription of remedies—here MLD—and aids—here compression. The physician prescribing the CDT leaves the execution to the therapist and the medical supply store. To assess the effects of his prescribed therapy, the physician must check whether the therapy has been carried out according to the rules of art, and whether the anticipated effects have occurred. This therapy control is an original duty of the physician, since it directs the further treatment of the patient. The contact pressure of manual lymphatic drainage differs from the classic massage techniques. While a muscular massage technique requires strong pressure to stretch and knead the muscles, lymphatic drainage only “moves” interstitial fluid in the extrafascial space. The therapist’s hand “sucks” onto the skin. In CDT-teaching, circular or spiral grips are used, with a pressure increase followed by a pressure-free phase. This change in pressure creates the pumping effect. The increment of pressure is intended to be centripetal in the direction of the lymph vessels. Unlike classic massage, dry skin is usually worked on.