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Manual Edema Mobilization: Compression for the Upper Extremity

presented by Vivian Dim, OT Reg. (Ont.), BHSc (OT), MClSc (WH), CHT, LLCC, IIWCC

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Target Audience:

Disclosure Statement:

Financial: Vivian Dim receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Vivian Dim has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 71 Minutes; Learning Assessment Time: 40 Minutes

This course provides a comprehensive overview of therapeutic compression as part of effective edema management within the manual edema mobilization framework. The course will review principles of compression, how compression influences edema reduction through understanding of physiology, different types of compression options from short-stretch wraps to garments, and demonstration of wrap techniques. This is an appropriate course for occupational therapists and physiotherapists treating individuals with upper extremity trauma and with an intact lymphatic system. The information provided will aid therapists in clinical decision-making. The course will include case studies, interviews with a clinical expert, and lab demonstrations.

Meet Your Instructor

Vivian Dim, OT Reg. (Ont.), BHSc (OT), MClSc (WH), CHT, LLCC, IIWCC

Vivian Dim works in private practice at Arm More Therapy in Niagara, Ontario, Canada. She is an advanced trained occupational therapist in the areas of hand therapy, stroke rehabilitation, and chronic edema/lymphedema therapy. She graduated from McMaster University's occupational therapy program in 2000 and obtained her clinical master's in wound care from Western University in…

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Chapters & Learning Objectives

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1. Lymphatics Review

This chapter provides foundational knowledge of the lymphatic system, how the application of appropriate compression type can influence the system, and how that leads to more effective edema reduction. It introduces compression as one of the tenets of manual edema mobilization (MEM).

2. Compression Therapy: Types

In this chapter, clinicians will appreciate that the term "compression" refers to numerous treatment choices. The differing compression options can be categorized into either short-stretch or long-stretch wraps or garments. By understanding these differences, clinicians can provide more effective treatment.

3. Compression Therapy: Rules to Live By

Two guiding principles of the use and application of compression will be discussed in this chapter. These two principles are Laplace’s law and Pascal’s law, and appreciating these principles guides compression application.

4. Compression Therapy: Hand and Forearm Demonstrations

This chapter includes demonstrations of short-stretch wrap techniques for the digits, hand, forearm, and full arm. Clinical applications are discussed as well as case studies.

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