what are choke points
points where fascia constricts lymphatic vessels
purpose of lymphatic techniques
reduces fascial restrictions –> improves lymphatic flow in channels that travel in fascia
increase gradient for lymph
what model does the lymphatic system fall under
respiratory-circulatory system
functions of lymphatic system
transports fats to blood from digestive tract
facilitates immune function
component of circulatory system
lymphatic system has a relationship with which other systems
vascular, fascial/musculoskeletal, neurological
what is the glymphatic system
lymphatic channels found in the brain (cranial dura mater, lining of dural sinuses, and vessels of the brain)
what areas are drained by the thoracic duct
lymph from left side of head, left upper extremity, left thorax, everything below diaphragm
what areas are drained by the right lymphatic duct
lymph from right side of head, neck, right upper extremity, right thorax, heart
thoracic duct drains into what
left subclavian vein and left internal jugular vein
right thoracic duct drains into what
right subclavian vein, right internal jugular vein, right brachiocephalic vein
indications of lymphatic techniques
edema, inflammation, infection, mild CHF, asthma, COPD
absolute contraindications of lymphatic techniques
anuresis, necrotizing fasciitis, acute/unstable fracture, positive vertebral artery test, exacerbation of life-threatening sympatomatology in monitored pt
relative contraindications of lymphatic techniques
moderate-severe CHF, severe COPD, acute asthma exacerbation, cancer, etc.
list the four lymphatic transitional zones
occipitocervical, cervicothoracic, thoracolumbar, lumbosacral
how to perform the Zink screen
rotate bilaterally; sidebending for cervicothoracic and thoracolumbar junctions
two types of Zink patterns
compensated, uncompensated
most common compensated Zink pattern
LRLR
(OA left, CT right, TL left, LS right)
what are uncompensated Zink patterns
fascial motion restrictions that do not alternate in adjacent regions
uncompensated Zink pattern
RLLR
(OA right, CT left, TL left, LS right)
structures in occipitocervical transition zone
jugulodigastric nodes (superior deep cervical)
structures in cervicothoracic transition zone
right thoracic duct, left thoracic duct
structures in thoracolumbar transition zone
cisterna chyli, thoracic diaphragm
structures in lumbosacral transition zone
iliac lymph nodes, inguinal lymph nodes
what is Virchow’s node
large lymph node in left supraclavicular area that drains the lymph from the gut
