K-Active Taping Specialised Course: K-Active Taping in Lymphology 1 The lymphatic system is part of the circulatory system, comprising a network of conduits.

K-Active Taping • Specialised Course: K-Active Taping in Lymphology

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The lymphatic system is part of the circulatory system, comprising a network of conduits called lymphatic vessels.

This system includes all structures dedicated to the production and circulation of lymphocytes, which are the main players in our immune system.

The most important lymphocytes are the B-Cells (antibody production) and T-Cells (allocative functions, and destruction of damaged tissue). These grow in the bone marrow and the thymus.

They are very prevalent in the lymph nodes, spleen, tonsils, mucous membranes and the digestive system as well as in the lungs.

The lymphatic system

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The lymphatic system

• Capillaries• Lymphoid follicles• Lymph nodes• Lymphatic vessels and ducts• Cisterna Chyli• Left and right subclavian vein


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The Lymphatic system

Function:

• Removal of interstitial fluid • Absorbs and transports fatty acids

and fats as chyle from the digestive system

• Transports white blood cells to and from the lymph nodes to the bones

• Transports antigen-presenting cells to the nodes where an immune response is stimulated


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Layout: Lymphatic vessels

KINESIOLOGISCHES TAPING VON K-ACTIVE – FÜHREND IN EUROPA

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5K-Active Taping • Specialised Course: K-Active Taping in Lymphology

Lymph capillaries

Metabolic products

Impurities

Interstitial Fluid


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• The name derives from the Roman deity of fresh water, Lympha• It is the link between the interstitial fluid and the blood plasma• It has a pH of 7,41 and density of 1,14gr/cm3

• Approx. 2,4 litres a day are reabsorbed into the venous system• Contents: white blood cells, protein, fibrinogen, enzymes, lymphocytes• Fats (triglycerdes) from the digestive system called chyle are also released into the lymph• Pathogens can be absorbed into the lymph however these are normally dealt with by the lymphocytes in the lymph nodes

The Lymph


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Capillaries

Precollectors Collectors Bundle of collectors

Lymph node – filter and protector

Through the Lymph nodes into the Lymphatic trunks, through the venous angles into the blood system


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Lymph nodes and lymphatic watersheds

Lymph nodes

Watersheds


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Intact lymphatic system

Colloid osmotic pressure

Movement, muscle pump

Driving forces of the lymphatic system


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Lymphatic Applications

Intact lymphatic system

Oncology (removal of

lymph nodes)Amputation

Post OP

Interrupted lymphatic system

Post OPPost traumataHaematomaLymphoma

InsufficienciesPregnancy

Grazes

Scars and fibrosis


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Physikalische Ödemtherapie ist die einzige oder eine wesentliche

Therapie.

Category 1

Physikalische Ödemtherapie

kommt nur dann zum Einsatz, wenn eine

Basistherapie, meist

medikamentöser Art, nicht

ausreichend wirkt.

Category 2

Physikalische Ödemtherapie ist

grundsätzlich nicht indiziert.

Category 3

Lymphedema Venous oedema Lipoedema Orthostatic oedema Idiopathic oedema Oedemas induced by diuretics Oedemas post trauma Vaso-vegetative Oedema Oedema through inactivity ischaemic induced oedema Chronic inflammatory oedema

Pathological pregnancy induced oedema Oedemas caused by protein deficiencies

Oedema through kidney failure Cardiac induced oedema Acute allergic oedema Toxic oedema Endocrine oedema Medication induced oedema Diet induced oedema Angioedema Altitude oedema

Categorisation of oedema treatments


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rich in protein

Reduced indentation

low in protein

Increased indentation

generalised

Allways symmetrical

localised

Can be one-sided only

K-Active Taping • Sonderkurs Lymphe- Fibrosen- und Narbentaping

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Categorisations of Oedemas


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Open wounds

Erysipelas

Unclear status of tumours

Cardiac insufficiency

Thrombosis

K-Active Taping • Sonderkurs Lymphe- Fibrosen- und Narbentaping

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Contraindications


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Goals and effect of the lymphatic taping

Goals: Production of lymph Increase lymph volume Increase speed of lymphatic flow Crossing over the watersheds Support over and around scars

Effect: Increased removal of interstitial fluid, substances and

structural remains Change pH-Levels Reduction of swelling and tension within peripheral

structures Reduce activity of receptors


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Application principles

Prior to applying: Skin must be dry and free of oils Measure the tape in a stretched

position Rule out contraindications

Whilst applying: Ensure patient is well supported Area to be treated should be

stretched Apply tape with 0-10% stretch


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Application principles when lymphatic system is intact

Application principles when lymphatic system is not intact

Base applied with direction of flow Tape applied with 0-10% stretch Stretch the skin and surrounding

structures

Base applied with direction of flow Cross over the watersheds with the

drainage effect towards the healthy area Most of the time applied in combination

with taping extremities Tape applied with 0-10% stretch


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Lymph nodes of the neck Indication application neck


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Indication application: Post-Op Knee


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Indication application: Sprained ankle


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Indication application: Haematoma


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Indication application: Swelling and scars


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Lymphatic swelling


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Indication application: Leg


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Problems arising due to scars

There is NOT SUFFICIENTMyofascial extension thus

distortions can occur. Problems can then

arise in the hip, in the shoulder or anywhere in between


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Scar testing - a variation


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Indication application: Scar taping


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Range of motion without and with the tape


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Indication application: Breast augmentation


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Indication application for breast cancer: Scar taping


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Breast cancer: Lymphatic fans for crossing watersheds


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Breast cancer: Lymphatic taping for the extremities


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Fibrosis

Fibrosis is the formation of excess fibrous connective tissue in a reparative or reactive process. This is opposed to formation of fibrous tissue as a normal constituent of an organ of tissue.

Scarring is confluent fibrosis that obliterates the architecture of the underlying organ or tissue.

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Indication application: Fibrosis


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Indication application: Fibrosis


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Special variety: crossed fansStability and increased lymphatic flow


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Special variety: crossed fansStability and increased lymphatic flow

K-Active Taping Specialised Course: K-Active Taping in Lymphology 1 The lymphatic system is part of the circulatory system, comprising a network of conduits.

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