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Digital Seminar

Lymphedema & Complete Decongestive Therapy: What Every Clinician Needs to Know

Barbara Ingram-Rice, OT, LMT, CLT, CHC
5 Hours 43 Minutes
Audio and Video
Nov 10, 2016
Product Code:
Media Type:
Digital Seminar


Lymphedema requires patients to commit to their wellbeing full time, but when the process becomes too difficult, self-care routines tend to fall away. This puts patients at risk of exacerbation, infection, and more.  Over time, other health issues arise until suddenly they need assistance with maintaining their routines.

Not every therapist wants to be certified in Complete Decongestive Therapy, but every health care provider needs to know the basics, when and how to help, and when to refer out. In this recording, you’ll learn to recognize the signs and symptoms of lymphedema and explore complete decongestive therapy treatment plans, including assessment, massage, skin care, compression, exercise, and patient education.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.7 self-study continuing education credits.

CE Broker

California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.8 contact hours.

Other Professions

This self-study activity qualifies for 5.5 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Barbara Ingram-Rice, OT, LMT, CLT, CHC Related seminars and products

Barbara Ingram-Rice, OT, LMT, CLT, CHC, serves on the faculty of the Occupational Therapy Assistant Program at State College of Florida and is the founder of Healthways for Life, Inc, a private practice in Florida that specializes in helping patients achieve self-care independence. An occupational and massage therapist, as well as a certified complete decongestive therapy/manual lymphatic drainage specialist, Ms. Ingram-Rice has worked closely with patients to manage the chronic condition of lymphedema throughout her 30 years of clinical practice.

Since studying Occupational Therapy at the Medical College of Georgia in 1983, she has worked in numerous professional advisory and leadership roles: Chair of the American Occupational Therapy Association Committee of State Presidents; President and Government Affairs Coordinator of the Florida Occupational Therapy Association; and West District President and State Conference Planner for the Georgia Occupational Therapy Association. She was the recipient of the David D. Clark Award of Excellence in 2011 and the Louise Samson Leadership Award in 2003, and she was inducted into the American Occupational Therapy Foundation’s Leaders and Legacies Society in 2015.


Speaker Disclosures:

Financial: Barbara Ingram-Rice is the founder of HealthWays For Life, Inc. She receives a speaking honorarium from PESI, Inc.

Non-financial: Barbara Ingram-Rice is a member of the American Occupational Therapy Association.

Additional Info

Access for Self-Study (Non-Interactive) Access never expires for this product.

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  1. Describe the lymphatic system and the flow patterns of lymph in the body
  2. Outline the components of Complete Decongestive Therapy (CDT)
  3. Apply Manual Lymphatic Drainage Massage (MLD) techniques for upper body
  4. Demonstrate standard decongestive exercise protocols and exercises
  5. Describe the best methods for donning/doffing compression garments
  6. Evaluate how and when to refer patients to a certified lymphedema therapist



  • Anatomy of the lymphatic system
  • Understand the ways the lymphatic system may break down
  • Differentiate between lymphedema, lipedema and acute edema due to an injury
  • Discover what lymphatic watershed areas are


  • Stages of lymphedema
  • Primary lymphedema
    • Congenital malformations
  • Secondary lymphedema
    • Post cancer
    • Trauma
    • Venous complications


  • Lymphoscintigraphy
  • Xeroradiography
  • CT scans


  • Assessment
  • Manual lymphatic drainage massage
  • Skin care
  • Compression
    • Bandaging
    • Garments
    • Garment alternatives
    • Compression pumps
  • Decongestive exercise
    • Standard exercises for UE and LE
  • Patient education



  • Upper extremity
  • Lower extremity
  • Bandaging alternatives


  • Learn a fun exercise model that can be used for decongestive therapy as well as other patients
  • Lab to practice the moves as led by the instructor


  • Lipedema
  • Chronic venous insufficiency
  • Venous-lymphostatic insufficiency
  • Generalized edemas
  • Edema during pregnancy
  • Acute inflammation



  • Initial assessment
  • Inpatient intensive rehab
  • Ongoing care

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Massage Therapists


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