Class Code
CLTC

The CLTC - Chikly Lymphedema Therapy Certification program - was formerly called LLCC.

To achieve CLTC Certification, the following expectations need to be achieved successfully and to the standards of the Chikly Health Institute. 

Completion of:

24 Hours - Lymph Drainage Therapy 1 -  Lymphatic Pathways: Anatomical Integrity 

24 Hours- Lymph Drainage Therapy 2 -  Pathological Pathways / Manual Lymphatic Pathways

24 Hours - Lymph Drainage Therapy 3 - Deep Pathways-Viscera, Articulations, Organs of the Senses

12 Hours LDT1+LDT2 + LDT3 Online Review and Test

2  Hours - Human Lymphatic Dissection DVD & Test

52 Hours - CLTC Course and Examination

138 Hours - Total at Completion for CLTC Certification

 

It is the responsibility of the therapist to check with their governing body for insurance and liability coverage.  

 

Recertification - Every 2 years

  1. TA one LDT Class

  2. Take one new LDT Course (e.g. LDV-AP, LDV-TA, FAR-L, FAR-U, LDTA1, NER-L, etc.) OR create and present 1 Case Study as a TA at a Convention/Conference, TED Talk or Professional Association. All presentations must be approved by CHI.


This course meets the eligibility requirements of the Lymphology Association of North America (LANA).
To read more about LANA qualifications, go to:
http://www.clt-lana.org/default.asp
And for Frequently Asked Questions regarding LANA certification:
http://www.clt-lana.org/faqs/default.asp

 

LEARNING OBJECTIVES

- By the end of the 1st day, participants will be able to correctly explain the absolute contraindications in the treatment of lymphedema.

- By the end of the 1st day, participants will be able to correctly explain the indications in the treatment of lymphedema.

- By the end of the 1st day, participants will be able to list all of the materials possibly used for short stretch bandaging with upper extremity lymphedema patients.

- By the end of the 1st day, participants will be able to list all of the materials possibly used for short stretch bandaging with lower extremity lymphedema patients.

- By the end of the 1st day, participants will be able to correctly demonstrate on a live person the short stretch bandaging application to lower extremity lymphedema.

- By the end of the 2nd day, participants will be able to correctly demonstrate on a live person the short stretch bandaging application to upper extremity lymphedema.

- By the end of the course, participants will be able to list the types of foam used to apply with short stretch bandaging with lymphedema patients for lower extremity.

- By the end of the course, participants will be able to correctly identify common skin ailments on a live person with lymphedema.

- By the end of the course, participants will be able to correctly identify common nail ailments on a live person with lymphedema.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques as they apply to lymphedema of the upper extremity.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques as they apply to lymphedema of the lower extremity.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques as they apply to lymphedema of the neck.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques as they apply to lymphedema of the face.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques as they apply to lipedema.

- By the end of the course, participants will be able to correctly demonstrate on a live person short stretch compression bandaging application for lipedema.

- By the end of Day 3, participants will be able to correctly demonstrate on a live person circumferential measuring for the upper extremity.

- By the end of Day 3, participants will be able to correctly demonstrate on a live person circumferential measuring for the lower extremity.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person to the trunk.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person to the upper extremity.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person to the lower extremity.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person to the neck.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person to the face.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person for scar tissue reduction.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person for the purpose of supporting new lymphatic re-routes for lower extremity lymphedema.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person for the purpose of supporting new lymphatic re-routes for upper extremity lymphedema.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person for the purpose of supporting new lymphatic re-routes for head and face lymphedema.

- By the end of Day 4, participants will be able to correctly demonstrate lymphatic taping application to a live person for the purpose of supporting new lymphatic re-routes for neck  lymphedema.

- By the end of the course, participants will be able to correctly explain the surgical option of lymphovenous surgery for lymphedema patients.

- By the end of the course, participants will be able to correctly explain the surgical option of debulking for lymphedema patients.

- By the end of the course, participants will be able to correctly explain the surgical option of microvascular for lymphedema patients.

- By the end of the course, participants will be able to correctly explain the surgical option of liposuction for lymphedema patients.

- By the end of the course, participants will be able to correctly identify and measure on a live person for night garments for the upper extremity.

- By the end of the course, participants will be able to correctly identify and measure on a live person for night garments for the lower extremity.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques for the re-routing of lymph from the upper extremities.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques for the re-routing of lymph from the lower extremities.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques for the re-routing of lymph for the face.

- By the end of the course, participants will be able to correctly demonstrate on a live person LDT techniques for the re-routing of lymph for the neck.

- By the end of the course, participants will be able to correctly create an exercise program for upper extremity lymphedema patients.

- By the end of the course, participants will be able to correctly create an exercise program for lower extremity lymphedema patients.

- By the end of the course, participants will be able to correctly create an exercise program for head & neck lymphedema patients.

- By the end of the course, participants will be able to correctly demonstrate on a live person anti-fibrotic techniques for fibrotic & scar tissue.

- By the end of the course, participants will be able to correctly describe the contraindications for the use of a pneumatic compression pump system for a patient with lymphedema.

- By the end of the course, participants will be able to correctly explain the principles for the use of a pneumatic compression pump system for a patient with upper extremity lymphedema.

- By the end of the course, participants will be able to correctly explain the principles for the use of a pneumatic compression pump system for a patient with lower extremity lymphedema.

- By the end of the course, participants will be able to correctly identify common wounds of lymphedema on a live person.

- By the end of the course, participants will be able to correctly create an upper extremity lymphedema treatment plan.

- By the end of the course, participants will be able to correctly create a lower extremity lymphedema treatment plan.

- By the end of the course, participants will be able to correctly create a head and neck lymphedema treatment plan.

- By the end of the course, participants will be able to correctly demonstrate on a live person CDT sequences for the face and neck.

- By the end of the course, participants will be able to correctly demonstrate on a live person CDT sequences for the upper extremity.

- By the end of the course, participants will be able to correctly demonstrate on a live person CDT sequences for the lower extremity.

- By the end of the course, participants will be able to correctly demonstrate on a live person CDT sequences for the superficial abdomen.- By the end of the course, participants will be able to correctly demonstrate on a live person CDT sequences for the deep abdomen.

 

INSTRUCTIONAL METHODS

  • Lecture
  • Study Guide
  • Question & Answer
  • PowerPoint Slides
  • Demonstration
  • Practice sessions
  • Review

 

OUTLINE

(Subject to Change)

Day One

8:30 - 9:00 - Registration

9:00 - 11:00 - Introduction - Teaching material - Review of CDT Pre-Test

11:00 - 11:15 - Break 

11:15 - 12:30 - Lecture: Review of anatomy & physiology of lymphatic   system & common pathologies

- Lecture: Contraindications of L.D.T., Lymphedema and     Complications of Lymphedema

12:30 - 1:30 - Lunch

1:30 - 3:30 - Lecture: Basic concepts of bandaging and wrapping                                         - Demo: Introduction to Bandaging Materials                                            

3:30 - 3:45 Break

3:45 - 6:00 - Demo of Lower Leg Compression Bandaging

- Lab and Practice - Lower Leg Compression Bandaging

 

Day Two

9:00 - 9:45 - Review, Questions and Answers

9:45 - 11:00 - Lecture: Manual Therapy/LDT and it’s Application to Lymphedema

11:00 - 11:15 - Break

     11:15 - 1:15 - Lecture: Juzo Compression Garments

1:15 - 2:15 - Lunch

2:15 - 3:30 - Demo & Lab: Review and Application of Lower Leg Compression Bandages

3:30 - 3:45 - Break

 3:45 - 6:00 - Demo: Arm/Upper Extremity Compression Bandaging

  - Lab: Arm/Upper Extremity Compression Bandaging

 

Day Three

9:00 – 9:45 - Review, Questions and Answers

9:45 – 10:30 - Lecture: Lipedema and CDT application

10:30 - 10:45 - Break

10:45 - 12:00 - Lecture: Skin and Nail Care

     12:00 - 1:00 - Lunch 

1:00 - 3:30 - Lab: Practice of Upper Limb Compression Wrapping

3:30 - 3:45 - Break

3:45 - 6:00 - Lab:Practice of Lower Limb Compression Wrapping

 

Day Four

9:00 - 9:45 - Review, Questions and Answers

9:45 - 10:30 - Lecture: Lymphatic Taping

10:30 - 10:45 - Break

11:45 - 12:30 - Demo & Lab Lymphatic Taping

12:30 – 1:30 -  Lunch

1:30 – 2:45 - Lecture: L&R Reduction Garments  - Surgical Options

2:45-3:00 - Break

3:00-6:00 - Lab: Practice of Upper/Lower Extremity Bandaging

 

Day Five

9:00 – 9:45 - Review, Questions and Answers

9:45 – 10:30 - Lecture: Homecare Recommendations

10:30 - 10:45 - Break

10:45 - 12:00 - Lecture: Homecare Recommendations cont

12:00 - 1:00 - Lunch

1:00 - 2:45 - Lecture, Demo & Lab: Anti-Fibrotic Techniques 

2:45 – 3:30 - Lab: Anti-Fibrotic Techniques

3:30 - 3:45 - Break

3:45 - 6:00 - Lab: Practice of Upper/Lower Extremity Bandaging

 

Day Six

9:00 – 9:45 - Review, Questions and Answers

9:45 – 10:30 - Lab: Practice of Lymphatic Taping

10:30 - 10:45 - Break

10:45 - 12:00 - Lecture: Pneumatic Compression Pumps

12:00 - 1:00 - Lunch 

1:00 - 1:30 - Lymph Flow Bras and Garments

1:30 - 2:45 - Lecture: Wounds and Wound Care Management

2:45 – 3:30 - Creating a Lymphedema Treatment Plan

3:30 - 3:45 - Break

3:45 - 6:00 - Preparation for Written and Oral Practicum - Case Study Assignments

 

Day Seven

9:00 -12:00 - Written Examination

12:00 - 1:00 - Lunch

1:00 - 2:30 - Oral Practical Examination - Group 1

2:30 - 4:00 - Oral Practical Examination - Group 2

4:00 - 5:00 - Final Overview  

 

LDT1 + LDT2 + LDT3

Pre-Reading/Preparation

Silent Waves
Lymph, Interstitial Fluid & Primo-Vascular System
Theory and Practice of Lymph Drainage Therapy
An Osteopathic Lymphatic Approach
3rd Edition
Bruno Chikly, MD, DO, LMT
 
Part 3: Edema-Lymphedema
All sections
pages.183-269
 
Part 4: Management of Lymphedema
All sections
pages 287-353
 
Part 5: Current Applications of Lymph Drainage Therapy and Other Possibilities to Be Investigated
Sections
1. Pre and Post-Surgical Applications, Burns, Tissue Regeneration (page 371)
2. Chronic Venous Insufficiency (CVI) and Wounds (pages 377-381)
 

Price: $1,200

 

 

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Understand and Treat the Lymphatic System & Adipofascial Disorders (Lipedema)
The Chikly Lymphedema Therapy Certification Program (CLTC) Described by Robin Devine
The Chikly Lymphedema Therapy Certification Program (CLTC) Described by Robin Devine