What approach to movement is recommended with MLD?

• A. Avoid any movement during MLD.
• B. Include light range-of-motion exercises to activate muscle pumps and support lymph flow without disrupting strokes.
• C. Perform vigorous resistance training during the session.
• D. Hold the breath during strokes.

Answer: (B)

Movement during MLD should be gentle and coordinated. Including light range-of-motion exercises around the treated area activates the muscle pumps, helping push lymph through the lymphatic vessels while the therapist’s strokes provide the primary drainage. This combination supports lymph flow without interrupting the therapist’s rhythmic, light-pressure technique. Keep movements within a comfortable, small range and avoid anything too forceful that could create resistance or disrupt the strokes. Breathe normally throughout the session rather than holding your breath, as steady breathing aids overall circulation and lymph propulsion.

Staying completely still misses the extra help from muscle pumps. Vigorous resistance work during the session is too demanding and can interfere with the delicate drainage. Holding the breath increases thoracic pressure and can hinder lymph flow.