The Vodder School: The Vodder method

BACKGROUND. The history and development of manual lymphatic drainage (MLD) from Winiwarter to Vodder and the Vodder School of today are discussed. METHODS. The Vodder technique differs in the use of adapted pressure and it s application. The constant change in pressure optimizes results, moving fl uid in the skin, increasing lymphomotoricity, and softening fibrosis, with the positive side effects of reducing pain and relaxing tense muscles. Anot her difference from other methods is the technique of stretching skin, not sliding it. Because of the fluid content in lymphedema, which is different from all Ether edemas, the combination of MLD with compression treatment is the only solution for this pathology. Depending of it severity, each case requires individualized treatment. Phase I (intensive treatment) consists o f daily treatment with up to two sessions per day for up to 2 hours. This p hase is combined with special, individual skin care and remedial exercise. In phase 2, the goal of treatment is to maintain the results achieved in ph ase 1. The frequency of treatment is changed, but there is still the need f or permanent, continued therapy. RESULTS. In phase 1, an average reduction of more than 40% of edema volume is achieved. In phase 2, the results are maintained and, with repetitions o f phase 1, further improvement is possible. Thus, long term results with pe rmanent improvement are possible. CONCLUSIONS. Because of the complexity of the technique, no one can learn M LD in 1 week. Students require a great deal of correction, and the techniqu e must be checked constantly. To become a certified Vodder therapy, a 4-wee k education program must be completed, and reviews must be attended every 2 years to maintain certification. The best education produces the best resu lts for patients as long as patients are compliant. Therefore, the Vodder S chool also includes a patient education program as part of its curriculum. Cancer 1998;83:2840-2. (C) 1998 American Cancer Society.