Lymphology Association of North America (LANA) Practice Exam

Which component is critical to include in the management plan for patients with axillary web syndrome?

1. Strength training

2. Repeated stretching

3. Elevation of affected limb

4. Skin care routine

The correct answer is: Repeated stretching

In the management of axillary web syndrome, repeated stretching is critical because this condition is characterized by the development of cord-like structures in the axilla that can restrict movement and lead to discomfort. The presence of these cords can limit the range of motion in the shoulder and arm, affecting a patient’s ability to perform daily activities. Incorporating repeated stretching into the management plan allows for the gradual elongation of these fibrous cords. This practice not only helps to minimize tightness and discomfort but also promotes better flexibility and mobility in the affected area. Effective stretching techniques can aid in breaking down the knots and improving overall functionality, thus enhancing the quality of life for patients experiencing this syndrome. While strength training, elevation of the affected limb, and skin care are important components of overall rehabilitation, they do not address the specific issue of the restrictive cords as directly as repeated stretching does. Strength training might increase muscle bulk without necessarily enhancing the range of motion affected by axillary web syndrome, while elevation is primarily beneficial for reducing swelling rather than addressing the fibrous bands. Skin care is crucial for maintaining the integrity of the skin, especially in cases of lymphatic dysfunction, but it does not directly impact the management of the cords associated with the syndrome.