Course 186 – A NEW CERTIFICATION COURSE: Research-based Course Level III at Stanford University Hospital, Stanford, CA.


Course level III:

A 2-day seminar


Jean-Paul BELGRADO, Master in Physiotherapy
Master in Health Sciences, PhD student,
Principal Researcher at the Lymphology Research Unit.  Free University of Brussels, Belgium
Teacher in Lymphology at the Free University of Brussels, Belgium and in various universities in Europe.
Member of the Board of the European Society of Lymphology (ESL)
Member of the International Society of Lymphology (ISL)


Master of Arts, Teacher College – Columbia University, New York, NY
Member of the International Society of Lymphology (ISL)
Member of the European Society of Lymphology (ESL)
Former student of Professor A. Leduc – 28 years of expertise in Lymphedema Management Leduc method, 18 years of experience in teaching Lymphedema Management Leduc method in the United States of America. Temecula, California.


October 26, 27,  2013
Stanford University Hospital
300 Pasteur Drive
Stanford, CA 94305

Instructional Level:

The instructional level of the program is advanced. According to the definition of the APTA: This level assumes thorough familiarity with the topic and focuses on advanced techniques, recent advances, and future directions.

Educational Credit:

This program was approved for 17 contact hours, 1.7 CEUs by the California Physical Therapy Association (CPTA # 13-77)


Certification Level III is received upon successful completion of post-course test.  The attendees will receive their certification at the end of the course.

NOTE: Completion of the advanced course and the basic course will enable the attendees to take the International Certification in Lymphedema Management Examination.(ICLM Examination). Participants who pass the ICLM Examination and submit a case study will be ICLM Certified.

Course Objectives:

At the end of this course, participants will demonstrate the:

  1. Understanding of the anatomical and physiological concepts underlying lymphedema management.
  2. Understanding of the psychological issues raised by cancer & lymphedema.
  3. Ability to perform manual lymph drainage (mld)  as described by the Leduc School and considering the newest imaging techniques.
  4. Ability to perform multi-component bandaging understanding its mechanical properties.
  5. Understanding of the use of mechanical compression devices.
  6. Understanding of patients education (precautions, skin care, involvement in the treatment).
  7. Ability to evaluate patients suffering from lymphedema or edema, and to design a a comprehensive plan of care.
  8. Ability to treat various pathologies showing symptoms of edema or lymphedema using adapted protocols and the techniques of lymphedema management.
  9. Ability to answer most of the questions raised by patients.
  10. Ability to recognize when the intervention of the physician is necessary.
  11. Understanding of the most recent research performed in the field of treatment of lymphedema.

Hotel Accommodations:

A group of rooms is held at the Stanford Guest House 2575 Sand Hill Road Menlo Park, CA 94025-7015 at the rate of: $129.00 continental breakfast included. Cut-off date: 09/20/2013. After this date, reservations will be accepted on a space and rate availability basis. To make a reservation, call: 650 926 2800 and refer to:”Pacific Therapy Education” to get the special rate.

You may book online at: Use the group code: PTE1013.

Free parking for guests. On-campus shuttle service Monday to Friday from 8:00am to 8:30pm. Guest House shuttle to go to Stanford University Hospital for the course  is available.

Bike rental service ($3:00/day)

Call 951 347 0362 if you want to share a hotel room.

Travel Arrangements:

Southwest Airlines Co offers service to San Jose and San Francisco Airports.  To book a reservation .

From San Francisco or San Jose Airports call South & East Bay Shuttle: 800 548 4664 (local) or: 408 225 4444 to get to the Stanford Guest House.


Every day, the schedule will include:

  •  8:00 am Start.
  • 10:00-10:15 am  Break
  • 12:00 noon-1:00 pm Lunch on your own.
  • 3:45-4:00 pm Break

SATURDAY, October 26, 2013
  • 8:00-10:00 am:  Staging and classification of lymphedema.  A review of literature: “Lymphoedema, what can be measured and how.”  J.P. Belgrado EJLRP. 22. 60. 3-9.
    Clinical tests to evaluate lymphedema: Imaging of lymphedema, Elastography, Echodoppler, MRI, Lymphography, Deep Infra Red Thermography, Lymphoscintigraphy and Near Infra Red Lymphofluoroscopy.
  • 10:00-10:15 am  Break
  • 10:15 – 12:00 noon: Research in Lymphology: Impedance, state of the art, thermography, dynamic fluoroscopy. (Studies performed at the unit of Research in Lymphology at the Free University of Brussels- Belgium.)
  • 12:00-13:00 pm: Lunch
  • 1:00-3:45 pm: Lymphedema detection and prevention: overview of clinical trials and new perspectives.
    Evidence-based effects of physical activity on lymphedema.  Review of litterature and discussion.
    Physical and Physiological effects of manual lymph drainage and multi-component bandaging.  Research.  Application of the law of Laplace.  Hook law and other physical laws involved on the management of multi-component bandaging and elastic garments.
  • 3:45-4:00 pm:Break
  • 4:00-6:00 pm: Physical and physiological effects of the mechanical compression device treatment.  Research.
Sunday, October 27
  • 8:00-9:00 am: Compression devices: mechanical characteristics and pressure modulation.
  • 9:00-10:00 am   How to optimize the physical treatment of lymphedema in critical conditions.  Examples.  Theory and practice.  Discussion around clinical cases.
    For Lab. students:faculty ratio= 10:1
  • 10:00 – 10:15 am:  Break.
  • 10:15 – 12:00 noon: Practice: Review of manual lymph drainage and multi-component bandaging of the upper extremity.
  • 12:00-1:00 pm: Lunch
  • 1:00-2:30 pm: Practice (cont’ed)
  • 2:30-3:00 pm Q&A
  • 3:00-3:15 pm: Break
  • 3:15-6:00 pm: Evidence-based indications and contraindications of manual lymph drainage , multi-component bandaging and compression device treatment.  Review of literature regarding manual lymph drainage and metastatic diffusion.  Q&A.
Note: for lab practice, participants should bring appropriate clothing such as shorts,  tanks or bathing suits.
 Registration Information:

Conference Fees:

  • Early Registration: $450.00 (Until 09/12/2013)
  • Regular Registration: $480.00 (Until 10/10/2013)
  • Late Registration: $500.00 (After 10/10/2013)

Fee includes: tuition, pre-course material, and course handout. Register prior to 07/14/2013 and benefit from a $50.00 discount.

Participants enrolling in Advanced Course and Course Level III in 2013 will be entitled to $75.00 reduction of the tuition of the course level III.

Cancellations and requests for refund will be accepted until October 26, 2013 minus a $150.00 administrative fee.

Note: Cancellation & Refund policy.

Cancellations and requests for refund will be accepted until October 26, 2013 minus a $150.00 administrative fee.

Any notification of withdrawal or cancellation and any request for refund must be done in writing.

Payment of refunds is to be made within 30 days of determination of student withdrawal.

Here are 2 examples:

Example 1: if you decide to cancel your registration on October 26, 2013 you would have to notify the school in writing.  Your request for refund would be applicable immediately.  Payment of refund would be made prior to November 26, 2013.

Example 2: If you decide to cancel your application one month prior to the beginning of the course, you would have to notify the school in writing.  Your request for refund would be in effect immediately.  Payment of the refund would be made within 30 days of determination of your withdrawal.