Efficacy Of Manual Lymphatic Drainage Research Articles

Efficacy of manual lymphatic drainage combined with repetitive transcranial magnetic stimulation in post-stroke complex regional pain syndrome: a pilot study

Purpose The aim of this study was to investigate the efficacy of manual lymphatic drainage (MLD) combined with repetitive transcranial magnetic stimulation (rTMS) on the recovery of upper limb in patients with post-stroke complex regional pain syndrome (CRPS). Methods This pilot study was conducted with 54 patients with post-stroke CRPS. Patients were randomized into three groups: the MLD combined with rTMS group (MLD + rTMS group), the rTMS group and the sham-rTMS group. The results of numeric rating scale (NRS), volumetric measurement, Fugl-Meyer assessment of upper extremity (FMA-UE), CRPS severity score (CSS), generalized anxiety disorder-7 (GAD-7) and patient health questionnaire-9 (PHQ-9) before and after the intervention were analyzed. Results Fifty-four participants (37 males, 17 females; mean age 66.11 ± 8.43 years; range, 18 to 85) were included in the study. Among groups, improvements were statistically significant with superiority of rTMS + MLD group after treatment (p < 0.05). NRS, GAD-7, and PHQ-9 in the rTMS + MLD group improved more significantly than those in the rTMS group (p < 0.05). Conclusion MLD combined with rTMS has an add-on efficacy on the basis of rTMS therapy in post-stroke patients, especially in pain. MLD could also have an effect on anxiety and depression.

Effectiveness of manual lymphatic drainage in women with fibromyalgia: A pilot study

BackgroundCurrently there is no treatment capable of significantly alleviating all the symptoms of fibromyalgia (FM), even though it is a complex syndrome with a high prevalence in the population. DesignExperimental study using a single-blind, randomised, clinical trial. ObjectiveTo analyse the efficacy of manual lymphatic drainage (MLD) as an alternative to traditional treatment of fibromyalgia (FM) in women. MethodsThis was an experimental study using a single-blind, randomised, clinical trial of 20 women between 30 and 55 years old with FM. Patients were divided into an experimental group (n = 10) and a control group (n = 10). During the study, 3 measurements of pain (visual analogue scale and algometry), FM impact (Fibromyalgia Impact Questionnaire), sleep quality (Index Pittsburgh), anxiety and depression (Hospital Anxiety and Depression Scale) were recorded. Treatment of the experimental group consisted of 2 weekly MLD sessions for 6 weeks. ResultsThe effect of the interaction of MLD showed statistically significant results in Right intercostal space (F2,36 = 3.54; p = 0.04; n2p = 0.16). The sleep quality was significantly better favour of the treatment (F2,36 = 4.16; p = 0.01; n2p = 0.20). ConclusionsMLD therapy demonstrated effects in the experimental group in contrast to the control group across the intervention period concerning the right intercostal space and sleep-related factors. However, MLD did not result in observable alterations in pain perception.

Evaluating the Efficacy of Manual Lymphatic Drainage, Stretching, Conservative Exercises, and Home-Based Interventions on Quality of Life in a Patient with Axillary Web Syndrome: A Case Report

Evaluating the Efficacy of Manual Lymphatic Drainage, Stretching, Conservative Exercises, and Home-Based Interventions on Quality of Life in a Patient with Axillary Web Syndrome: A Case Report

Evaluating the Safety and Efficacy of Manual Lymphatic Drainage with Thai Traditional Massage on Breast Milk Volume, Breast Pain and Engorgement in Post-Cesarean Mothers of Preterm Infants: A Randomized Controlled Trial

Background: Less breast milk, breast pain, and engorgement are issues that the majority of postpartum mothers have to confront and overcome. Objective: This study examined the efficacy of Manual Lymphatic Drainage (MLD), Thai Traditional Massage (TTM), and standard post-partum nursing care on breast milk volume, breast pain, and engorgement in post-cesarean mothers of preterm infants. Methods: Thirty-two participants were randomly divided into 2 groups: an intervention group receiving MLD, TTM, and standard post-partum nursing care (n=16), and a control group receiving standard post-partum nursing care alone (n=16). Outcomes were assessed through breast milk volume, breast pain and engorgement scores, and participant satisfaction. Results: The study showed that the group receiving MLD, TTM, and standard post-partum nursing care had a safe and equivalent level of breast milk production compared to the control group. Additionally, there were no significant differences between groups regarding daily milk expression frequency, breast pain, and engorgement over seven days (p&gt;0.05). However, the experimental group expressed a high level of satisfaction with the MLD, TTM, and standard post-partum nursing care interventions. Conclusion: The combination of MLD, TTM, and standard post-partum nursing care could be a viable alternative for managing post-cesarean care in mothers with preterm infants. Clinical Trial Reg Number: TCTR20230330002.

EFFECT OF LYMPHATIC DRAINAGE ON GELOID EDEMA FIBER

Gelroid fibro edema is classified as a disorder in the metabolism of subcutaneous tissue, which leads to a change in the women's body and as a treatment therapy, there is manual lymphatic drainage. Objective: To analyze the efficacy of manual lymphatic drainage in the treatment of fibroid edema. Methodology: Scientific articles were used in Portuguese and English, from 2010 to 2018. Results: A total of 370 articles were found, being screened and the articles obtained by data analysis were only 7, which were exposed in a table containing Author, Title, Description and Year. Conclusion: The efficacy of manual lymphatic drainage in the treatment of fibroid edema in women was evident. However, such protocol should be associated with a quality of life aiming at a better prognosis of aesthetic dysfunction.

Drenagem linfática no pós operatório de lipoaspiração de abdome: uma revisão da literatura

A busca por tratamentos estéticos é constante na população brasileira e a lipoaspiração de abdome é a mais realizada. Para a melhora dos resultados a cirurgia é indicada a Drenagem Linfática Manual (DLM) no pós-operatório, que tem o objetivo de prevenir possíveis sequelas e promover uma melhor recuperação. O principal objetivo é revisar na literatura sobre a eficácia da drenagem linfática manual no pós operatório de lipoaspiração de abdome. Consultando artigos científicos publicados nas bases indexadas: U.S. National Library of Medicine National Institutes Health (Pubmed) e Scientific Electronic Library Online (SciELO) e com a ferramenta de busca Google Scholar, sem restrição de data. Através dos artigos e livros analisados neste estudo, foi possível comprovar a eficácia da DLM no pós-operatório de lipoaspiração. Conclui-se com esta revisão que, a DLM é um método eficaz para a melhora do quadro de sintomas como seromas, fibrose e lindedemas, causados pelo impacto do processo cirúrgico. Além da melhora dos sintomas, a técnica é capaz de estimular o sistema imunológico e acelerar o processo de cicatrização das incisões.

Influence of Manual Lymphatic Drainage on Health-Related Quality of Life and Symptoms of Chronic Venous Insufficiency: A Randomized Controlled Trial

ObjectiveTo evaluate the efficacy of manual lymphatic drainage (MLD) in improving health-related quality of life (HRQOL), symptomatology, and physical status in patients with chronic venous insufficiency (CVI). DesignSingle-blind randomized controlled trial. SettingHealth community attendant service. ParticipantsSubjects with CVI (N=41) were randomly assigned to an experimental group (n=20; mean age, 54.6±11.3y) or control group (n=21; mean age, 46.8±11.1y). InterventionsThe experimental group completed 10 lower extremity MLD sessions over 4 weeks and 1 educational session. The control group only attended the educational session. Outcome measures were taken at baseline (t0), at the end of 4 weeks (t1), and after 2 months for follow-up (t2). Main Outcome MeasuresHRQOL was assessed with the Chronic Venous Insufficiency Quality of Life Questionnaire-20, symptoms (fatigue, heaviness) were assessed with a visual analog scale, severity of the disease was assessed with the Venous Clinical Severity Score (VCSS) (total score, score for each item), leg volumetry was assessed with perimeters, and plantar/dorsiflexion strength and ankle range of motion (ROM) were assessed with dynamometry. ResultsA significant interaction group × time effect was found for pain on HRQOL (F2,78=3.507; P=.035; partial η2=.087), clinical severity (F2,78=5.231; P=.007; partial η2=.118), especially for venous edema (assessed with the VCSS), fatigue (F1.67,65.21=4.690; P=.012; partial η2=.107), and heaviness (F1.57,61.32=9.702; P=.001; partial η2=.199), with the experimental group improving from t0 to t1 and t0 to t2 in all of these outcomes. No effect of MLD treatment could be found for ankle muscle strength, ankle ROM, and leg volume. ConclusionsShort-term MLD treatment ameliorates CVI severity and related edema, symptoms, and pain HRQOL in patients with CVI.

Efficacy of manual lymphatic drainage and intermittent pneumatic compression pump use in the treatment of lymphedema after mastectomy: a randomized controlled trial

This study has two aims. The first was to investigate the efficacy and contribution of an intermittent pneumatic compression pump in the management of lymphedema, and the second was to evaluate the correlation of our measurement methods. This study was designed as a controlled clinical trial at the Physical Medicine and Rehabilitation Department of Ataturk University Faculty of Medicine. Thirty-one patients with upper extremity lymphedema following mastectomy participated in the study. The patients were divided into two groups. The complex decongestive physical therapy (CDT) group (group 1, n = 15) received allocated treatment, including skin care, manual lymphatic drainage, compression bandages, compression garments, and exercises. The other group had CDT combined with an intermittent pneumatic compression pump (group 2, n = 16). Both groups were treated five times a week for 3 weeks (for a total of 15 sessions). Patients were assessed according to circumference measurements of landmarks, limb volume difference, dermal thickness with ultrasonography (USG), and pain. We observed significant difference in both groups when comparing them before and after therapy. The baseline median volume difference of group 1 was 630 (180-1,820), and after therapy it was 480 (0-1,410). In group 2, the beginning median volume difference was 840 (220-3,460), and after therapy it was 500 (60-2,160). However, no significant differences were observed between the two groups in terms of the above-mentioned parameters. We concluded that the pneumatic compression pump did not contribute to the reduction of lymphedema. In addition, gauging dermal thickness using USG may prove to be a useful measurement method in the evaluation of lymphedema.

Randomized Trial Investigating the Efficacy of Manual Lymphatic Drainage to Improve Early Outcome After Total Knee Arthroplasty

ObjectiveTo investigate the efficacy of manual lymphatic drainage (MLD) in the early postoperative period after total knee arthroplasty (TKA) to reduce edema and pain and improve knee range of motion. DesignProspective randomized controlled trial. SettingPrivate hospital and functional rehabilitation clinic. ParticipantsConsecutive sample of patients (N=43; 53 knees) scheduled for TKA. InterventionMLD (vs no MLD) on days 2, 3, and 4 postoperatively. Both groups underwent conventional, concomitant physical therapy. Main Outcome MeasuresClinical assessment was undertaken pre- and postoperatively prior to and after the designated postoperative MLD sessions (days 2, 3, and 4) and at 6 weeks postsurgery. This included active knee flexion and extension range of motion, lower limb girths (ankle, midpatella, thigh, and calf), and knee pain using a numeric rating scale and the Knee Injury and Osteoarthritis Outcome Score. ResultsA significant group effect was observed for active knee flexion, with post hoc tests demonstrating a significantly greater active knee flexion in the MLD group when compared with the control (no MLD) group at the final measure prior to hospital discharge (day 4 postsurgery) and at 6 weeks postsurgery. There were no further group effects observed for the remaining patient-reported and functional outcomes. ConclusionsMLD in the early postoperative stages after TKA appears to improve active knee flexion up to 6 weeks postsurgery, in addition to conventional care.

Assessment of Lymphatic Contractile Function After Manual Lymphatic Drainage Using Near-Infrared Fluorescence Imaging

Tan I-C, Maus EA, Rasmussen LC, Marshall MV, Adams KE, Fife CE, Smith LA, Chan W, Sevick-Muraca EM. Assessment of lymphatic contractile function after manual lymphatic drainage using near-infrared fluorescence imaging. Objective To investigate the feasibility of assessing the efficacy of manual lymphatic drainage (MLD), a method for lymphedema (LE) management, by using near-infrared (NIR) fluorescence imaging. Design Exploratory pilot study. Setting Primary care unit. Participants Subjects (N=10; age, 18–68y) with a diagnosis of grade I or II LE and 12 healthy control subjects (age, 22–59y). Intervention Indocyanine green (25 μg in 0.1 mL each) was injected intradermally in bilateral arms or legs of subjects. Diffused excitation light illuminated the limbs, and NIR fluorescence images were collected by using custom-built imaging systems. Subjects received MLD therapy, and imaging was performed pre- and posttherapy. Main Outcome Measures Apparent lymph velocities and periods between lymphatic propulsion events were computed from fluorescence images. Data collected pre- and post-MLD were compared and evaluated for differences. Results By comparing pre-MLD lymphatic contractile function against post-MLD lymphatic function, results showed that average apparent lymph velocity increased in both the symptomatic (+23%) and asymptomatic (+25%) limbs of subjects with LE and control limbs (+28%) of healthy subjects. The average lymphatic propulsion period decreased in symptomatic (−9%) and asymptomatic (−20%) limbs of subjects with LE, as well as in control limbs (−23%). Conclusions We showed that NIR fluorescence imaging could be used to quantify immediate improvement of lymphatic contractile function after MLD.

Effektivität der Manuellen Lymphdrainage in der Erhaltungsphase einseitiger, sekundärer Armlymphödeme - Eine Pilotstudie

The average annual incidence of lymphedema following breast carcinoma treatment is approximately 16.200 cases in women and men, however only eleven studies of high quality on effective short-term or long-term therapy are currently available. Recent meta-analyses which address this topic are clearly deficient with regard to the evidence base for manual lymphatic drainage. The aim of this study was to review the efficacy of manual lymphatic drainage (MLD) in maintenance-phase complex decongestive physiotherapy (CDP) over a period of three months. 76 female patients were randomly assigned to one of four treatment groups (comparison of MLD, CDP, compression sleeve and Kinesio Taping (KT) method). The data were acquired in four measurements. The analysis of variance revealed a significant difference of 0,042 (p < 0,05) in the comparison of the four groups. A review of the variables within the four groups (Friedman test) showed a significant reduction (0,001) in the compression sleeve group. No significant differences were found in the pre-post comparison (Friedman test) in the MLD, KT und CDP group. In light of the absence of a significant difference, the results of the CDP, MLD and KT groups indicate a potential equivalence. The compression sleeve group showed significant superiority.

The efficacy of manual lymphatic drainage therapy in the management of limb edema secondary to reflex sympathetic dystrophy

The objective of this study is to investigate the efficacy of manual lymphatic drainage (MLD) therapy in edema secondary to the reflex sympathetic dystrophy (RSD). A total of 34 patients were allocated randomly into two groups. All of the patients undertook nonstreoidal anti-inflammatory drug, physical therapy and therapeutic exercise program for 3 weeks. Patients in study group undertook MLD therapy additionally. Then the patients continued 2-month maintenance period with recommended home programs. Volumetric measurements pain scores and functional measurements were assessed at baseline, after treatment and 2 months after the treatment. After treatment, improvement in edema was statistically significant in the study group but not in the control group. At follow-up, with respect to baseline, improvements were not significant in both of the groups. Between the groups, difference of the percentage improvements in edema was statistically significant with superiority of MLD group after treatment, but not significant at follow-up. In this pilot study, MLD therapy was found to be beneficial in the management of edema resulted from RSD. Although the long-term results showed tendency towards improvement, the difference was not significant.