Manual Lymphatic Drainage: Difference between revisions

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== Description<br>  ==
<h2> Description<br /</h2>
 
<p>Manual Lymphatic Drainage [MLD] is an unique, gentle type of skin&nbsp;massage technique that promotes lymph to drain out of a limb into an area that drains normally. Many physical therapist used it for lymphoedema.  
Manual Lymphatic Drainage [MLD] is an unique, gentle type of skin&nbsp;massage technique that promotes lymph to drain out of a limb into an area that drains normally. Many physical therapist used it for lymphoedema.  
</p><p>In addition to improving lymphatic circulation, MLD increases blood flow in deep and superficial veins.<span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref" name="one">Crisóstomo RS, Candeias MS, Armada-da-Silva PA. Venous flow during manual lymphatic drainage applied to different regions of the lower extremity in people with and without chronic venous insufficiency: a cross-sectional study.Physiotherapy. 2016 Feb 1. pii: S0031-9406(16)00023-7.</span>  
 
</p><p>There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods.&nbsp;  
In addition to improving lymphatic circulation, MLD increases blood flow in deep and superficial veins.<ref name="one">Crisóstomo RS, Candeias MS, Armada-da-Silva PA. Venous flow during manual lymphatic drainage applied to different regions of the lower extremity in people with and without chronic venous insufficiency: a cross-sectional study.Physiotherapy. 2016 Feb 1. pii: S0031-9406(16)00023-7.</ref>  
</p>
 
<h2> Indication<br /</h2>
There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods.&nbsp;  
<ul><li>Primary or secondary lymphedema&nbsp;  
 
</li><li>Lipedema  
== Indication<br>  ==
</li><li>Phlebo-lymphostatic edema  
 
</li><li>Postoperative edema  
*Primary or secondary lymphedema&nbsp;  
</li><li>Posttraumatic edema&nbsp;<span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref" name="2">Michael Földi, Roman Strößenreuther. (2003). Basic Principles of Manual Lymph Drainage. In R. S. Michael Földi, FOUNDATIONS OF MANUAL LYMPH DRAINAGE, 3rd ed (pp. 48-49). St. Louis Missouri: Elsevier Mosby.</span><br />  
*Lipedema  
</li><li>Chronic venous insufficiency <span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref" name="one" />
*Phlebo-lymphostatic edema  
</li></ul>
*Postoperative edema  
<p>This technique may be used as a complement in therapies for patients with stress. <span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref">Jung-Myo S, Sung-Joong K. Manual Lymph Drainage Attenuates Frontal EEG Asymmetry in Subjects with Psychological Stress: A Preliminary Study. J Phys Ther Sci. 2014 Apr; 26(4): 529–531.</span> Furthermore, it may be effective for reducing intracranial pressure in severe cerebral diseases.<span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref">Roth C, Stitz H, Roth C, Ferbert A, Deinsberger W, Pahl R et. al. Craniocervical manual lymphatic drainage and its impact on intracranial pressure - a pilot study. Eur J Neurol. 2016 Sep;23(9):1441-6.</span>  
*Posttraumatic edema&nbsp;<ref name="2">Michael Földi, Roman Strößenreuther. (2003). Basic Principles of Manual Lymph Drainage. In R. S. Michael Földi, FOUNDATIONS OF MANUAL LYMPH DRAINAGE, 3rd ed (pp. 48-49). St. Louis Missouri: Elsevier Mosby.</ref><br>  
</p>
*Chronic venous insufficiency <ref name="one" />
<h2> General Contraindication  </h2>
 
<p><b>Absolute Contraindication:</b>
This technique may be used as a complement in therapies for patients with stress. <ref>Jung-Myo S, Sung-Joong K. Manual Lymph Drainage Attenuates Frontal EEG Asymmetry in Subjects with Psychological Stress: A Preliminary Study. J Phys Ther Sci. 2014 Apr; 26(4): 529–531.</ref> Furthermore, it may be effective for reducing intracranial pressure in severe cerebral diseases.<ref>Roth C, Stitz H, Roth C, Ferbert A, Deinsberger W, Pahl R et. al. Craniocervical manual lymphatic drainage and its impact on intracranial pressure - a pilot study. Eur J Neurol. 2016 Sep;23(9):1441-6.</ref>  
</p>
 
<ul><li>Decompensated cardiac insufficiency  
== General Contraindication  ==
</li><li>Cardiac&nbsp;edema&nbsp;  
 
</li><li>Congestive heart failure  
'''Absolute Contraindication:'''
</li><li>Acute inflammation caused by pathogenic germs (bacteria,&nbsp;fungi, viruses). The germs could be spread by the manual lymph drainage, with resulting blood poisoning (sepsis). &nbsp;<span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref">1</span>
 
</li></ul>
*Decompensated cardiac insufficiency  
<p>Condition stated above must not be treated with manual lymph drainage.  
*Cardiac&nbsp;edema&nbsp;  
</p><p><b>Relative Contraindication:</b>
*Congestive heart failure  
</p>
*Acute inflammation caused by pathogenic germs (bacteria,&nbsp;fungi, viruses). The germs could be spread by the manual lymph drainage, with resulting blood poisoning (sepsis). &nbsp;<ref>1</ref>
<ul><li>Malignant lymphedema caused by active cancer&nbsp;<span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref">1</span><br />
 
</li></ul>
Condition stated above must not be treated with manual lymph drainage.  
<h2> Clinical Presentation  </h2>
 
<p>add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.&nbsp;  
'''Relative Contraindication:'''
</p>
 
<h2> Key Evidence  </h2>
*Malignant lymphedema caused by active cancer&nbsp;<ref>1</ref><br>
<p>add text here relating to key evidence with regards to any of the above headings<br />  
 
</p>
== Clinical Presentation  ==
<h2> Resources  </h2>
 
<p>add appropriate resources here, including text links or content demonstrating the intervention or technique  
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.&nbsp;  
</p><p><a href="https://www.youtube.com/watch?v=dT6rAL4-D14">Manual Lymph Drainage (MLD)</a><br />  
 
</p><p><a href="https://www.youtube.com/watch?v=_z6VEPPb_fM">Dr. Vodder's Manual Lymph Drainage</a>
== Key Evidence  ==
</p>
 
<h2> Case Studies  </h2>
add text here relating to key evidence with regards to any of the above headings<br>  
<p>add links to case studies here (case studies should be added on new pages using the <a href="Template:Case Study">case study template</a>)<br />  
 
</p>
== Resources  ==
<h2> Recent Related Research (from <a href="http://www.ncbi.nlm.nih.gov/pubmed/">Pubmed</a></h2>
 
add appropriate resources here, including text links or content demonstrating the intervention or technique  
 
[https://www.youtube.com/watch?v=dT6rAL4-D14 Manual Lymph Drainage (MLD)]<br>  
 
[https://www.youtube.com/watch?v=_z6VEPPb_fM Dr. Vodder's Manual Lymph Drainage]
 
== Case Studies  ==
 
add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>  
 
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]==
<div class="researchbox">
<div class="researchbox">
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss>  
<p><span class="fck_mw_special" _fck_mw_customtag="true" _fck_mw_tagname="rss">Feed goes here!!|charset=UTF-8|short|max=10</span>  
 
</p><p>In a study done by Zhang L. et al <span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref" name="1">Zhang Lijuan, Fan Aiqun, Yan Jun, He Yan, Zhang Huiting, Zhang Huizhen, Zhong Qiaoling, Liu Feng, Luo Qinghua, Zhang Liping, Tang Hailin, and Xin Mingzhu. Lymphatic Research and Biology. January 2016, ahead of print. doi:10.1089/lrb.2015.0036.</span>to&nbsp;study the efficacy of self-manual lymph drainage (MLD) for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients&nbsp;after modified radical mastectomy, the authors concluded that combination of self-MLD and physical exercise is beneficial for breast cancer patients to prevent postmastectomy scar formation, upper limb lymphedema, and shoulder joint dysfunction.  
In a study done by Zhang L. et al <ref name="1">Zhang Lijuan, Fan Aiqun, Yan Jun, He Yan, Zhang Huiting, Zhang Huizhen, Zhong Qiaoling, Liu Feng, Luo Qinghua, Zhang Liping, Tang Hailin, and Xin Mingzhu. Lymphatic Research and Biology. January 2016, ahead of print. doi:10.1089/lrb.2015.0036.</ref>to&nbsp;study the efficacy of self-manual lymph drainage (MLD) for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients&nbsp;after modified radical mastectomy, the authors concluded that combination of self-MLD and physical exercise is beneficial for breast cancer patients to prevent postmastectomy scar formation, upper limb lymphedema, and shoulder joint dysfunction.  
</p><p><br />
 
</p><p><br />  
<br>  
</p>
 
<br>  
</div>  
</div>  
== References  ==
<h2> References  </h2>
 
<p>References will automatically be added here, see <a href="Adding References">adding references tutorial</a>.  
References will automatically be added here, see [[Adding References|adding references tutorial]].  
</p><p><span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" />&nbsp;<br />
 
</p>
<references />&nbsp;<br>

Revision as of 23:56, 3 December 2016

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Chew Chee Boon, Lucinda hampton, Wendy Snyders, Candace Goh, Admin, Kim Jackson, Vidhu Sindwani, Joao Costa, Rucha Gadgil and WikiSysop  

Description

Manual Lymphatic Drainage [MLD] is an unique, gentle type of skin massage technique that promotes lymph to drain out of a limb into an area that drains normally. Many physical therapist used it for lymphoedema.

In addition to improving lymphatic circulation, MLD increases blood flow in deep and superficial veins.Crisóstomo RS, Candeias MS, Armada-da-Silva PA. Venous flow during manual lymphatic drainage applied to different regions of the lower extremity in people with and without chronic venous insufficiency: a cross-sectional study.Physiotherapy. 2016 Feb 1. pii: S0031-9406(16)00023-7.

There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods. 

Indication

  • Primary or secondary lymphedema 
  • Lipedema
  • Phlebo-lymphostatic edema
  • Postoperative edema
  • Posttraumatic edema Michael Földi, Roman Strößenreuther. (2003). Basic Principles of Manual Lymph Drainage. In R. S. Michael Földi, FOUNDATIONS OF MANUAL LYMPH DRAINAGE, 3rd ed (pp. 48-49). St. Louis Missouri: Elsevier Mosby.
  • Chronic venous insufficiency

This technique may be used as a complement in therapies for patients with stress. Jung-Myo S, Sung-Joong K. Manual Lymph Drainage Attenuates Frontal EEG Asymmetry in Subjects with Psychological Stress: A Preliminary Study. J Phys Ther Sci. 2014 Apr; 26(4): 529–531. Furthermore, it may be effective for reducing intracranial pressure in severe cerebral diseases.Roth C, Stitz H, Roth C, Ferbert A, Deinsberger W, Pahl R et. al. Craniocervical manual lymphatic drainage and its impact on intracranial pressure - a pilot study. Eur J Neurol. 2016 Sep;23(9):1441-6.

General Contraindication

Absolute Contraindication:

  • Decompensated cardiac insufficiency
  • Cardiac edema 
  • Congestive heart failure
  • Acute inflammation caused by pathogenic germs (bacteria, fungi, viruses). The germs could be spread by the manual lymph drainage, with resulting blood poisoning (sepsis).  1

Condition stated above must not be treated with manual lymph drainage.

Relative Contraindication:

  • Malignant lymphedema caused by active cancer 1

Clinical Presentation

add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures. 

Key Evidence

add text here relating to key evidence with regards to any of the above headings

Resources

add appropriate resources here, including text links or content demonstrating the intervention or technique

<a href="https://www.youtube.com/watch?v=dT6rAL4-D14">Manual Lymph Drainage (MLD)</a>

<a href="https://www.youtube.com/watch?v=_z6VEPPb_fM">Dr. Vodder's Manual Lymph Drainage</a>

Case Studies

add links to case studies here (case studies should be added on new pages using the <a href="Template:Case Study">case study template</a>)

Recent Related Research (from <a href="http://www.ncbi.nlm.nih.gov/pubmed/">Pubmed</a>)

Feed goes here!!|charset=UTF-8|short|max=10

In a study done by Zhang L. et al Zhang Lijuan, Fan Aiqun, Yan Jun, He Yan, Zhang Huiting, Zhang Huizhen, Zhong Qiaoling, Liu Feng, Luo Qinghua, Zhang Liping, Tang Hailin, and Xin Mingzhu. Lymphatic Research and Biology. January 2016, ahead of print. doi:10.1089/lrb.2015.0036.to study the efficacy of self-manual lymph drainage (MLD) for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients after modified radical mastectomy, the authors concluded that combination of self-MLD and physical exercise is beneficial for breast cancer patients to prevent postmastectomy scar formation, upper limb lymphedema, and shoulder joint dysfunction.



References

References will automatically be added here, see <a href="Adding References">adding references tutorial</a>.