Manual Lymphatic Drainage: Difference between revisions

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<h2> Description<br />  </h2>
== Description<br>  ==
<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.  
 
</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>  
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>There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods.&nbsp;  
 
</p>
In addition to improving lymphatic circulation, MLD increases blood flow in deep and superficial veins.<ref name="venous ins">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>  
<h2> Indication<br />  </h2>
 
<ul><li>Primary or secondary lymphedema&nbsp;  
There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods.&nbsp; The most appropriate techniques, optimal frequency and indications for MLD, as well as the benefits of treatment, all remain to be clarified, but the different methods have several aspects in common <ref name="best practice">Lymphoedema Framework. Best Practice for the Management of Lymphoedema. International consensus. London: MEP Ltd, 2006.</ref>, as:
</li><li>Lipedema  
 
</li><li>Phlebo-lymphostatic edema  
*Usually performed with the patient in the lying position, unless for lymphoedema of the head and neck
</li><li>Postoperative edema  
*Starts and ends with deep diaphragmatic breathing
</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 />  
*The unaffected lymph nodes and region of the body are treated first
</li><li>Chronic venous insufficiency <span class="fck_mw_ref" _fck_mw_customtag="true" _fck_mw_tagname="ref" name="one" />
*Moves proximally to distally to drain the affected areas
</li></ul>
*Slow and rhythmical movements&nbsp;
<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>  
*Uses gentle pressure
</p>
 
<h2> General Contraindication  </h2>
== Indication<br>  ==
<p><b>Absolute Contraindication:</b>
 
</p>
*Primary or secondary [[Lymphatic Obstruction (Lymphedema)|lymphedema&nbsp;]]
<ul><li>Decompensated cardiac insufficiency  
*Lipedema  
</li><li>Cardiac&nbsp;edema&nbsp;  
*Phlebo-lymphostatic edema  
</li><li>Congestive heart failure  
*Postoperative edema  
</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>
*Posttraumatic edema&nbsp;<ref>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>  
</li></ul>
*Chronic venous insufficiency <ref name="venous ins" />
<p>Condition stated above must not be treated with manual lymph drainage.  
*Palliative care: Provision of comfort and pain relief when other physical therapies are no longer appropriate <ref name="best practice" />
</p><p><b>Relative Contraindication:</b>
 
</p>
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>  
<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>
== General Contraindication  ==
<h2> Clinical Presentation  </h2>
 
<p>add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.&nbsp;  
'''Absolute Contraindication:'''
</p>
 
<h2> Key Evidence  </h2>
*Decompensated cardiac insufficiency  
<p>add text here relating to key evidence with regards to any of the above headings<br />  
*Cardiac&nbsp;edema&nbsp;  
</p>
*Congestive heart failure  
<h2> Resources  </h2>
*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>
<p>add appropriate resources here, including text links or content demonstrating the intervention or technique  
 
</p><p><a href="https://www.youtube.com/watch?v=dT6rAL4-D14">Manual Lymph Drainage (MLD)</a><br />  
Condition stated above must not be treated with manual lymph drainage.  
</p><p><a href="https://www.youtube.com/watch?v=_z6VEPPb_fM">Dr. Vodder's Manual Lymph Drainage</a>
 
</p>
'''Relative Contraindication:'''
<h2> Case Studies  </h2>
 
<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 />  
*Malignant lymphedema caused by active cancer&nbsp;<ref>1</ref><br>
</p>
 
<h2> Recent Related Research (from <a href="http://www.ncbi.nlm.nih.gov/pubmed/">Pubmed</a>)  </h2>
== Clinical Presentation  ==
 
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.&nbsp;  
 
== Key Evidence  ==
 
add text here relating to key evidence with regards to any of the above headings<br>  
 
== Resources  ==
 
add appropriate resources here, including text links or content demonstrating the intervention or technique  
 
&lt;a href="https://www.youtube.com/watch?v=dT6rAL4-D14"&gt;Manual Lymph Drainage (MLD)&lt;/a&gt;<br>  
 
&lt;a href="https://www.youtube.com/watch?v=_z6VEPPb_fM"&gt;Dr. Vodder's Manual Lymph Drainage&lt;/a&gt;
 
== Case Studies  ==
 
add links to case studies here (case studies should be added on new pages using the &lt;a href="Template:Case Study"&gt;case study template&lt;/a&gt;)<br>  
 
== Recent Related Research (from &lt;a href="http://www.ncbi.nlm.nih.gov/pubmed/"&gt;Pubmed&lt;/a&gt;)  ==
<div class="researchbox">
<div class="researchbox">
<p><span class="fck_mw_special" _fck_mw_customtag="true" _fck_mw_tagname="rss">Feed goes here!!|charset=UTF-8|short|max=10</span>  
<span>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.  
 
</p><p><br />  
In a study done by Zhang L. et al <ref>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>
<br>  
 
<br>  
</div>  
</div>  
<h2> References  </h2>
== References  ==
<p>References will automatically be added here, see <a href="Adding References">adding references tutorial</a>.  
 
</p><p><span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" />&nbsp;<br />
References will automatically be added here, see &lt;a href="Adding References"&gt;adding references tutorial&lt;/a&gt;.  
</p>
 
&lt;span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" /&gt;&nbsp;<br>

Revision as of 00:08, 4 December 2016

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Description
[edit | edit source]

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.[1]

There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods.  The most appropriate techniques, optimal frequency and indications for MLD, as well as the benefits of treatment, all remain to be clarified, but the different methods have several aspects in common [2], as:

  • Usually performed with the patient in the lying position, unless for lymphoedema of the head and neck
  • Starts and ends with deep diaphragmatic breathing
  • The unaffected lymph nodes and region of the body are treated first
  • Moves proximally to distally to drain the affected areas
  • Slow and rhythmical movements 
  • Uses gentle pressure

Indication
[edit | edit source]

  • Primary or secondary lymphedema 
  • Lipedema
  • Phlebo-lymphostatic edema
  • Postoperative edema
  • Posttraumatic edema [3]
  • Chronic venous insufficiency [1]
  • Palliative care: Provision of comfort and pain relief when other physical therapies are no longer appropriate [2]

This technique may be used as a complement in therapies for patients with stress. [4] Furthermore, it may be effective for reducing intracranial pressure in severe cerebral diseases.[5]

General Contraindication[edit | edit source]

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).  [6]

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

Relative Contraindication:

  • Malignant lymphedema caused by active cancer [7]

Clinical Presentation[edit | edit source]

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

Key Evidence[edit | edit source]

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

Resources[edit | edit source]

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[edit | edit source]

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>)[edit | edit source]

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

In a study done by Zhang L. et al [8]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[edit | edit source]

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

<span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" /> 

  1. ↑ 1.0 1.1 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.
  2. ↑ 2.0 2.1 Lymphoedema Framework. Best Practice for the Management of Lymphoedema. International consensus. London: MEP Ltd, 2006.
  3. ↑ 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.
  4. ↑ 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.
  5. ↑ 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.
  6. ↑ 1
  7. ↑ 1
  8. ↑ 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.
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