Manual Lymphatic Drainage: Difference between revisions
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Original Editor - [[User:Chew Chee Boon|Chew Chee Boon]] Top Contributors - {{Special:Contributors/{{FULLPAGENAME}}}}
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== Description<br> == | == Description<br> == | ||
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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> | 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> | ||
== Techniques == | |||
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 <ref name="best practice">Lymphoedema Framework. Best Practice for the Management of Lymphoedema. International consensus. London: MEP Ltd, 2006.</ref>, as: | 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 <ref name="best practice">Lymphoedema Framework. Best Practice for the Management of Lymphoedema. International consensus. London: MEP Ltd, 2006.</ref>, as: | ||
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*Slow and rhythmical movements | *Slow and rhythmical movements | ||
*Uses gentle pressure | *Uses gentle pressure | ||
=== Different Approaches<ref name="Williams">Williams AF. Manual lymphatic drainage: Exploring the history and evidence base. British Journal of Community Nursing. 2010;15(4):S18-24. DOI: 10.12968/bjcn.2010.15.Sup3.47365</ref> === | |||
1. Vodder | |||
Different kinds of hand motions are used on the body depending on the part being treated. It also includes treatment of fibrosis | |||
2. Foldi | |||
Based on the Vodder technique, this method lays emphasis on thrust and releaxation. It helps in management of edema through 'encircling strokes'. | |||
3. Casley-Smith | |||
This method involves use of small and gentle effleurage movements with the side of the hand. | |||
4. Leduc | |||
It involves use of special 'call up' (or enticing) and 'reabsorption' movements which reflet how lymph is absorbed first in the initial lymphatics and then into larger lymphatics. | |||
== Indication<br> == | == Indication<br> == | ||
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*Malignant lymphedema caused by active cancer <ref>1</ref><br> | *Malignant lymphedema caused by active cancer <ref>1</ref><br> | ||
== | == Principles<ref name="Williams" /> == | ||
The skin is stretched in specific directions using hand movements to promote variations in interstitial pressure without the use of oils. | |||
== Resources == | == Resources == | ||
Revision as of 19:05, 14 December 2016
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]
Techniques[edit | edit source]
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
Different Approaches[3][edit | edit source]
1. Vodder
Different kinds of hand motions are used on the body depending on the part being treated. It also includes treatment of fibrosis
2. Foldi
Based on the Vodder technique, this method lays emphasis on thrust and releaxation. It helps in management of edema through 'encircling strokes'.
3. Casley-Smith
This method involves use of small and gentle effleurage movements with the side of the hand.
4. Leduc
It involves use of special 'call up' (or enticing) and 'reabsorption' movements which reflet how lymph is absorbed first in the initial lymphatics and then into larger lymphatics.
Indication
[edit | edit source]
- Primary or secondary lymphedema
- Lipedema
- Phlebo-lymphostatic edema
- Postoperative edema
- Posttraumatic edema [4]
- 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. [5] Furthermore, it may be effective for reducing intracranial pressure in severe cerebral diseases.[6]
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). [7]
Condition stated above must not be treated with manual lymph drainage.
Relative Contraindication:
- Malignant lymphedema caused by active cancer [8]
Principles[3][edit | edit source]
The skin is stretched in specific directions using hand movements to promote variations in interstitial pressure without the use of oils.
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 [9]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]
- ↑ 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.
- ↑ 2.0 2.1 Lymphoedema Framework. Best Practice for the Management of Lymphoedema. International consensus. London: MEP Ltd, 2006.
- ↑ 3.0 3.1 Williams AF. Manual lymphatic drainage: Exploring the history and evidence base. British Journal of Community Nursing. 2010;15(4):S18-24. DOI: 10.12968/bjcn.2010.15.Sup3.47365
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 1
- ↑ 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.
