Manual Lymphatic Drainage: Difference between revisions
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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. | 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.<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> | |||
There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods. | There are a various techniques for MLD including the Vodder, Földi, Leduc or Casley-Smith methods. | ||
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*Phlebo-lymphostatic edema | *Phlebo-lymphostatic edema | ||
*Postoperative edema | *Postoperative edema | ||
*Posttraumatic edema <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> | *Posttraumatic edema <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> | ||
*Chronic venous insufficiency <ref name="one" /> | |||
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> | 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> | ||
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Description
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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.
Indication
[edit | edit source]
- Primary or secondary lymphedema
- Lipedema
- Phlebo-lymphostatic edema
- Postoperative edema
- Posttraumatic edema Cite error: Invalid
<ref>tag; name cannot be a simple integer. Use a descriptive title - Chronic venous insufficiency [1]
This technique may be used as a complement in therapies for patients with stress. [2] Furthermore, it may be effective for reducing intracranial pressure in severe cerebral diseases.[3]
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). [4]
Condition stated above must not be treated with manual lymph drainage.
Relative Contraindication:
- Malignant lymphedema caused by active cancer [5]
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
Dr. Vodder's Manual Lymph Drainage
Case Studies[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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In a study done by Zhang L. et al Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleto 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]
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- ↑ 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.
- ↑ 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
