scholarly journals Intermittent Pneumatic Compression for the Treatment of Lower Limb Lymphedema: A Pilot Trial of Sequencing to Mimic Manual Lymphatic Drainage Versus Traditional Graduated Sequential Compression

2021 ◽  
Author(s):  
Nyree Dunn ◽  
Edgar M. Williams ◽  
Gina Dolan ◽  
Jane H. Davies
Keyword(s):  
Lower Limb ◽  
Pilot Trial ◽  
Lymphatic Drainage ◽  
Intermittent Pneumatic Compression ◽  
Manual Lymphatic Drainage

scholarly journals EFFECT OF MANUAL LYMPHATIC DRAINAGE AND EXERCISES IN POST-MASTECTOMY PATIENTS

2014 ◽  
Vol 3 (1) ◽  
pp. 22-25
Author(s):  
Syed Abid Mehdi Kazmi ◽  
Nabiha Ahmed ◽  
Sangeeta Aujha
Keyword(s):  
Breast Cancer ◽  
Isometric Exercise ◽  
Exercise Program ◽  
Lymphatic Drainage ◽  
Intermittent Pneumatic Compression ◽  
Manual Lymphatic Drainage ◽  
Pressure Therapy ◽  
Arm Lymphedema ◽  
History Of ◽  
Fluid Formation

In present world lymphedema is one of the side effects of mastectomy. When we talk about the treatment of lymphedema the standard treatment which comes into our mind is, complex decongestive physiotherapy (CDP). This treatment includes MLD (manual lymphatic drainage), short stretch bandaging, exercises program and also care of skin of the pectoral region and the surroundings as well as pneumatic compression (intermittent). Patient came with unilateral stage l lymphedema with a history of mastectomy. To treat the patient we used MLD, intermittent pneumatic compression and exercises. In the treatment of lymphedema manual lymphatic drainage is performed (MLD). The purpose of performing MLD was to find out the effectiveness in treating breast cancer related lymphedema and also prevent fluid formation in subcutaneous tissues. METHOD We gave the 12-session of manual lymphatic drainage and exercise in every month. RESULT AND CONCLUSION Showing that therapy created has an excellent effect. The lymphedema reduced day by day and It could also be the options to do isometric exercise program instead of performing short stretch bandaging. It is also considered as another option to treat individuals who are contraindicated for pressure therapy. When treating breast cancer you may come across the arm lymphedema. Quality of life may get affected and may also impact long term recovery and survivorship. Early treatment and preventions always plays a significant role in minimizing the complications.

Physical therapies in the decongestive treatment of lymphedema: A randomized, non-inferiority controlled study

2021 ◽  
pp. 026921552110326
Author(s):  
Isabel Forner-Cordero ◽  
José Muñoz-Langa ◽  
Juan María DeMiguel-Jimeno ◽  
Pilar Rel-Monzó
Keyword(s):  
Excess Volume ◽  
Lymphatic Drainage ◽  
Intermittent Pneumatic Compression ◽  
Controlled Study ◽  
Manual Lymphatic Drainage ◽  
Compression Bandages ◽  
Trimodal Therapy ◽  
Group A ◽  
Group B ◽  
Decongestive Lymphatic Therapy

Objective: To assess whether the treatment with intermittent pneumatic compression plus multilayer bandages is not inferior to classical trimodal therapy with manual lymphatic drainage in the decongestive lymphedema treatment. Study Design: Randomized, non-inferiority, controlled study to compare the efficacy of three physical therapies’ regimens in the Decongestive Lymphatic Therapy. Participants: 194 lymphedema patients, stage II–III with excess volume > 10% were stratified within upper and lower limb and then randomized to one of the three treatment groups. Baseline characteristics were comparable between the groups. Intervention: all patients were prescribed 20 sessions of the following regimens: Group A (control group): manual lymphatic drainage + Intermittent Pneumatic Compression + Bandages; Group B: pneumatic lymphatic drainage + Intermittent Pneumatic Compression + Bandages; and Group C: only Intermittent Pneumatic Compression + Bandages. End-point: Percentage reduction in excess volume (PREV). Results: All patients improved after treatment. Global mean of PREV was 63.9%, without significant differences between the groups. The lower confidence interval of the mean difference in PREV between group B and group A, and between group C and group A were below 15%, thus meeting the non-inferiority criterion. Most frequent adverse events were discomfort and lymphangitis, without differences between groups. A greater baseline edema, an upper-limb lymphedema and a history of dermatolymphangitis were independent predictive factors of worse response in the multivariate analysis. Conclusions: Decongestive lymphatic therapy performed only with intermittent pneumatic compression plus bandages is not inferior to the traditional trimodal therapy with manual lymphatic drainage. This approach did not increase adverse events.

Comparison of Intermittent Pneumatic Compression with Manual Lymphatic Drainage for Treatment of Breast Cancer-Related Lymphedema

2012 ◽  
Vol 10 (3) ◽  
pp. 129-135 ◽  
Author(s):  
Sibel Ozkan Gurdal ◽  
Alis Kostanoglu ◽  
Ikbal Cavdar ◽  
Ayfer Ozbas ◽  
Neslihan Cabioglu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymphatic Drainage ◽  
Intermittent Pneumatic Compression ◽  
Manual Lymphatic Drainage ◽  
Breast Cancer Related Lymphedema

scholarly journals THE EFFICACY OF INTERMITTENT PNEUMATIC COMPRESSION AS A SUBSTITUTE FOR MANUAL LYMPHATIC DRAINAGE IN COMPLETE DECONGESTIVE THERAPY IN THE TREATMENT OF BREAST CANCER RELATED LYMPHEDEMA

Lymphology ◽  
2019 ◽  
Vol 52 (2) ◽  
Author(s):  
C Sanal-Toprak ◽  
T Ozsoy-Unubol ◽  
Y Bahar-Ozdemir ◽  
G Akyuz
Keyword(s):  
Breast Cancer ◽  
Lymphatic Drainage ◽  
Intermittent Pneumatic Compression ◽  
Controlled Study ◽  
Home Exercise ◽  
Manual Lymphatic Drainage ◽  
Complete Decongestive Therapy ◽  
Arm Circumference ◽  
Breast Cancer Related Lymphedema ◽  
Decongestive Therapy

The aim of this study is to evaluate the efficacy of intermittent pneumatic compression (IPC) as a substitute for manual lymphatic drainage (MLD) in complete decongestive therapy (CDT) for treatment of advanced stages of breast cancer-related lymphedema. In this randomized, single-blind, controlled study, 46 patients with breast cancer-related lymphedema were divided into 2 groups. Both MLD with compression bandage (CB) group (n=24) and IPC with CB group (n=22) received treatment 3 days a week for 5 weeks. Home exercise program was also given to all patients. At the end of the 5th week, patients were treated with a daily 23-hour compression garment and home exercise routines. Assessments were taken at baseline, the fifth week, and the third month. Arm circumference was measured at 5 different areas, shoulder range of motion (ROM) was evaluated with a goniometer, pain, and tightness, and heaviness sensations were assessed with visual analog scale. Both groups had similar demographic and clinical characteristics (p < 0.05). There were no significant differences between groups and both groups showed significant improvement (p < 0.05) in the five measurement levels of the arm circumference at the fifth week and third month. Similarly, shoulder ROM, pain, tightness, and heaviness sensations improved in both groups (p < 0.05). Both MLD and IPC as a component of CDT were found successful at 5 weeks and 3 months without superiority to each other.

Postural Drainage and Manual Lymphatic Drainage for Lower Limb Edema in Women with Morbid Obesity After Bariatric Surgery

2013 ◽  
Vol 92 (8) ◽  
pp. 697-703 ◽  
Author(s):  
Daniela Faleiros Bertelli ◽  
Pâmmela de Oliveira ◽  
Ariane Seguezze Gimenes ◽  
Marlene Aparecida Moreno
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Lower Limb ◽  
Lymphatic Drainage ◽  
Manual Lymphatic Drainage ◽  
Postural Drainage ◽  
Limb Edema

scholarly journals Effects of physical therapy on hyaluronan clearance and volume regulating hormones in lower limb lymphedema patients: A pilot study

2021 ◽  
Vol 104 (1) ◽  
pp. 003685042199848
Author(s):  
Bianca Brix ◽  
Gert Apich ◽  
Andreas Rössler ◽  
Sebastian Walbrodt ◽  
Nandu Goswami
Keyword(s):  
Pilot Study ◽  
Lower Limb ◽  
Time Course ◽  
Plasma Renin ◽  
Lymphatic Drainage ◽  
Invasive Treatment ◽  
Lymphatic Flow ◽  
Compression Bandaging ◽  
Complete Decongestive Therapy ◽  
Total Plasma Protein

Lymphedema is manifested as a chronic swelling arising due to stasis in the lymphatic flow. No cure is currently available. A non-invasive treatment is a 3 week complete decongestive therapy (CDT), including manual lymphatic drainage and compression bandaging to control swelling. As CDT leads to mobilization of several liters of fluid, effects of CDT on hyaluronan clearance (maker for lymphatic outflow), volume regulating hormones, total plasma protein as well as plasma density, osmolality and selected electrolytes were investigated. In this pilot study, we assessed hyaluronan and volume regulating hormone responses from plasma samples of nine patients (three males, six females, aged 55 ± 13 years) with lower limb lymphedema stage II-III, before - and after - CDT. A paired non-parametric test (Wilcoxon) was used to assess hormonal and plasma volume changes. Correlation was tested using Spearman’s correlation. The main findings of this novel study are that lymphedema patients lost volume and weight after therapy. Hyaluronic acid did not significantly change pre- compared to post-CDT. Aldosterone increased significantly after therapy, while plasma renin activity increased, but not significantly. Plasma total protein, density, osmolality and sodium and chloride did not show differences after CDT. To our knowledge, no study has previously investigated the effects of CDT on volume regulating hormones or electrolytes. To identify the time-course of volume regulating hormones and lymphatic flow changes induced by CDT, future studies should assess these parameters serially over 3 weeks of therapy.

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