The Effect of Manual Lymphatic Drainage on the Stress and Pain in Patient with Postoperative Breast Cancer

Indocyanine green (ICG) lymphography is used to evaluate the lymphatic function before and after pneumatic compression or post-manual lymphatic drainage. The aim of this study was to ascertain the changes in the fluoroscopic pattern produced by the provision of complex physical therapy. This prospective analytic (pretest-posttest) study was conducted in 19 patients with upper lymphedema secondary to breast cancer. Nine patients were excluded due to ICG found after 3 weeks. The ICG patterns were analyzed under basal conditions and after three weeks of treatment. After the treatment, 45% of the patients presented tracer remains in the affected limb, and this finding was significantly related to time of the lymphedema development. In one subject, the patterns remain unchanged or cannot be defined. Three of the ten patients observed present the worsening of at least 1 of the patterns and in the rest of the subjects, six cases, the improvement of the patterns is observed. In 60% of the cases, the most severe pattern reversed towards slight (splash) cases, and moderate cases reversed towards a slight case in 70% of cases. Therefore, after treatment with complex physical therapy, the pathological patterns observed in the pretest, which evolved positively, reverted their severity toward milder disease patterns or towards normality.

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A randomized controlled crossover study of manual lymphatic drainage therapy in women with breast cancer-related lymphoedema

European Journal of Cancer Care ◽

10.1046/j.1365-2354.2002.00312.x ◽

2002 ◽

Vol 11 (4) ◽

pp. 254-261 ◽

Cited By ~ 124

Author(s):

A.F. WILLIAMS ◽

A. VADGAMA ◽

P.J. FRANKS ◽

P.S. MORTIMER

Keyword(s):

Breast Cancer ◽

Crossover Study ◽

Lymphatic Drainage ◽

Manual Lymphatic Drainage ◽

Randomized Controlled

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Use of magnetic resonance imaging for evaluation of therapeutic response in breast cancer-related lymphedema: A systematic review

Archives of Plastic Surgery ◽

10.5999/aps.2020.00115 ◽

2020 ◽

Vol 47 (4) ◽

pp. 305-309

Author(s):

Antonio Jorge Forte ◽

Daniel Boczar ◽

Salam Kassis ◽

Maria T. Huayllani ◽

Sarah A. McLaughlin

Keyword(s):

Breast Cancer ◽

Magnetic Resonance Imaging ◽

Systematic Review ◽

Magnetic Resonance ◽

Therapeutic Response ◽

Chemical Exchange ◽

Lymphatic Drainage ◽

Chemical Exchange Saturation Transfer ◽

Manual Lymphatic Drainage ◽

Resonance Imaging

Breast cancer treatment-related lymphedema (BCRL) is a common comorbidity in breast cancer survivors. Although magnetic resonance imaging (MRI) is widely used to evaluate therapeutic response of patients with various medical conditions, it is not routinely used to evaluate lymphedema patients. We conducted a systematic review of the literature to identify studies on the use of MRI to evaluate therapy for BCRL. We hypothesized that MRI could provide information otherwise not possible through other examinations. On October 21, 2019, we conducted a systematic review on the PubMed/MEDLINE and Scopus databases, without time frame or language limitations, to identify studies on the use of MRI to evaluate therapy for BCRL. We excluded studies that investigated other applications of MRI, such as lymphedema diagnosis and surgical planning. Of 63 potential articles identified with the search, three case series fulfilled the eligibility criteria. In total, 53 patients with BCRL were included and quantitatively evaluated with MRI before and after manual lymphatic drainage. Authors used MRI or MR lymphagiography to investigate factors such as lymphatic vessel cross-sectional area, tissue water relaxation time (T<sub>2</sub>), and chemical exchange saturation transfer. The only study that compared MRI measurement with standard examinations reported that MRI added information to the therapy evaluation. MRI seems to be a promising tool for quantitative measurement of therapeutic response in patients with BCRL. However, the identified studies focused on only manual lymphatic drainage and were limited by the small numbers of patients. More studies are necessary to shed light on the topic.

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EFFECTIVENESS OF MANUAL LYMPHATIC DRAINAGE IN IMPROVING QUALITY OF LIFE AMONG WOMEN WITH BREAST CANCER RELATED LYMPHEDEMA

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.7.2/008 ◽

2018 ◽

Vol 7 (2) ◽

pp. 38-44

Author(s):

Nazia Iqbal ◽

Hussaini Begum ◽

Amanullah Khan

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Lymphatic Drainage ◽

The Body ◽

Care Hospital ◽

Manual Lymphatic Drainage ◽

Impact Scale ◽

Life Impact ◽

Breast Cancer Related Lymphedema

BACKGROUND & AIM The body of evidence related to higher incidence of breast cancer related lymphedema after breast surgeries concluded compromise Quality of Life (QoL) among women over the past decade. The aim of this study is to evaluate the effectiveness of Manual Lymphatic Drainage (MLD) in improving QoL among women with Breast cancer related Lymphedema. STUDY DESIGN & PARTICIPANTS A Quasi Experimental study was conducted on women of the age 36-60 years with stage I and II breast cancer related lymphedema at Rehabilitation Department of a tertiary care Hospital. METHODS Total 70 women recruited with lymphedema were assessed at baseline and after treatment on Lymphedema Life Impact Scale. Manual lymphatic drainage technique was applied for 3 days in a week for 6 weeks with a compression bandage for first 4 weeks. RESULTS The findings showed that Manual Lymphatic Drainage (MLD) technique significantly improves the Lymphedema Life Impact Scale score after intervention p <0.05 notably in psychological domain of the scale p=0.0001 furthermore, the percentage of impairment was also reduced significantly from 75.98% to 44.18%.

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

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.3.1/008 ◽

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.

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