Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema

doi:10.1186/1471-2407-11-94

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Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema

Journal Article•DOI•

Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema

Marta López Martín, Miguel Angel Campos Hernández, Cristina Avendaño, Francisco Rodríguez, Helena Martínez - Show less +1 more

09 Mar 2011-BMC Cancer (BioMed Central)-Vol. 11, Iss: 1, pp 94-94

TL;DR: The results of this study will provide information on the effectiveness of Manual Lymphatic Drainage and its impact on the quality of life and physical limitations of these patients, as well as the improvement of the concomitant symptomatology.

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Abstract: Background Lymphoedema is a common and troublesome condition that develops following breast cancer treatment. The aim of this study is to analyze the effectiveness of Manual Lymphatic Drainage in the treatment of postmastectomy lymphoedema in order to reduce the volume of lymphoedema and evaluate the improvement of the concomitant symptomatology.

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Journal Article•DOI•

The Effect of Manual Lymph Drainage on the Changes of Autonomic Nervous System and Pain in Stressed Hospital Office Employees

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Ko Mingyun

01 Nov 2020-Journal of the Korea Society of Computer and Information

TL;DR: There were significant differences between groups for the sympathetic nerve, parasympathetic nerve, and pain within manual lymphatic drainage groups(p<.05); therefore, manual lymphatics drainage is an effective intervention for reducing the stress and pain of stressed hospital office employees.

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Abstract: This study is to investigate the effects of manual lymphatic drainage of stressed hospital office employees on the autonomic nervous. A total of 30 stressed hospital office women voluntarily participated in the study. The participants were randomized to the manual lymphatic drainage groups and rest groups. The intervention was conducted for 20 minutes in each group. There were significant differences in sympathetic nerve, parasympathetic nerve, and pain within manual lymphatic drainage groups(p<.05). There were significant differences between groups for the sympathetic nerve, parasympathetic nerve, and pain(p<.05). Therefore, manual lymphatic drainage is an effective intervention for reducing the stress and pain of stressed hospital office employees.

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4 citations

Additional excerpts

...MLD 기법 은 통증 및 자극없이 피부의 표면에서 림프관을 따라 시행 하는 방법으로 이완작용을 유발하며 교감신경의 활성을 감소시키고, 조직의 섬유성 변성을 유연하게 만들고, 림프 순환을 증가시키며 정체된 림프액이나 과도하게 축적된 사이질액을 감소시키는 효과적인 방법이다[11-13]....
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Journal Article•DOI•

Improvement of upper limb’s condition of women with post mastectomy syndrome with the help of problem-oriented program of physical rehabilitation

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Y.A. Briskin, T.Y. Odinets

28 Nov 2015-Pedagogics, psychology, medical-biological problems of physical training and sports

TL;DR: It is claimed that 2-3% of the world's population is descendants of those killed in the Middle East during the Second World War.

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Abstract: Цель : определить эффективность проблемно-ориентированной программы физической реабилитации женщин с постмастектомичним синдромом по улучшению функционального состояния верхней конечности. Материал : К исследованию привлечены 50 женщин с ранними признаками постмастектомичного синдрома на стационарном этапе реабилитации, перенесших радикальную мастэктомию по Мадден. Обследование амплитуды движения в плечевом суставе, отека верхней конечности и силы мышц сгибателей кисти пациенток происходило на 2 день после выполнения оперативного вмешательства и в конце стационарного этапа реабилитации (12-14 день). Результаты: Основными средствами авторской программы были: общеразвивающие и специальные физические упражнения; статические и динамические дыхательные упражнения; манипуляционные вмешательства (дыхание через поджатые губы, управляемое откашливание, аутогенный дренаж, мануальный давление, мануальная вибрация) постизометрическая релаксация; элементы трудотерапии; лимфодренажный массаж и самомассаж; тематические беседы; консультирование; аутотренинг. Занятия проводились индивидуально 2-3 раза в день по 20-25 мин. К самостоятельным занятиям пациенток входило выполнение лечебных положений, самомассажа, упражнений на расслабление и аутотренинг. Выводы : применение проблемно-ориентированной программы физической реабилитации способствует улучшению функциональных возможностей верхней конечности у женщин с постмастектомичним синдромом.

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4 citations

Journal Article•DOI•

Application of Tensegrity Massage to Relive Complications After Mastectomy--Case Report.

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Iwona Wilk¹, Donata Kurpas², Donata Kurpas¹, Bożena Mroczek³, Waldemar Andrzejewski¹, Ewa Okręglicka-Forysiak, Ewa Krawiecka-Jaworska, Krzysztof Kassolik¹ - Show less +4 more•Institutions (3)

Public Higher Medical Professional School in Opole¹, Wrocław Medical University², Pomeranian Medical University³

01 Sep 2015-Rehabilitation Nursing

TL;DR: Tensegrity massage is an effective therapy in the elimination of pain and abnormal tissue tension induced by extensive scarring after mastectomy.

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Abstract: Purpose The case study was to determine the effectiveness of tensegrity massage in a patient after mastectomy. Design Tensegrity massage was performed in a 50-year-old woman after mastectomy. The purpose of the massage was to normalize the tension of musculo-ligamento-fascial system in the chest, shoulder girdle, and back. Methods The patient was subjected to a series of six massage sessions, 45 minutes each, twice a week. Findings The applied massage therapy contributed to the reduction of the postoperative scar tenderness and painfulness, to the relaxation of the muscular tone within the shoulder girdle, and to the improvement of the patient's general feeling. Conclusions Tensegrity massage is an effective therapy in the elimination of pain and abnormal tissue tension induced by extensive scarring after mastectomy. Clinical relevance The presented massage procedure had a positive effect immediately after the therapy and after 1-month follow-up.

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4 citations

Cites background or methods from "Manual lymphatic drainage therapy i..."

..., 2011), classical massage with modification of the strokes described by Leduc (Ferrnandez & Serin, 2006; Torres, 2006), and kinesitherapy (Lacomba et al., 2010; Martin et al., 2011)....
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...The pain usually persists for more than 3 months and gives discomfort, physiological distress, and difficulties with physical mobility (Linniti & Young, 2007; Martin et al., 2011)....
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...…Quality of Life Questionnaire (EORTC QLQ-C30), the Hospital Anxiety and Depression Scale (HADS), and the Profile of Mood States were used for the evaluation of the effectiveness of the applied sessions (Ahmed, Prizment, Lazovich, Schmitz, & Folsom, 2008; Martin et al., 2011; Myers et al., 2008)....
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...Just as important is the education of patients regarding the need of continuation of physical therapy including lymphatic drainage (CastroSanchez et al., 2011; Martin et al., 2011), classical massage with modification of the strokes described by Leduc (Ferrnandez & Serin, 2006; Torres, 2006), and kinesitherapy (Lacomba et al....
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...…is the education of patients regarding the need of continuation of physical therapy including lymphatic drainage (CastroSanchez et al., 2011; Martin et al., 2011), classical massage with modification of the strokes described by Leduc (Ferrnandez & Serin, 2006; Torres, 2006), and…...
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Journal Article•DOI•

Clinical application of low-level laser therapy (Photo-biomodulation therapy) in the management of breast cancer-related lymphedema: a systematic review

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Dania Fawzi Mahmood, Ashfaq Ahmad, Faiza Sharif, Syed Asadullah Arslan

30 Aug 2022-BMC Cancer

TL;DR: In this paper , the efficacy of low-level laser therapy (LLLT) in the treatment of metastatic breast cancer-related lymphedema (BCRL) was investigated.

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Abstract: Abstract Background Breast cancer-related lymphedema (BCRL) is a frequent issue that arises after mastectomy surgery in women and compromises physical and mental function. Previously published studies have shown positive effects with the use of Low-level laser therapy in another term Photo-biomodulation therapy (PBM). This research investigated the efficacy of clinical use of LLLT (PBM) in the treatment of metastatic breast cancer-related lymphedema. Methods PubMed, PEDro, Medline, and the Cochrane Library were searched for LLLT clinical trials published before October 2021. The methodological quality of randomized trials and the effectiveness of Laser Therapy for BCRL were evaluated. The primary objectives were arm circumference or arm volume, whereas the secondary goals were to assess shoulder mobility and pain severity. Results Eight clinical trials were analyzed in total. Typically, the included RCTs had good research quality. At four weeks, there was a considerable reduction in arm circumference/volume, and this continued with long-term follow-up. However, no statistically significant change in shoulder mobility or pain severity was seen between the laser and placebo groups at 0-, 1-, 2-, and 3-month short-term follow-up. Conclusions The findings of this comprehensive study demonstrated that LLLT (PBM) was successful in diminishing arm circumference and volume than improving shoulder mobility and pain. Data indicates that laser therapy (PBM) may be a beneficial treatment option for females with PML. Because of the scarcity of evidence, there is a strong need for well-conducted and longer-duration trials in this field. Trial registration Details of the protocol for this systematic review were registered on PROSPERO and can be accessed at www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42022315076 .

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4 citations

Journal Article•DOI•

Lymphoedema after mastectomy for breast cancer: Importance of supportive care

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Aybala Agac Ay¹, Suat Kutun, Abdullah Çetin•Institutions (1)

Kırıkkale University¹

06 Jun 2014-South African Journal of Surgery

TL;DR: It is clear that the most successful method to reduce the impact of lymphoedema is to prevent it, and educating patients about the risk factors for developing lymphOedema and referring them to postoperative physical therapy and rehabilitation clinics are the most important ways to avoid this distressing condition.

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Abstract: Background. Lymphoedema resulting from axillary lymph node dissection remains a challenging complication after modified radical mastectomy. Objective. To examine the effects of supportive therapy such as rehabilitation and medical and physical treatment on the development of lymphoedema, in an attempt to establish non-surgical ways to help prevent or reduce it. Methods. Patients ( N =5 064) who underwent breast cancer surgery in the Department of General Surgery, Ankara Oncology Research and Training Hospital, Turkey, between 1995 and 2010 were included. Data were collected by retrospectively examining all the patients’ files and the pre- and postoperative breast cancer follow-up forms. Results. Of the patients in the study, 19.9% developed lymphoedema. It was significantly less common in patients who participated in physiotherapy than in those who did not, and it was more common in patients with a body mass index (BMI, kg/m 2 ) between 30 and 34.9 than in patients with lower BMIs. Postoperative axillary radiotherapy did not affect the occurrence of lymphoedema. Conclusion. It is clear that the most successful method to reduce the impact of lymphoedema is to prevent it. We believe that educating patients about the risk factors for developing lymphoedema and referring them to postoperative physical therapy and rehabilitation clinics are the most important ways to avoid this distressing condition.

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4 citations

Cites background from "Manual lymphatic drainage therapy i..."

...[3] Lymphoedema continues to be one of the main and most feared complications of breast cancer treatment,[3]...
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...[13,16,17] Demonstrating and practising weight-lifting exercises and informing patients about manual drainage with hand techniques are also effective in reducing the risk of developing lymphoedema.[3,18] Our patients in the physiotherapy group had a significantly lower incidence of lymphoedema than those in the no physiotherapy group; in addition, patients who were employed had a lower incidence of lymph oedema than those who were unemployed, suggesting that walking, an active Table 3....
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...Each year, 35 - 44 new cases are diagnosed per 100 000 women, and the rate is increasing.[3] Lymphoedema continues to be one of the main and most feared complications of breast cancer treatment,[3]...
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...Some of the main problems associated with lymphoedema are pain, inability to recognise the location of tactile sensations, a heavy sensation in the limbs, decreased mobility, psychosocial stress, isolation and repeated tissue infections.[3,4] The effect on the patient’s quality of life should be taken seriously....
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...It is caused by a defect in the lymphatic system and is marked by an abnormal increase in tissue proteins, oedema, chronic inflammation and fibrosis.[2-3] Three stages have been described....
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Journal Article•DOI•

Lymphoedema: an underestimated health problem

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Christine Moffatt¹, Peter Franks, Debra C. Doherty, Anne F Williams, C. Badger, Eunice Jeffs, Nick Bosanquet, Peter S. Mortimer - Show less +4 more•Institutions (1)

University of West London¹

01 Oct 2003-QJM: An International Journal of Medicine

TL;DR: Chronic oedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.

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Abstract: Summary Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient’s quality of life.

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499 citations

"Manual lymphatic drainage therapy i..." refers background in this paper

...Problems associated with lymphoedema include: pain, altered sensations such as discomfort and heaviness, difficulties with physical mobility, physiological distress, recurrent infections and social isolation [3,4]....
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Journal Article•DOI•

Chronic Arm Morbidity After Curative Breast Cancer Treatment: Prevalence and Impact on Quality of Life

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Winkle Kwan, Jeremy S. H. Jackson, Lorna Weir, Carol Dingee, Greg McGregor, Ivo A. Olivotto - Show less +2 more

15 Oct 2002-Journal of Clinical Oncology

TL;DR: Treatment for breast cancer is associated with considerable arm morbidity, which has a negative impact on QOL, andArm morbidity should be carefully monitored in future studies involving local treatment modalities for Breast cancer.

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Abstract: PURPOSE: To determine the prevalence of and contributing factors for chronic arm morbidity including lymphedema in breast cancer patients after treatment and to assess the impact of arm morbidity on quality of life (QOL). PATIENTS AND METHODS: A four-question screening questionnaire was developed and mailed to a random sample of 744 breast cancer patients treated curatively in two cancer centers from 1993 to 1997. Patients were without recurrence and at least 2 years from diagnosis. Respondents were classified as with or without arm-related symptoms on the basis of the survey. Stratified random samples from each group were then invited for a detailed assessment of their symptoms and signs, including the presence of lymphedema. Their QOL was assessed by the European Organization for Research and Treatment of Cancer QOL Questionnaire C-30 and by a detailed arm problem questionnaire that assessed various aspects of daily arm functioning. RESULTS: Approximately half of all screened patients were symptomatic a...

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344 citations

"Manual lymphatic drainage therapy i..." refers background in this paper

...In a study in which 744 patients with breast cancer were assessed with these quality of life scales, some imbalances regarding the quality of life in those patients with lymphoedema were found [ 8 ]....
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Journal Article•DOI•

Lymphedema and Quality of Life in Breast Cancer Survivors: The Iowa Women's Health Study

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Rehana L. Ahmed¹, Anna E. Prizment¹, DeAnn Lazovich¹, Kathryn H. Schmitz¹, Aaron R. Folsom¹ - Show less +1 more•Institutions (1)

University of Minnesota¹

10 Dec 2008-Journal of Clinical Oncology

TL;DR: HRQOL was lower for BrCa survivors with diagnosed lymphedema and for those with arm symptoms without diagnosed lyMPhedema in the IWHS, according to a dose-response relation between number of arm symptoms and lower HRQOL.

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Abstract: Purpose The impact of lymphedema or related arm symptoms on health-related quality of life (HRQOL) in breast cancer (BrCa) survivors has not been examined using a large population-based cohort. Patients and Methods The Iowa Women’s Health Study (IWHS) collected self-report data for lymphedema, arm symptoms, and HRQOL (Medical Outcomes Study Short Form-36) in 2004 and data for cancer diagnosis, treatment, and behavioral and health characteristics between 1986 and 2003. We studied 1,287 women, age 55 to 69 years at baseline, who developed unilateral BrCa. We used cross-sectional analyses to describe the prevalence of lymphedema and arm symptoms and multivariate-adjusted generalized linear models to compare HRQOL (physical functioning, bodily pain, general health, physical and emotional role limitations, vitality, social functioning, and mental health) between the following three survivor groups: women with lymphedema (n 104), women with arm symptoms without diagnosed lymphedema (n 475), and women without lymphedema or arm symptoms (n 708).

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343 citations

Journal Article•DOI•

The Addition of Manual Lymph Drainage to Compression Therapy For Breast Cancer Related Lymphedema: a Randomized Controlled Trial

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Margaret L. McNeely¹, David J. Magee¹, Alan W. Lees¹, Keith M Bagnall¹, Mark J. Haykowsky¹, John Hanson¹ - Show less +2 more•Institutions (1)

Cross Cancer Institute¹

01 Jul 2004-Breast Cancer Research and Treatment

TL;DR: It is suggested that CB on its own should be considered as a primary treatment option in reducing arm lymphedema volume, as well as manual lymph drainage massage in combination with multi-layered compression bandaging.

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Abstract: Purpose. The purpose of this investigation was to compare the reduction in arm lymphedema volume achieved from manual lymph drainage massage (MLD) in combination with multi-layered compression bandaging (CB) to that achieved by CB alone.

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235 citations

"Manual lymphatic drainage therapy i..." refers background in this paper

...On the other hand, the fact that CPT implies several techniques (manual lymph drainage, skin care and multilayer compression bandaging followed by a compression garment to reduce oedema and therapeutic exercises) makes it difficult to recognize which of them is the truly effective one in the treatment of lymphoedema [ 12-14 ]....
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Journal Article•DOI•

Treatment of breast-cancer-related lymphedema with or without manual lymphatic drainage--a randomized study.

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Lene Andersen¹, Inger Højris¹, Mogens Erlandsen¹, Jørn Andersen¹•Institutions (1)

Aarhus University Hospital¹

01 Jan 2000-Acta Oncologica

TL;DR: The study showed that both groups obtained a significant reduction in edema and that MLD did not contribute significantly to reduce edema volume.

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Abstract: A prospective randomized study was carried out to investigate whether the addition of manual lymphatic drainage (MLD) to the standard therapy could improve treatment outcome in women with lymphedema of the ipsilateral arm after breast cancer treatment. Forty-two patients were randomly assigned to receive standard therapy or standard therapy plus MLD 8 times in 2 weeks and training in self-massage. The standard therapy consisted of use of a compression garment, exercises and information about lymphedema and skin care. The efficacy of treatment was evaluated by reduction in lymphedema volume during treatment and by improvement in symptoms potentially related to lymphedema. The patients were followed-up for a total of 12 months. The study showed that both groups obtained a significant reduction in edema and that MLD did not contribute significantly to reduce edema volume.

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220 citations