China
Africa
Explore chapters and articles related to this topic
Prevention and Treatment of Secondary Lymphedema of Extremities, Early Diagnosis of Lymphostasis, and Postsurgical Prevention and Conservative Treatment of Lymphedema
Published in Paloma Tejero, Hernán Pinto, Aesthetic Treatments for the Oncology Patient, 2020
This very gentle skin massage technique stimulates lymph flow in order to decrease the consistency and volume of the edema [26]. It is also used to treat scars and improve the amplitude of movement. Torres et al. [19] recommend it to prevent lymphedema through the activation of alternative drainage pathways in an immediate postoperative setting. Manual lymphatic drainage also helps improve the mobility of the affected extremity [22].
Lymphatic disorders
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Physical therapy for lymphoedema, comprising bed rest, elevation, bandaging, compression garments, massage and exercises, was first described at the end of the nineteenth century, and through the twentieth century various eponymous schools developed. Although there is little doubt that physical therapy can be highly effective in reducing swelling, its general acceptance and practice has been hampered by a lack of proper research and confusing terminology. The current preferred term is decongestive lymphoedema therapy (DLT), which comprises two phases. The first is a short intensive period of therapist-led care and the second is a maintenance phase in which the patient uses a self-care regime with occasional professional intervention. The intensive phase comprises skin care, manual lymphatic drainage (MLD) and multilayer lymphoedema bandaging (MLLB), and exercises. The length of intensive treatment will depend upon the disease severity, the degree of patient compliance and the willingness and ability of the patient to take more responsibility for the maintenance phase. However, weeks rather than months should be the goal.
Lymphoedema – investigation and treatment
Published in Ken Myers, Paul Hannah, Marcus Cremonese, Lourens Bester, Phil Bekhor, Attilio Cavezzi, Marianne de Maeseneer, Greg Goodman, David Jenkins, Herman Lee, Adrian Lim, David Mitchell, Nick Morrison, Andrew Nicolaides, Hugo Partsch, Tony Penington, Neil Piller, Stefania Roberts, Greg Seeley, Paul Thibault, Steve Yelland, Manual of Venous and Lymphatic Diseases, 2017
Ken Myers, Paul Hannah, Marcus Cremonese, Lourens Bester, Phil Bekhor, Attilio Cavezzi, Marianne de Maeseneer, Greg Goodman, David Jenkins, Herman Lee, Adrian Lim, David Mitchell, Nick Morrison, Andrew Nicolaides, Hugo Partsch, Tony Penington, Neil Piller, Stefania Roberts, Greg Seeley, Paul Thibault, Steve Yelland
Manual lymphatic drainage by massage aims to progressively move fluid from more distal to proximal sites. Various techniques are advocated, but they have several features in common. Ideally, a session should last for about one hour, performed at least daily, for a course of up to three weeks. Manual lymphatic drainage should commence with a deep breathing program to clear the abdominal and thoracic lymphatics and prepare them for fluid delivery from the more distal sites.
Simultaneous upper limb melanoma and breast cancer related lymphedema management
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
Dimitrios Dionyssiou, Athanasios Papas, Avra Drougou, Athanasios Tsamaldoupis, Georgios Arsos, Efterpi Demiri
With the use of ICG lymphangiography, patent functional lymphatic channels were identified and marked distal of the dermal back flow area of the left forearm volar surface. The location for LVAs was chosen to be situated distally of the melanoma region, in order avoid any misconception of interference in a potential metastatic route at the central lymphatic circulation. Under microscopic view, three LVAs were performed in an end-to-end anastomosis fashion at the volar ulnar area of the forearm (Figure 2), and immediate restoration of the lymph outflow was confirmed using ICG fluoroscopy. Two weeks after the operation she was instructed to implement our LVA-lymphedema protocol daily manual lymphatic drainage and bandage for 10 days, following by a pressure garment Class II for twelve months during day time.
A scoping review of rehabilitation interventions for survivors of head and neck cancer
Published in Disability and Rehabilitation, 2019
Ana Maria Rodriguez, Alyssa Komar, Jolie Ringash, Catherine Chan, Aileen M. Davis, Jennifer Jones, Rosemary Martino, Sara McEwen
Eight studies [26–33] examined the effects of various exercise interventions aimed at improving general physical function status of survivors of HNC. It should be noted that the focus of the interventions to improve general function, as per the inclusion and exclusion criteria, strictly focused on those provided by physical therapy. As a result, the scoping review excludes studies that could have been carried out by other professionals such as kinesiologists and exercise physiologists. Lønbro and colleagues [34] examined the feasibility of involving survivors in resistance training postoperatively, and all participants had significant improvement in strength. McNeely and colleagues [26–28] completed several studies to evaluate the feasibility, adherence, and effects of progressive resistance exercise training in survivors of HNC. Not only were adherence rates high, but physical function improvements and muscular endurance were much greater in the resistance exercise group as compared to control groups, and were associated with improvements in a variety of outcomes, such as reduction in pain, in disability, and improvement in range of motion. These improvements were greater for groups involved in this particular exercise program than controls enrolled in standard therapeutic exercise protocols. Exercise training programs have also been shown to improve quality of life and functional capacity, fatigue and mental health [29,32]. Tacani and colleagues found that the use of multimodal physical therapy including, manual lymphatic drainage, massage, exercises, patient education, and compression therapy, reduced pain and face and neck lymphedema. Six of the studies on physical therapy interventions were RCTs.
Manual lymphatic drainage and Kinesio taping applications reduce early-stage lower extremity edema and pain following total knee arthroplasty
Published in Physiotherapy Theory and Practice, 2023
Hande Guney-Deniz, Gizem Irem Kinikli, Sercan Aykar, Ceyda Sevinc, Omur Caglar, Bulent Atilla, Inci Yuksel
The principal finding of this study was that additional application of manual lymphatic drainage or KT to standardized exercise therapy had better effects on lower extremity edema and pain compared to only exercise group (control) at the early postoperative period following TKA. The first hypothesis of the study was thus confirmed. In addition, manual lymphatic drainage did not have a superior affect when compared to Kinesio Taping application on lower extremity edema. Therefore, the second hypothesis was rejected. The favorable effects on both MLD and KT groups on edema and pain were not observed at six weeks following surgery, and the knee ROM and KOOS levels were similar among groups.