Drainage lymphatique manuel (DLM) ou drainage manuel (DM)

Ferrandez, Jean-Claude; Bouchet, Jean-Yves; Theys, Serge; Torres-Lacomba, María

doi:10.1016/b978-2-294-74192-0.00004-3

Cited by 2 publications

(7 citation statements)

References 3 publications

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“…3 External compression increases the interstitial pressure preventing capillary filtration, increasing capillary reabsorption, increasing lymphatic reabsorption and lymphatic transport and improving lymph drainage. 24,31 Although the traditional multilayered inelastic (short-stretch) bandage is the most widely used, 3 there are other types of bandages or kinesio-tape that could be used, 6–15,26,29,30,32 and our findings may also allow a legitimate use of some of these bandages.…”

Section: Discussionmentioning

confidence: 78%

“…The adhesive bandage is also considered inelastic (short-stretch), being a flexible and malleable material and offering excellent tolerance. 8 This flexibility and malleability make it more elastic than the cohesive and the traditional multilayered bandages, which would explain why it was not as effective as them in reducing the excess of volume. Studies as well as a consensus on the real pressure exerted by each of the bandages are needed.…”

Section: Discussionmentioning

confidence: 99%

“…It included resorption manoeuvre in the oedematous areas of the affected limb, in a cranial-to-caudal direction, once the physiotherapist saw a change in the tissue qualities of the oedema. 8,23 Then, women received 30 minutes of five-chamber intermittent pneumatic compression (Eureduc™) with a pressure of 40 mm Hg and a therapeutic educational strategy comprising instruction about lymphatic system anatomy and pathophysiology, the prevention and identification of possible lymphoedema risk factors, complications or infection, how to protect their skin, how to use and exercise this arm, how to deal with trauma, injury, an excess of heat and arm constriction. For every session treatment, before removing the bandage or kinesio-tape, active functional exercises were encouraged for 15 minutes to improve mobility and enhance lymphatic flow.…”

Section: Methodsmentioning

confidence: 99%

“…The inelastic bandage ‘contains’ oedema and the elastic bandage ‘compress’ oedema increasing pressure at rest which limits capillary filtration and favours reabsorption due to increased tissue pressure. 8,24 Both were applied in a spiral method around the limb, starting at the hand and a layer overlap of 50%, so that the greatest compression was located at the distal points, gradually decreasing towards the proximal shoulder part. The first one was applied at full stretch, and the second one at 30% stretch.…”

Section: Methodsmentioning

confidence: 99%

“…Inelastic bandages can be applied alone, like cohesive bandage, or in combination with other inelastic bandages (multilayer bandage) and with elastic bandages (simplified multilayer bandage). 7,8 Inelastic multilayer bandages are the most commonly used for treatment of lymphoedema. 3…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: a randomized, single-blind, clinical trial

et al. 2020

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Objective: To compare the effects of four types of bandages and kinesio-tape and determine which one is the most effective in women with unilateral breast cancer-related lymphoedema. Design: Randomized, single-blind, clinical trial. Setting: Physiotherapy department in the Women’s Health Research Group at the University of Alcalá, Madrid, Spain. Subjects: A total of 150 women presenting breast-cancer-related lymphoedema. Interventions: Participants were randomized into five groups ( n = 30). All women received an intensive phase of complex decongestive physiotherapy including manual lymphatic drainage, pneumatic compression therapy, therapeutic education, active therapeutic exercise and bandaging. The only difference between the groups was the bandage or tape applied (multilayer; simplified multilayer; cohesive; adhesive; kinesio-tape). Main measurements: The main outcome was percentage excess volume change. Other outcomes measured were heaviness and tightness symptoms, and bandage or tape perceived comfort. Data were collected at baseline and finishing interventions. Results: This study showed significant differences between the bandage groups in absolute value of excess volume ( P < 0.001). The most effective were the simplified multilayer (59.5%, IQR = 28.7) and the cohesive bandages (46.3%, IQR = 39). The bandages/tape with the least difference were kinesio-tape (4.9%, IQR = 17.7) and adhesive bandage (21.7%, IQR = 17.9). The five groups exhibited a significant decrease in symptoms after interventions, with no differences between groups. In addition, kinesio-tape was perceived as the most comfortable by women and multilayer as the most uncomfortable ( P < 0.001). Conclusion: Simplified multilayer seems more effective and more comfortable than multilayer bandage. Cohesive bandage seems as effective as simplified multilayer and multilayer bandage. Kinesio taping seems the least effective.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: a randomized, single-blind, clinical trial

et al. 2020

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A Cadaver Based Comparison of Two Elastic Tension Proximal Interphalangeal Joint (PIPJ) Extension Orthoses with Focus on Force Generation and Pressure Distribution

Punsola-Izard¹,

Carnicero²,

Ozaes-Lara³

et al. 2023

JCM

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Proximal interphalangeal joint flexion contracture is a frequent condition in hand therapy. Clinicians most frequently apply orthosis management for conservative treatment. Orthoses should apply forces for long periods of time following the total end range time (TERT) concept. These forces necessarily transmit through the skin; however, skin has physiological limitations determined by blood flow. Using three fresh frozen human cadavers, this study quantified and compared forces, skin contact surfaces and pressure of two finger orthoses, an elastic tension digital neoprene orthosis (ETDNO) and an LMB 501 orthosis. The study also investigated the effects of a new method of orthosis construction (serial ETDNO orthoses) that customizes forces to a specific finger position. We evaluated forces and contact surfaces for multiple ETDNO models tailored to the cadaver fingers in multiple PIP flexion positions. The results showed that the LMB 501 orthosis applied pressures beyond the recommended limits if applied for more than eight hours a day. This fact was the cause of time limited LMB orthosis application. This results also show that, at 30° of PIPJ flexion, straight ETDNOs created a mean pressure approaching the end of the recommended pressure limits. If the therapist modified the ETDNO design, the skin pressure decreased and reduced the risk of skin damage. With the results of this study, we concluded that for PIPJ flexion contracture, the upper limit of force application is 200 g (1.96 N). Forces beyond this amount would likely cause skin irritation and possibly skin injuries. This would cause a reduction in the daily TERT and limit outcomes.

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Drainage lymphatique manuel (DLM) ou drainage manuel (DM)

Cited by 2 publications

References 3 publications

Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: a randomized, single-blind, clinical trial

Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: a randomized, single-blind, clinical trial

A Cadaver Based Comparison of Two Elastic Tension Proximal Interphalangeal Joint (PIPJ) Extension Orthoses with Focus on Force Generation and Pressure Distribution

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