Randomized Trial Investigating the Efficacy of Manual Lymphatic Drainage to Improve Early Outcome After Total Knee Arthroplasty

Ebert, Jay R.; Joss, Brendan; Jardine, Berit; Wood, David

doi:10.1016/j.apmr.2013.06.009

Cited by 61 publications

(69 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Two studies revealed significant improvements in disease-oriented outcome measures. 12,13 Specifically, after knee arthroscopy, Ebert et al 12 observed significant increases in knee flexion after MLD treatment compared with conventional therapy. Patients in both groups (MLD and conventional therapy) received a standardized inpatient rehabilitation protocol that was conducted 2 times a day for 3 days postoperatively and once daily from the fourth day until discharge from the hospital.…”

Section: Level Of Evidencementioning

confidence: 99%

“…These sites hold lymphocytes, which act as a filter for the lymph. 12 The lymphocytes produce immune bodies to fight off any infection present in the lymph.…”

Section: Level Of Evidencementioning

confidence: 99%

“…• All 3 of the studies included in this CAT reported improvements in at least 1 outcome measure after the lymphatic drainage treatments. [12][13][14] • The primary outcome that was common to the 3 studies was edema, as determined by volumeter measurements or girth circumference. Secondary outcomes included pain, range of motion, activities of daily living, and perceived performance and satisfaction.…”

Section: Focused Clinical Questionmentioning

confidence: 99%

“…One study 11 was excluded because it was rated as level 4 evidence, using 5 participants in a single-subject A-B design. Therefore, 3 met the inclusion criteria [12][13][14] and were included. • All 3 of the studies included in this CAT reported improvements in at least 1 outcome measure after the lymphatic drainage treatments.…”

Section: Focused Clinical Questionmentioning

confidence: 99%

See 3 more Smart Citations

The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries

Majewski-Schrage

Snyder²

2016

Journal of Sport Rehabilitation

View full text Add to dashboard Cite

Clinical Scenario: Managing edema after trauma or injury is a primary concern for health care professionals, as it is theorized that delaying the removal of edema will increase secondary injury and result in a longer recovery period. The inflammatory process generates a series of events, starting with bleeding and ultimately leading to fluid accumulation in intercellular spaces and the formation of edema. Once edema is formed, the lymphatic system plays a tremendous role in removing excess interstitial fluid and returning the fluid to the circulatory system. Therefore, rehabilitation specialists ought to use therapies that enhance the uptake of edema via the lymphatic system to manage edema; however, the modalities commonly used are ice, compression, and elevation. Modalities such as these may be effective at preventing swelling but present limited evidence to suggest that the function of the lymphatic system is enhanced. Manual lymphatic drainage (MLD) is a manual therapy technique that assists the lymphatic system function by promoting variations in interstitial pressures by applying light pressure using different hand movements. Focused Clinical Question: Does MLD improve patient-and disease-oriented outcomes for patients with orthopedic injuries?

show abstract

Section: Level Of Evidencementioning

confidence: 99%

“…These sites hold lymphocytes, which act as a filter for the lymph. 12 The lymphocytes produce immune bodies to fight off any infection present in the lymph.…”

Section: Level Of Evidencementioning

confidence: 99%

Section: Focused Clinical Questionmentioning

confidence: 99%

Section: Focused Clinical Questionmentioning

confidence: 99%

See 2 more Smart Citations

The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries

Majewski-Schrage

Snyder²

2016

Journal of Sport Rehabilitation

View full text Add to dashboard Cite

show abstract

“…The evidence of MLD for the treatment of edema (related to cancer or traumatic during sport activity, or other orthopedic injuries) [25,26,133] and in improving functional status (related to total knee arthroplasty) [24] is unclear but has been considered somehow effective, but more research is needed. Nevertheless, MLD might have an important role in CVD by improving HRQL, symptoms [134,135], and range of motion [24] when edema/lymphedema is present.…”

Section: Manual Lymphatic Drainage In Lymph Edemamentioning

confidence: 99%

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Crisóstomo¹,

Armada-da-Silva²

2017

Clinical Physical Therapy

View full text Add to dashboard Cite

Chronic venous disease (CVD) is a chronic condition that is associated with venous hypertension, vein's valves damage, venous obstruction, and calf muscle pump impairment. This blood circulatory condition is also characterized by important inflammatory changes affecting the skin, the subcutaneous tissue and the muscles, which are probably triggered by blood stasis and venous edema. With disease progression, severe ulcerative skin damage might occur, which when present represent the more severe stage of this condition. CVD has a significant economic, social and health impact, mostly due to raised morbidity and chronicity.The treatment of patients with CVD might focus on both the symptoms and secondary changes of the disease, such as edema, skin and subcutaneous changes or ulcers.Usually, initial treatment of CVD patients involves a non-invasive, conservative treatment to reduce symptoms, treat secondary changes, and help prevent the development of secondary complications and the progression of the disease. Complementary, some interventional or surgical treatments can be undertaken.There are several conservative treatments to treat and prevent complications associated with CVD that have been described in the literature, like manual lymphatic drainage (MLD) and compression, physical exercise, intermittent pneumatic pressure, kinesio taping, electrical muscle stimulation, transcutaneous electrical nerve stimulation, hydrotherapy, and health education. Most of these techniques are complementary to compression therapy or pharmacological treatment. This chapter will address the role of physical therapists in the management of CVD. The chapter will begin by reviewing the basic physiopathology of CVD, including the role of calf muscle pump. The CEAP classification system and the chronic venous severity score will be presented, as these are main tools for clinical assessment of CVD severity. In the remainder of the chapter will address the physiological effects and recommendations for treating CVD of MLD, based on our clinical experience and own research.

show abstract