Manual Lymphatic Drainage in Blood Circulation of Upper Limb With Lymphedema After Breast Cancer Surgery

J Manipulative Physiol Ther. 2017 May;40(4):246-249. doi: 10.1016/j.jmpt.2017.02.009. Epub 2017 Apr 8.

Abstract

Objective: The purpose of this study was to assess blood flow after manual lymphatic drainage (MLD) in women who had received surgery for breast cancer and had post-axillary lymphadenectomy lymphedema.

Methods: Sixteen volunteers (mean age 64 ± 11.44 years) were divided into 2 groups. Those in group 1 received MLD without upper limb elevation, and those in group 2 received MLD with elevation of 30° of the upper limb. Blood flow velocity of the brachial vein and artery were measured using Doppler ultrasound before, immediately after, and 30 minutes after MLD, with and without 30° of upper limb elevation as defined by a random crossover design and an interval (washout) of 7 days. Comparison of data before and after MLD was evaluated by the Friedman test.

Results: There was a significant increase of blood flow velocity in the brachial vein after the therapeutic procedure with upper limb elevation. However, after 30 minutes the data returned to the pretreatment value.

Conclusion: This preliminary study indicated that MLD promoted increased brachial vein velocity flow in the short term.

Keywords: Blood Circulation; Massage; Physical Therapy; Ultrasonography Doppler.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Blood Flow Velocity / physiology
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Lymphedema / diagnostic imaging
  • Lymphedema / etiology
  • Lymphedema / therapy*
  • Manual Lymphatic Drainage / methods*
  • Massage / methods
  • Mastectomy / adverse effects*
  • Mastectomy / methods
  • Middle Aged
  • Postoperative Care / methods
  • Prospective Studies
  • Regional Blood Flow / physiology*
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex / methods
  • Upper Extremity / physiopathology