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

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 i...

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Bibliographic Details
Published in:Journal of manipulative and physiological therapeutics 2017-05, Vol.40 (4), p.246-249
Main Authors: Guerero, Raquel Michelini, PT, das Neves, Lais Mara Siqueira, MSc, Guirro, Rinaldo Roberto de Jesus, PhD, Guirro, Elaine Caldeira de Oliveira, PhD
Format: Article
Language:English
Subjects:
Adult
Aged
Blood Circulation
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
Massage - methods
Mastectomy - adverse effects
Mastectomy - methods
Middle Aged
Physical Medicine and Rehabilitation
Physical Therapy
Postoperative Care - methods
Prospective Studies
Regional Blood Flow - physiology
Risk Assessment
Severity of Illness Index
Treatment Outcome
Ultrasonography Doppler
Ultrasonography, Doppler, Duplex - methods
Upper Extremity - physiopathology
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Summary: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.
ISSN:0161-4754
1532-6586
DOI:10.1016/j.jmpt.2017.02.009