Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study

(1) Background: Manual lymphatic drainage (MLD), included within the complex decongestive therapy, as a therapy for the treatment of lymphedema has raised controversy about its benefits for lymphedema after breast cancer. The aim of this research is to test the effects of MLD on lymphedema after bre...

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Main Authors: Iria Da Cuña-Carrera, Mercedes Soto-González, Rocío Abalo-Núñez, Eva M. Lantarón-Caeiro
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/2/402
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author Iria Da Cuña-Carrera
Mercedes Soto-González
Rocío Abalo-Núñez
Eva M. Lantarón-Caeiro
author_facet Iria Da Cuña-Carrera
Mercedes Soto-González
Rocío Abalo-Núñez
Eva M. Lantarón-Caeiro
author_sort Iria Da Cuña-Carrera
collection DOAJ
description (1) Background: Manual lymphatic drainage (MLD), included within the complex decongestive therapy, as a therapy for the treatment of lymphedema has raised controversy about its benefits for lymphedema after breast cancer. The aim of this research is to test the effects of MLD on lymphedema after breast cancer during the treatment maintenance phase. (2) Methods: A randomized, single-blinded, controlled crossover trial was conducted to analyze the effects of a manual lymphatic drainage intervention compared to a control group without MLD intervention for the treatment of lymphedema. Arm volume measured by circumference measurement, subcutaneous tissue thickness measured by ultrasound, and the sensation of pain, heaviness, and swelling were evaluated as outcome measures. (3) Results: For the control group, an increase in volume was found in some of the circumference and subcutaneous tissue thickness measurements, in addition to a worsening of arm pain, swelling and heaviness. (4) Conclusion: The absence of treatment based on MLD in lymphedema after breast cancer worsens volume measurements, as well as arm heaviness. Therefore, it would be advisable to carry out this type of therapy as part of the maintenance treatment for lymphedema in breast cancer.
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spelling doaj.art-02b953c1f7cf4d11bc722e91dd82382b2024-01-29T14:01:27ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113240210.3390/jcm13020402Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover StudyIria Da Cuña-Carrera0Mercedes Soto-González1Rocío Abalo-Núñez2Eva M. Lantarón-Caeiro3Clinic Physiotherapy Group, Galicia South Health Research Institute, Servicio Galego de Saúde, 36312 Vigo, SpainClinic Physiotherapy Group, Galicia South Health Research Institute, Servicio Galego de Saúde, 36312 Vigo, SpainClinic Physiotherapy Group, Galicia South Health Research Institute, Servicio Galego de Saúde, 36312 Vigo, SpainClinic Physiotherapy Group, Galicia South Health Research Institute, Servicio Galego de Saúde, 36312 Vigo, Spain(1) Background: Manual lymphatic drainage (MLD), included within the complex decongestive therapy, as a therapy for the treatment of lymphedema has raised controversy about its benefits for lymphedema after breast cancer. The aim of this research is to test the effects of MLD on lymphedema after breast cancer during the treatment maintenance phase. (2) Methods: A randomized, single-blinded, controlled crossover trial was conducted to analyze the effects of a manual lymphatic drainage intervention compared to a control group without MLD intervention for the treatment of lymphedema. Arm volume measured by circumference measurement, subcutaneous tissue thickness measured by ultrasound, and the sensation of pain, heaviness, and swelling were evaluated as outcome measures. (3) Results: For the control group, an increase in volume was found in some of the circumference and subcutaneous tissue thickness measurements, in addition to a worsening of arm pain, swelling and heaviness. (4) Conclusion: The absence of treatment based on MLD in lymphedema after breast cancer worsens volume measurements, as well as arm heaviness. Therefore, it would be advisable to carry out this type of therapy as part of the maintenance treatment for lymphedema in breast cancer.https://www.mdpi.com/2077-0383/13/2/402manual lymphatic drainagebreast cancerlymphedema
spellingShingle Iria Da Cuña-Carrera
Mercedes Soto-González
Rocío Abalo-Núñez
Eva M. Lantarón-Caeiro
Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study
Journal of Clinical Medicine
manual lymphatic drainage
breast cancer
lymphedema
title Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study
title_full Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study
title_fullStr Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study
title_full_unstemmed Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study
title_short Is the Absence of Manual Lymphatic Drainage-Based Treatment in Lymphedema after Breast Cancer Harmful? A Randomized Crossover Study
title_sort is the absence of manual lymphatic drainage based treatment in lymphedema after breast cancer harmful a randomized crossover study
topic manual lymphatic drainage
breast cancer
lymphedema
url https://www.mdpi.com/2077-0383/13/2/402
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