INSPIRING FUTURES

A randomized controlled crossover study of manual lymphatic drainage therapy in women with breast cancer-related lymphoedema.

Williams, Anne, Vadgama, A, Franks, Peter and Mortimer, Peter S (2002) A randomized controlled crossover study of manual lymphatic drainage therapy in women with breast cancer-related lymphoedema. European Journal of Cancer Care, 11 (4). pp. 254-261. ISSN 1365-2354

[img]
Preview
PDF (Adobe File)
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (120kB) | Preview

    Abstract/Description

    This paper describes a randomized controlled crossover study examining the effects of manual lymphatic
    drainage (MLD) in 31 women with breast cancer-related lymphoedema. MLD is a type of massage used in
    combination with skin care, support/compression therapy and exercise in the management of lymphoedema.
    A modified version of MLD, referred to as simple lymphatic drainage (SLD), is commonly taught as a selfhelp
    measure. There has been limited research into the efficacy of MLD and SLD. The study reported here
    explores the effects of MLD and SLD on a range of outcome measures. The findings demonstrate that MLD
    significantly reduces excess limb volume (difference, d = 71, 95% CI = 16–126, P = 0.013) and reduced dermal
    thickness in the upper arm (d = 0.15, 95% CI = 0.12–0.29, P = 0.03). Quality of life, in terms of emotional
    function (d = 7.2, 95% CI = 2.3–12.1, P = 0.006), dyspnoea (d = -4.6, 95% CI = -9.1 to -0.15, P = 0.04) and
    sleep disturbance (d = -9.2, 95% CI = -17.4 to -1.0, P = 0.03), and a number of altered sensations, such as pain
    and heaviness, were also significantly improved by MLD. The study provides evidence to support the use of
    MLD in women with breast cancer-related lymphoedema. The limitations of the study are outlined and future
    areas for study are highlighted.

    Item Type: Article
    Print ISSN: 1365-2354
    Electronic ISSN: 0961-5423
    Uncontrolled Keywords: Manual lymphatic drainage (MLD); Breast cancer-related lymphoedema; lymphoedema therapy; Combined decongestive therapy (CDT)
    University Divisions/Research Centres: Faculty of Health, Life & Social Sciences > School of Nursing, Midwifery and Social Care
    Dewey Decimal Subjects: 600 Technology > 610 Medicine & health > 610 Medicine & health
    600 Technology > 610 Medicine & health > 616 Diseases
    Library of Congress Subjects: R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
    Item ID: 1615
    Depositing User: RAE Import
    Date Deposited: 09 May 2008 15:40
    Last Modified: 17 Jun 2013 10:26
    URI: http://researchrepository.napier.ac.uk/id/eprint/1615

    Actions (login required)

    View Item

    Document Downloads

    More statistics for this item...

    Edinburgh Napier University is a registered Scottish charity. Registration number SC018373