Acute Cardiovascular Responses to the Application of Manual Lymphatic Drainage in Different Body Regions

Esmer, Murat; Keser, İlke; Erer, Dilek; Küpeli, Buse

doi:10.1089/lrb.2018.0043

Cited by 8 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Esmer et al 2019 revealed immediate changes in blood pressure, as well as heart rate, following one session of manual lymphatic draining in several different body regions [21]. They reported a decrease in systolic and diastolic blood pressure directly after MLD, which was performed in the lower extremities [21]. This is in contradiction to the results we present here.…”

Section: Discussioncontrasting

confidence: 99%

“…No changes in baseline hemodynamic parameters could be observed after MLD. Previous studies examining cardiovascular and hemodynamic changes due to physical therapy report inconclusive outcomes [21][22][23]. Esmer et al 2019 revealed immediate changes in blood pressure, as well as heart rate, following one session of manual lymphatic draining in several different body regions [21].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies examining cardiovascular and hemodynamic changes due to physical therapy report inconclusive outcomes [21][22][23]. Esmer et al 2019 revealed immediate changes in blood pressure, as well as heart rate, following one session of manual lymphatic draining in several different body regions [21]. They reported a decrease in systolic and diastolic blood pressure directly after MLD, which was performed in the lower extremities [21].…”

Section: Discussionmentioning

confidence: 99%

“…A potential explanation for the inconclusive findings in the different studies could be the patients that were included. Some studies included healthy participants [21,22], while, in others, patients with heart disease participated [23]. In our study, hemodynamic changes due to MLD were determined in lower limb lymphedema patients.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Hemodynamic Responses in Lower Limb Lymphedema Patients Undergoing Physical Therapy

Brix

White

Ure³

et al. 2021

Biology

View full text Add to dashboard Cite

Background: Lymphedema arises due to a malfunction of the lymphatic system, leading to extensive tissue swelling. Complete decongestive therapy (CDT), which is a physical therapy lasting for 3 weeks and includes manual lymphatic drainages (MLD), leads to fluid mobilization and increases in plasma volume. Here, we investigated hemodynamic responses induced by these fluid shifts due to CDT and MLD. Methods: Hemodynamic parameters were assessed continuously during a sit-to-stand test (5 min baseline, 5 min of standing, and 5 min of recovery). This intervention was repeated on days 1, 2, 7, 14, and 21 of CDT, before and after MLD. Volume regulatory hormones were assessed in plasma samples. Results: A total number of 13 patients took part in this investigation. Resting diastolic blood pressure significantly decreased over three weeks of CDT (p = 0.048). No changes in baseline values were shown due to MLD. However, MLD led to a significant decrease in heart rate during orthostatic loading over all epochs on therapy day 14, as well as day 21. Volume regulatory hormones did not show changes over lymphedema therapy. Conclusion: We did not observe any signs of orthostatic hypotension at rest, as well as during to CDT, indicating that lymphedema patients do not display an elevated risk of orthostatic intolerance. Although baseline hemodynamics were not affected, MLD has shown to have potential beneficial effects on hemodynamic responses to a sit-to-stand test in patients undergoing lymphedema therapy.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hemodynamic Responses in Lower Limb Lymphedema Patients Undergoing Physical Therapy

Brix

White

Ure³

et al. 2021

Biology

View full text Add to dashboard Cite

show abstract

“…Patient 2 began with high blood pressure; this could have been due to the acute stress of the injury, and it may have decreased spontaneously even without specific intervention. However, a systolic BP decrease was previously reported in healthy subjects [28,31] and patients [23] after MLD. Systolic BP control/monitoring can be decisive since hypotension is an indicator of poor prognosis and a risk factor for increased mortality following TBI.…”

Section: Discussionmentioning

confidence: 80%

The Effect of Craniofacial Manual Lymphatic Drainage after Moderate Traumatic Brain Injury

et al. 2023

View full text Add to dashboard Cite

Previous studies suggest that craniofacial manual lymphatic drainage (MLD) facilitates brain fluids clearance, reducing intracranial pressure and reabsorbing chronic subdural hematoma. This study aimed to explore the effect of craniofacial MLD in combination with pharmacological treatment for improving cranial pain intensity, vital signs, and cerebral edema (Hounsfield units, HUs) in moderate traumatic brain injury (mTBI). Patient 1 received pharmacological therapy, while patient 2 received both pharmacological and craniocervical MLD treatment. Patient 2 showed decreased cranial pain intensity and systolic blood pressure (66%–11.11%, respectively) after two 30 min daily sessions of treatment for three days. HUs in the caudate nucleus of both hemispheres (left 24.64%–right 28.72%) and in the left temporal cortical gray matter increased (17.8%). An increase in HU suggests a reduction in cerebral edema and vice versa. For patient 1, there were no changes in cranial pain intensity, but a slight increase in the systolic blood pressure was observed (0%–3.27%, respectively). HUs decreased in the temporal cortical (14.98%) and caudate nucleus gray matter (9.77%) of the left and right cerebral hemispheres (11.96%–16.74%, respectively). This case study suggests that craniofacial MLD combined with pharmacological treatment could reduce cerebral edema, decrease head pain intensity, and maintain vital signs in normal physiologic values in patients with mTBI.

show abstract

Quantitative analysis of pressure levels in manual lymphatic drainage across stages of breast cancer-related lymphedema: implications for optimized treatment protocols

Xing,

Liu,

Chen

et al. 2024

Breast Cancer Res Treat

View full text Add to dashboard Cite

Acute Cardiovascular Responses to the Application of Manual Lymphatic Drainage in Different Body Regions

Cited by 8 publications

References 19 publications

Hemodynamic Responses in Lower Limb Lymphedema Patients Undergoing Physical Therapy

Hemodynamic Responses in Lower Limb Lymphedema Patients Undergoing Physical Therapy

The Effect of Craniofacial Manual Lymphatic Drainage after Moderate Traumatic Brain Injury

Quantitative analysis of pressure levels in manual lymphatic drainage across stages of breast cancer-related lymphedema: implications for optimized treatment protocols

Contact Info

Product

Resources

About