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A Journal on Internal Medicine
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,6
Panminerva Medica 1998 March;40(1):48-50
Manual lymphatic drainage for chronic post-mastectomy lymphoedema treatment
Fiaschi E., Francesconi G., Fiumelli S., Nicolini A.*, Camici M.**
From the Rehabilitation and Physical Therapy Unit S. Chiara Hospitals
* Oncological Consulting Room and ** Medical Semeiology Pisa University, Italy
Background. The authors evaluated the chronic post-mastectomy lymphoedematous tissue and the effects of manual lymphatic drainage (Leduc method) with and without compressive bandage.
Methods. The arms were measured before and after physical therapy and the results were expressed as a percentage decrease. Physical therapy was performed first by manual lymphatic drainage only and after by manual lymphatic drainage plus compressive bandage.
Results. We observed that during manual lymphatic drainage plus compressive bandage the total percentage decrease of whole limb was the highest: 41.1±12.2% versus 30.4±15.8% (p<0.05). Clinical and physiopathological implications are discussed.