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Panminerva Medica 1998 March;40(1):48-50

lingua: Inglese

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


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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.

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