Self-Management of Lymphedema Using Complex Decongestive Therapy Including Self-Administered Manual Lymphatic Drainage

Tidhar D, Katz-Leurer M (2010) Supportive Care in Cancer

Key Takeaway

Self-administered lymphatic drainage can be effective when patients are properly trained in technique and sequence.

Summary

This study evaluated whether patients could effectively perform manual lymphatic drainage on themselves as part of lymphedema self-management. Participants were trained in self-MLD techniques and incorporated them into daily home practice.

Results showed that self-administered MLD was feasible and maintained therapeutic benefits when combined with other self-care measures. Proper training in technique and sequence was essential for effectiveness.

This study supports the concept that self-administered lymphatic stimulation protocols like the Big 6 can be effective when following proper technique.

Methods

  • Prospective intervention study
  • Training in self-MLD techniques
  • Home-based daily practice
  • Follow-up assessments of limb volume

Key Results

  • Self-MLD maintained therapeutic benefits
  • High patient compliance with daily practice
  • Technique and sequence adherence important
  • No adverse effects reported

Limitations

  • Small sample size
  • Clinical lymphedema population
  • No control group for self-MLD component
  • Results may not generalize to healthy individuals

Related Interventions

Source

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DOI: 10.1007/s00520-009-0676-z