Manual Drainage for Lymphedema Investigated in First-Ever RCT
Source: Medscape Today By: Zosia Chustecka December 11, 2010 (San Antonio, Texas) — Manual lymph drainage (MLD) in the form of massage was not effective in preventing arm lymphedema in patients with breast cancer who had undergone axillary lymph node dissection. The results come from a randomized clinical trial in 160 patients with breast cancer, reported here today at the 33rd Annual San Antonio Breast Cancer Symposium. "This is a very nice study," commented session moderator Hiram Cody, MD, from the Memorial Sloan-Kettering Cancer Center in New York City. "This has been a data-free zone, and this [study] is a very nice addition," he added. The results were presented by Nele Devoogdt, from University Hospitals Leuven, in Belgium, who undertook the study as part of her doctoral thesis. She was the recipient of a scholarship awarded by the American Association for Cancer Research Translational Research Scholars and funded by Susan G. Komen for the Cure. Massage to Increase Lymph Drainage MLD is a kind of massage where the skin is stretched, Ms. Devoogdt explained. The theory is that it would help to prevent the development of lymphedema by increasing the resorption of lymph, increasing lymph transport, and creating collateral pathways to aid in lymph drainage. However, she pointed out that its effectiveness in preventing lymphedema has never been tested in a randomized controlled clinical trial. So this is what her group set out to investigate. They compared a program consisting of information and exercises therapy, with and without the addition [...]