Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema.

  title={Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema.},
  author={Lijuan Zhang and Aiqun Fan and Jun Yan and Yan He and Huiting Zhang and Huizhen Zhang and Qiaoling Zhong and Feng Liu and QingHua Luo and Liping Zhang and Hailin Tang and Ming-zhu Xin},
  journal={Lymphatic research and biology},
  volume={14 2},
OBJECTIVE Upper limb lymphedema is a common complication after radical mastectomy in patients with breast cancer. In this study, we examined the efficacy of self-manual lymph drainage (MLD) after modified radical mastectomy for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients. METHODS Breast cancer patients scheduled for modified radical mastectomy were randomly apportioned to undergo physical exercise only (PE group, the control… 

Figures and Tables from this paper

Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial

MLD is as safe and effective as AE in rehabilitation after breast cancer surgery and, in older women, improving muscle strength through AE can prevent lymphedema.

Effectiveness of six-step complex decongestive therapy for treating upper limb lymphedema after breast cancer surgery

The six-step CDT method can effectively reduce lymphedema, promote lymphatic circulation, and alleviate the subjective symptoms of patients, and thereby improve the quality of life and treatment compliance among patients.

Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery

Manual lymphatic drainage combined with vacuum sealing drainage can shorten the disappearance time of relevant clinical symptoms, relieve the degree of pain, improve the upper limb disability function and improve the quality of life in patients with AWS.

Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation

Manual lymph drainage as a complex decongestive therapy for lymphedema after breast cancer operation is safe, effective and thus well worth clinical application.


The additional padding with multi-layer bandaging is more significant and mor efficient than the traditional multi- layer bandaging in reducing volume of the limb during intensive phase of DLT in lymphedema post mastectomy.

Prophylactic Use of Compression Sleeves Reduces the Incidence of Arm Swelling in Women at High Risk of Breast Cancer–Related Lymphedema: A Randomized Controlled Trial

Prophylactic use of compression sleeves compared with the control group reduced and delayed the occurrence of arm swelling in women at high risk for lymphedema in the first year after surgery for breast cancer.


Early diagnosis and subsequent successful treatment approach are the path to holistic, systematic and effective treatment in cancer patients.

Surgical Treatment Options of Breast Cancer-Related Lymphedema

Patients and physicians alike should be educated about the risk factors for developing lymphedema after cancer treatment, prompt and proper diagnosis, as well as conservative and surgical treatment options.

Does Exercise Have a Preventive Effect on Secondary Lymphedema in Breast Cancer Patients Following Local Treatment - A Systematic Review

The partly significant results showed that progressive strength training as well as combined dynamic exercise therapies consisting of physiotherapy, physical therapy, and/or kinesiotherapy are safe and can prevent secondary lymphedema.

Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema

It is revealed that home-based modified CDT is more effective in reducing extremity edema volume in secondary LEL than primary LEL, and should be an available method for self-management of LEL at all stages.



Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study.

Both treatment groups demonstrated absolute and relative reductions of excess limb volume, and the addition of MLD did not significantly increase the therapeutic response in women with lymphedema after breast cancer.

Effects of compression bandaging with or without manual lymph drainage treatment in patients with postoperative arm lymphedema.

Low stretch compression bandaging is an effective treatment giving volume reduction of slight or moderate arm lymphedema in women treated for breast cancer.

Treatment of Breast-Cancer-related Lymphedema With or Without Manual Lymphatic Drainage: A Randomized Study

The study showed that both groups obtained a significant reduction in edema and that MLD did not contribute significantly to reduce edema volume.

Prevention and management of arm lymphedema in the patient with breast cancer.

The advent of sentinel lymph node biopsy as an alternative to axillary dissection should decrease the rate of lymphedema, and the increasing number of breast cancer survivors and the high prevalence of the disease will continue to make lyMPhedema a significant consequence of Breast cancer treatment.

Lymphedema: A Therapeutic Approach in the Treatment and Rehabilitation of Cancer Patients

There are two phases of lymphedema treatment: the acute "intensive" phase and the maintenance phase, and the effectiveness of the various components in each phase, as well as the motivation and compliance of the patient, differs.

Decongestive lymphatic therapy for patients with cancer-related or primary lymphedema.

Quality of Life, Upper Extremity Function and the Effect of Lymphedema Treatment in Breast Cancer Related Lymphedema Patients

Upper extremity function was correlated with the age of breast cancer patients and QOL was influenced by M-stage, while Lymphedema treatment was found to be effective in reducing edema in patients with breast cancer related lymphedEMA.

Risk of breast cancer recurrence in patients receiving manual lymphatic drainage: a hospital-based cohort study

MLD is a gentle procedure that does not increase the risk of breast cancer recurrence in patients who develop BCRL, and receiving MLD therapy was not an outcome factor in multivariate analyses.

The standard of care for lymphedema: current concepts and physiological considerations.

The standard of care for lymphedema encompasses risk reduction, early detection, Phase-I Complete Decongestive Therapy in a clinical setting, and Phase-II Self Management at home, including relevant physiological aspects that form the basis of treatment and which are critical to successful outcomes.

The Problem of Post-Breast Cancer Lymphedema: Impact and Measurement Issues

  • J. Armer
  • Medicine
    Cancer investigation
  • 2005
Through increased measurement accuracy, LE incidence and prevalence following current therapeutic approaches for breast cancer treatment cancer will be better understood, and more informed decisions about risk factors, treatment interventions, and recovery will be made.