The Effect of Manual Lymphatic Drainage

Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey10 enrolled

Overview

In venous ulcer, venous insufficiency is accompanied by lymphatic insufficiency. Manual lymphatic drainage (mld) technique cause to increase contraction rate of lymphatic collector and venous flow. It is known that Manual lymphatic drainage accelerates microcirculation, enabling nutrients and oxygen to reach tissues and at the same time removing residual substances from the tissue. We hypothesis that if we inrease to lypmhatic activity with MLD, we could stimulate healing of ulcer. The aim of this study to investigate the effect of manual lymphatic drainage on venous ulcer healing.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Venous Leg Ulcer Venous Insufficiency Lymphatic Disease

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * with venous ulcer unhealing for at least 6 weeks * Without enfection * vascular surgery is not indicated * There is no obstruction to apply MLD and compression to lower extremty Exclusion Criteria: * with diabetic mellutus * with enfection * with ABI\<0,7 * Patients who have undergone venous vascular surgery * Patients undergoing active wound closure treatment

Outcomes

Primary Outcomes

Evaluation of wound healing

Wound was assesed by analyzing photographes of wound with Tracker software.

Time frame: Change from baseline wound healing following the end of treatment (12. treatment session) and 1 month after the end of treatment.

Evaluation of range of motion of ankle

range of motion of ankle was measured with goniometer

Time frame: Change from baseline range of motion following the end of treatment (12. treatment session) and 1 month after the end of treatment.

Evaluation of pain

Pain was evaluated by Visual Analog Scale between 0 (no pain)-10 (extreme) pain.

Time frame: Change from baseline pain following the end of treatment (12. treatment session) and 1 month after the end of treatment.

evaluation of edema

edema was measured by 3D scanner

Time frame: Change from baseline edema following the end of treatment (12. treatment session) and 1 month after the end of treatment.

evaluation of quality of life

quality of life was evaluated by SF- 12

Time frame: Change from baseline quality of life following scores the end of treatment (12. treatment session) and 1 month after the end of treatment.