Cybermedlife - Therapeutic Actions Massage - Lymphatic

Effects of mechanical massage, manual lymphatic drainage and connective tissue manipulation techniques on fat mass in women with cellulite.

Abstract Title: Effects of mechanical massage, manual lymphatic drainage and connective tissue manipulation techniques on fat mass in women with cellulite. Abstract Source: J Eur Acad Dermatol Venereol. 2010 Feb;24(2):138-42. Epub 2009 Jul 13. PMID: 19627407 Abstract Author(s): V Bayrakci Tunay, T Akbayrak, Y Bakar, H Kayihan, N Ergun Article Affiliation: Hacettepe University, Faculty of Health Sciences Department of Physical Therapy and Rehabilitation, 06100 Ankara, Turkey. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: OBJECTIVE: To evaluate and compare the effectiveness of three different noninvasive treatment techniques on fat mass and regional fat thickness of the patients with cellulites. METHODS: Sixty subjects were randomized into three groups. Group 1 (n = 20) treated with mechanical massage (MM), group 2 (n = 20) treated with manual lymphatic drainage (MLD) and group 3 (n = 20) treated with connective tissue manipulation (CTM) techniques. Subjects were evaluated by using standardized photographs, body composition analyzer (TBF 300) (body weight (BW), body mass index (BMI), fat %, fat mass (FM), fat free mass (FFM), total body water (TBW)), circumference measurement from thigh, waist-hip ratio (WHR), fat thickness measurements from abdomen, suprailium and thigh regions with skin fold caliper. RESULTS: All groups had an improvement in thinning of the subcutaneous fat after the treatment (P<0.05). Thigh circumference decreased by an average of 0.5 cm in all groups and thigh fat thickness decreased 1.66 mm in Group 1, 2.21 mm in Group 2 and 3.03 mm in Group 3. Abdomen and suprailium fat thicknesses decreased 2.4 and 2.58 mm in Group 1, 1.78 and 2 mm in Group 2 and 1.23 and 0.64 mm in Group 3, respectively. The mean difference in waist-hip ratio was 0.1 cm in all groups. CONCLUSION: All the treatment techniques are effective in decreasing the regional fat values of the patients with cellulites. Article Published Date : Feb 01, 2010

Manual lymphatic drainage in management of edema in a case with CRPS: why the(y) wait?

Abstract Title: Manual lymphatic drainage in management of edema in a case with CRPS: why the(y) wait? Abstract Source: Rheumatol Int. 2009 Oct 13. Epub 2009 Oct 13. PMID: 19823831 Abstract Author(s): Ismail Safaz, Fatih Tok, Mehmet Ali Taşkaynatan, Ahmet Ozgul Article Affiliation: Department of Physical Medicine and Rehabilitation, GATA TSK Rehabilitasyon Merkezi, 06530, Bilkent Ankara, Turkey. Abstract: Complex regional pain syndrome (CRPS) is a disorder characterized by pain, edema, skin color changes and autonomic abnormalities. Its treatment is quite difficult and in most of the patients effective results cannot be reached. Manual lymphatic drainage is a very rare method for managing limb edema in CRPS. In this case report, the dramatic response of an excessive edema to lymphatic drainage was discussed in a CRPS patient. Article Published Date : Oct 13, 2009

Cerebrospinal fluid stasis and its clinical significance. 📎

Abstract Title: Cerebrospinal fluid stasis and its clinical significance. Abstract Source: Altern Ther Health Med. 2009 May-Jun;15(3):54-60. PMID: 19472865 Abstract Author(s): James M Whedon, Donald Glassey Article Affiliation: The Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA. Abstract: We hypothesize that stasis of the cerebrospinal fluid (CSF) occurs commonly and is detrimental to health. Physiologic factors affecting the normal circulation of CSF include cardiovascular, respiratory, and vasomotor influences. The CSF maintains the electrolytic environment of the central nervous system (CNS), influences systemic acid-base balance, serves as a medium for the supply of nutrients to neuronal and glial cells, functions as a lymphatic system for the CNS by removing the waste products of cellular metabolism, and transports hormones, neurotransmitters, releasing factors, and other neuropeptides throughout the CNS. Physiologic impedance or cessation of CSF flow may occur commonly in the absence of degenerative changes or pathology and may compromise the normal physiologic functions of the CSF. CSF appears to be particularly prone to stasis within the spinal canal. CSF stasis may be associated with adverse mechanical cord tension, vertebral subluxation syndrome, reduced cranial rhythmic impulse, and restricted respiratory function. Increased sympathetic tone, facilitated spinal segments, dural tension, and decreased CSF flow have been described as closely related aspects of an overall pattern of structural and energetic dysfunction in the axial skeleton and CNS. Therapies directed at affecting CSF flow include osteopathic care (especially cranial manipulation), craniosacral therapy, chiropractic adjustment of the spine and cranium, Network Care (formerly Network Chiropractic), massage therapy (including lymphatic drainage techniques), yoga, therapeutic breath-work, and cerebrospinal fluid technique. Further investigation into the nature and causation of CSF stasis, its potential effects upon human health, and effective therapies for its correction is warranted. Article Published Date : May 01, 2009
Therapeutic Actions Massage - Lymphatic

NCBI pubmed

S1 guidelines: Lipedema.

Related Articles S1 guidelines: Lipedema. J Dtsch Dermatol Ges. 2017 Jul;15(7):758-767 Authors: Reich-Schupke S, Schmeller W, Brauer WJ, Cornely ME, Faerber G, Ludwig M, Lulay G, Miller A, Rapprich S, Richter DF, Schacht V, Schrader K, Stücker M, Ure C Abstract The present, revised guidelines on lipedema were developed under the auspices of and funded by the German Society of Phlebology (DGP). The recommendations are based on a systematic literature search and the consensus of eight medical societies and working groups. The guidelines contain recommendations with respect to diagnosis and management of lipedema. The diagnosis is established on the basis of medical history and clinical findings. Characteristically, there is a localized, symmetrical increase in subcutaneous adipose tissue in arms and legs that is in marked disproportion to the trunk. Other findings include edema, easy bruising, and increased tenderness. Further diagnostic tests are usually reserved for special cases that require additional workup. Lipedema is a chronic, progressive disorder marked by the individual variability and unpredictability of its clinical course. Treatment consists of four therapeutic mainstays that should be combined as necessary and address current clinical symptoms: complex physical therapy (manual lymphatic drainage, compression therapy, exercise therapy, and skin care), liposuction and plastic surgery, diet, and physical activity, as well as psychotherapy if necessary. Surgical procedures are indicated if - despite thorough conservative treatment - symptoms persist, or if there is progression of clinical findings and/or symptoms. If present, morbid obesity should be therapeutically addressed prior to liposuction. PMID: 28677175 [PubMed - indexed for MEDLINE]