Adjunctive role of manual lymph drainage in the healing of venous ulcers: A comparative pilot study

G. Szolnoky, M. Tuczai, J. M. Macdonald, E. Dosa-Racz, K. Barsony, M. Balogh, G. Szabad, A. Dobozy, L. Kemeny

Research output: Contribution to journalArticle

Abstract

Compression therapy plays a pivotal role in the treatment of venous leg ulcers and clinical observations include lymph stasis as contributing to the maintenance of chronic wounds. This finding raises the question whether further improvement in lymph circulation with manual lymph drainage (MLD) as a part of complex decongestive physiotherapy (CDP) can improve ulcer healing. We examined whether CDP improves healing of venous leg ulcers and compared the efficacy of CDP with that of multilayered compression with short-stretch bandages. Eight patients (mean age: 64.8 years, mean ulcer area: 23.07 cm2, duration of ulcers: 25.37 months) were treated with a 5-day-course of CDP and 9 patients (mean age: 70.77 years, mean ulcer area: 21.47 cm2, duration of ulcers: 15.8 months) were included in a 10-day-course of CDP. Control goup consisted of 9 patients (mean age: 56.33 years, mean ulcer area: 13.87 cm2, duration of ulcers: 6.11 months) receiving multilayered compression. Wound surface measurement was carried out on days 5 and 10 and ulcer area reduction rate was calculated as area (initial)-area (final)/time unit. There was no statistical difference between the 5-daycourse of CDP and compression of the same duration regarding ulcer healing (t=-1.62, df=15, p= 0.125). A 10-day-course of CDP significantly increased ulcer healing compared to compression of the same duration (t=-2.42, df=16, p= 0.039). Our preliminary results suggest that MLD as a part of CDP supports healing of venous leg ulcers.

Original languageEnglish
Pages (from-to)148-159
Number of pages12
JournalLymphology
Volume51
Issue number4
Publication statusPublished - 2018

Keywords

  • compression
  • lymph stasis
  • manual lymph drainage
  • ulcer size
  • venous leg ulcer

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology

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    Szolnoky, G., Tuczai, M., Macdonald, J. M., Dosa-Racz, E., Barsony, K., Balogh, M., Szabad, G., Dobozy, A., & Kemeny, L. (2018). Adjunctive role of manual lymph drainage in the healing of venous ulcers: A comparative pilot study. Lymphology, 51(4), 148-159.