근거에 입각한 도수림프배출법 적용

임상희¹^,^*

Evidence Based Practice of Manual Lymphatic Drainage

Sang Hee Im¹^,^*

¹연세대학교 의과대학 세브란스병원 재활의학과 및 재활의학연구소

¹Department and Research Institute of Rehabilitation Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

^*Corresponding Author : Sang Hee Im, MD, PhD, Department and Research Institute of Rehabilitation Medicine, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea, Tel: +82-2-2228-3721, Fax: +82-2-363-2795, E-mail: ish2018@yuhs.ac

ⓒ Copyright 2018 Korean Society of Lymphology and Lymphedema. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 02, 2018; Accepted: Nov 09, 2018

Published Online: Nov 30, 2018

Abatract

Manual lymphatic drainage (MLD) is one of main component of complex decongestive physical therapy, which is known as a standard therapy of lymphedema. However, the single effect of MLD on the reduction of lymphedema is not clear. This study aims to summarize the efficacy of the MLD reported to date and to establish the basis for MLD treatment in lymphedema patients. Analysis of the articles published so far suggests that the combination of compressive treatment may increase the therapeutic effect of MLD. This effect is obtained when a skilled therapist treats it. MLD is expected to be more effective in the patients with mild to moderate and early lymphedema than severe one. However, a larger number of patients and well-designed randomized controlled trials are needed to elucidate the effect of MLD.

Keywords: Lymphedema; Manual lymphatic drainage; Complex decongestive physical therapy; Compression therapy