Rehabilitation effect of manual lymphatic drainage on pain threshold and tolerance, tactile sensation, and strength.

Cirugia y cirujanos Pub Date : 2024-11-20 DOI:10.24875/CIRU.24000129

Emine Cihan, Cansu Sahbaz Pirinççi

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Abstract

Objective: This study evaluates the acute therapeutic effect of manual lymphatic drainage (MLD).

Methods: Eighty-two individuals (164 upper limbs) participating in the study were divided into two groups: MLD and sham. Before and after treatment, measurements of pressure pain threshold (PPT), pain tolerance, muscle strength (using a hand dynamometer and pinchmeter), and two-point discrimination (2PD) with an esthesiometer were conducted.

Results: Age, height, weight, body mass index, gender, and dominant extremity of the participants showed similar characteristics (p > 0.05). There was a difference hypothenar PPT (p = 0.038) and pain tolerance (p = 0.009), thenar PPT (p = 0.021) and pain tolerance (p = 0.001), mid-ulnar PPT (p = 0.028), biceps PPT (p < 0.001), pain tolerance (p < 0.001), and grip strength (p = 0.030) between the groups after the therapy. When comparison was made between the groups at baseline and after the treatment all were found to differ (p < 0.05).

Conclusions: MLD reduced PPR, pain tolerance, hand grip, and pinch strength in young adults. However, in this population, the distance felt in 2PD evaluation with MLD decreased.

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人工淋巴引流对疼痛阈值和耐受性、触觉和力量的康复效果。

目的：本研究评估了人工淋巴引流术（MLD）的急性治疗效果：本研究评估了人工淋巴引流术（MLD）的急性治疗效果：参加研究的 82 人（164 个上肢）分为两组：MLD组和假治疗组。在治疗前后，对压力痛阈值（PPT）、疼痛耐受性、肌肉力量（使用手部测力计和捏力计）和两点辨别力（2PD）进行了测量：结果：受试者的年龄、身高、体重、体重指数、性别和优势肢体的特征相似（P > 0.05）。治疗后，各组间的下桡侧 PPT（p = 0.038）和疼痛耐受性（p = 0.009）、踵侧 PPT（p = 0.021）和疼痛耐受性（p = 0.001）、中桡侧 PPT（p = 0.028）、肱二头肌 PPT（p < 0.001）、疼痛耐受性（p < 0.001）和握力（p = 0.030）均有差异。在对基线组和治疗后组进行比较时，发现所有组间均存在差异（P < 0.05）：结论：MLD 降低了青壮年的肢体活动能力、疼痛耐受力、手部握力和捏力。然而，在这一人群中，使用 MLD 进行 2PD 评估时感受到的距离减少了。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cirugia y cirujanos

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