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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Systematic Review of Efficacy for Manual Lymphatic Drainage Techniques in Sports Medicine and Rehabilitation: An Evidence-Based Practice Approach</title><author><name sortKey="Vairo, Giampietro L" sort="Vairo, Giampietro L" uniqKey="Vairo G" first="Giampietro L" last="Vairo">Giampietro L. Vairo</name><affiliation><nlm:aff id="aff1">PhD Candidate in Kinesiology/Athletic Training and Sports Medicine, Graduate Teaching and Research Assistant, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author><author><name sortKey="Miller, Sayers John" sort="Miller, Sayers John" uniqKey="Miller S" first="Sayers John" last="Miller">Sayers John Miller</name><affiliation><nlm:aff id="aff2">Assistant Professor of Kinesiology, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author><author><name sortKey="Mcbrier, Nicole M" sort="Mcbrier, Nicole M" uniqKey="Mcbrier N" first="Nicole M" last="Mcbrier">Nicole M. Mcbrier</name><affiliation><nlm:aff id="aff3">Director, Athletic Training Research Laboratory, Assistant Professor of Kinesiology, Department of Kinesiology, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author><author><name sortKey="Buckley, William E" sort="Buckley, William E" uniqKey="Buckley W" first="William E" last="Buckley">William E. Buckley</name><affiliation><nlm:aff id="aff4">Professor of Exercise and Sport Science, Health Education, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20046617</idno><idno type="pmc">2755111</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755111</idno><idno type="RBID">PMC:2755111</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">002F59</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002F59</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Systematic Review of Efficacy for Manual Lymphatic Drainage Techniques in Sports Medicine and Rehabilitation: An Evidence-Based Practice Approach</title><author><name sortKey="Vairo, Giampietro L" sort="Vairo, Giampietro L" uniqKey="Vairo G" first="Giampietro L" last="Vairo">Giampietro L. Vairo</name><affiliation><nlm:aff id="aff1">PhD Candidate in Kinesiology/Athletic Training and Sports Medicine, Graduate Teaching and Research Assistant, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author><author><name sortKey="Miller, Sayers John" sort="Miller, Sayers John" uniqKey="Miller S" first="Sayers John" last="Miller">Sayers John Miller</name><affiliation><nlm:aff id="aff2">Assistant Professor of Kinesiology, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author><author><name sortKey="Mcbrier, Nicole M" sort="Mcbrier, Nicole M" uniqKey="Mcbrier N" first="Nicole M" last="Mcbrier">Nicole M. Mcbrier</name><affiliation><nlm:aff id="aff3">Director, Athletic Training Research Laboratory, Assistant Professor of Kinesiology, Department of Kinesiology, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author><author><name sortKey="Buckley, William E" sort="Buckley, William E" uniqKey="Buckley W" first="William E" last="Buckley">William E. Buckley</name><affiliation><nlm:aff id="aff4">Professor of Exercise and Sport Science, Health Education, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of Manual & Manipulative Therapy</title><idno type="ISSN">1066-9817</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Manual therapists question integrating manual lymphatic drainage techniques (MLDTs) into conventional treatments for athletic injuries due to the scarcity of literature concerning musculoskeletal applications and established orthopaedic clinical practice guidelines. The purpose of this systematic review is to provide manual therapy clinicians with pertinent information regarding progression of MLDTs as well as to critique the evidence for efficacy of this method in sports medicine. We surveyed English-language publications from 1998 to 2008 by searching PubMed, PEDro, CINAHL, the Cochrane Library, and SPORTDiscus databases using the terms <italic>lymphatic system</italic>, <italic>lymph drainage</italic>, <italic>lymphatic therapy</italic>, <italic>manual lymph drainage</italic>, and <italic>lymphatic pump techniques</italic>. We selected articles investigating the effects of MLDTs on orthopaedic and athletic injury outcomes. Nine articles met inclusion criteria, of which 3 were randomized controlled trials (RCTs). We evaluated the 3 RCTs using a validity score (PEDro scale). Due to differences in experimental design, data could not be collapsed for meta-analysis. Animal model experiments reinforce theoretical principles for application of MLDTs. When combined with concomitant musculoskeletal therapy, pilot and case studies demonstrate MLDT effectiveness. The best evidence suggests that efficacy of MLDT in sports medicine and rehabilitation is specific to resolution of enzyme serum levels associated with acute skeletal muscle cell damage as well as reduction of edema following acute ankle joint sprain and radial wrist fracture. Currently, there is limited high-ranking evidence available. Well-designed RCTs assessing outcome variables following implementation of MLDTs in treating athletic injuries may provide conclusive evidence for establishing applicable clinical practice guidelines in sports medicine and rehabilitation.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Man Manip Ther</journal-id><journal-id journal-id-type="publisher-id">JMMT</journal-id><journal-title-group><journal-title>The Journal of Manual & Manipulative Therapy</journal-title></journal-title-group><issn pub-type="ppub">1066-9817</issn><publisher><publisher-name>Journal of Manual & Manipulative Therapy, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20046617</article-id><article-id pub-id-type="pmc">2755111</article-id><article-id pub-id-type="publisher-id">jmmt0017-0e80</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Systematic Review of Efficacy for Manual Lymphatic Drainage Techniques in Sports Medicine and Rehabilitation: An Evidence-Based Practice Approach</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Vairo</surname><given-names>Giampietro L</given-names></name><degrees>MS, ATC, ACI</degrees><xref ref-type="aff" rid="aff1"><sup>a</sup></xref><xref ref-type="author-notes" rid="cor1">∗</xref></contrib><contrib contrib-type="author"><name><surname>Miller</surname><given-names>Sayers John</given-names></name><degrees>PhD, PT, ATC</degrees><xref ref-type="aff" rid="aff2"><sup>b</sup></xref></contrib><contrib contrib-type="author"><name><surname>McBrier</surname><given-names>Nicole M</given-names></name><degrees>PhD, ATC</degrees><xref ref-type="aff" rid="aff3"><sup>c</sup></xref></contrib><contrib contrib-type="author"><name><surname>Buckley</surname><given-names>William E</given-names></name><degrees>PhD, MBA, ATC</degrees><xref ref-type="aff" rid="aff4"><sup>d</sup></xref></contrib><aff id="aff1"><sup>a</sup>PhD Candidate in Kinesiology/Athletic Training and Sports Medicine, Graduate Teaching and Research Assistant, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</aff><aff id="aff2"><sup>b</sup>Assistant Professor of Kinesiology, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</aff><aff id="aff3"><sup>c</sup>Director, Athletic Training Research Laboratory, Assistant Professor of Kinesiology, Department of Kinesiology, College of Health and Human Development, The Pennsylvania State University, University Park, PA</aff><aff id="aff4"><sup>d</sup>Professor of Exercise and Sport Science, Health Education, Department of Kinesiology, Athletic Training Research Laboratory, College of Health and Human Development, The Pennsylvania State University, University Park, PA</aff></contrib-group><author-notes><corresp id="cor1">Address all correspondence and requests for reprints to: Giampietro L Vairo, <email>glv103@psu.edu</email></corresp></author-notes><pub-date pub-type="ppub"><year>2009</year></pub-date><volume>17</volume><issue>3</issue><fpage>e80</fpage><lpage>e89</lpage><permissions><copyright-statement>Copyright 2009 Journal of Manual & Manipulative Therapy</copyright-statement></permissions><abstract><p>Manual therapists question integrating manual lymphatic drainage techniques (MLDTs) into conventional treatments for athletic injuries due to the scarcity of literature concerning musculoskeletal applications and established orthopaedic clinical practice guidelines. The purpose of this systematic review is to provide manual therapy clinicians with pertinent information regarding progression of MLDTs as well as to critique the evidence for efficacy of this method in sports medicine. We surveyed English-language publications from 1998 to 2008 by searching PubMed, PEDro, CINAHL, the Cochrane Library, and SPORTDiscus databases using the terms <italic>lymphatic system</italic>, <italic>lymph drainage</italic>, <italic>lymphatic therapy</italic>, <italic>manual lymph drainage</italic>, and <italic>lymphatic pump techniques</italic>. We selected articles investigating the effects of MLDTs on orthopaedic and athletic injury outcomes. Nine articles met inclusion criteria, of which 3 were randomized controlled trials (RCTs). We evaluated the 3 RCTs using a validity score (PEDro scale). Due to differences in experimental design, data could not be collapsed for meta-analysis. Animal model experiments reinforce theoretical principles for application of MLDTs. When combined with concomitant musculoskeletal therapy, pilot and case studies demonstrate MLDT effectiveness. The best evidence suggests that efficacy of MLDT in sports medicine and rehabilitation is specific to resolution of enzyme serum levels associated with acute skeletal muscle cell damage as well as reduction of edema following acute ankle joint sprain and radial wrist fracture. Currently, there is limited high-ranking evidence available. Well-designed RCTs assessing outcome variables following implementation of MLDTs in treating athletic injuries may provide conclusive evidence for establishing applicable clinical practice guidelines in sports medicine and rehabilitation.</p></abstract><kwd-group><title>KEYWORDS</title><kwd>Edema</kwd><kwd>Lymphatic Pump Techniques</kwd><kwd>Lymphatic Therapy</kwd><kwd>Manual Lymph Drainage</kwd><kwd>Manual Therapy</kwd></kwd-group><counts><fig-count count="2"></fig-count><table-count count="3"></table-count><equation-count count="0"></equation-count><ref-count count="19"></ref-count><page-count count="10"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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