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Manual Lymph Drainage Improving Upper Extremity Edema and Hand Function in Patients with Systemic Sclerosis in Edematous Phase by Susanna Maddali Bongi; Angela Del Rosso; Mauro Passalacqua; Sara Miccio; Marco Matucci Cerinic is a Medicine article available to read on EtoBox.

What is Manual Lymph Drainage Improving Upper Extremity Edema and Hand Function in Patients with Systemic Sclerosis in Edematous Phase about?

## Abstract ## Objective In systemic sclerosis (SSc; scleroderma) patients in edematous phase, hand edema is often present. Manual lymph drainage (MLD) stimulates the lymphatic system and reduces edema. Our aim was to evaluate the efficacy of MLD in reducing edema and in improving functionality of the hands and perceived quality of life (QOL) in SSc patients in edematous phase. ## Methods Of 35 SSc patients with edematous hands, 20 were treated with MLD according to the Vodder technique once a week for 5 weeks (intervention group), and 15 served as the observation group. Patients were evaluated at enrollment, at the end of treatment (T1), and after 9 weeks of followup (T2) by volumetric test (assessing hand volume), the Hand Mobility in Scleroderma (HAMIS) test, and 4 visual analog scales (VAS; scored 0–10) evaluating the perception of hand edema and pain and their interference on daily activities. QOL and disability were assessed by the physical synthetic index (PSI) and mental synthetic index (MSI) of the Short Form 36 (SF‐36) and by the Health Assessment Questionnaire (HAQ). ## Results In the intervention group, hand volume, the HAMIS test, and the 4 VAS were improved significan

Who reads Manual Lymph Drainage Improving Upper Extremity Edema and Hand Function in Patients with Systemic Sclerosis in Edematous Phase?

Author

Susanna Maddali Bongi; Angela Del Rosso; Mauro Passalacqua; Sara Miccio; Marco Matucci Cerinic

Publisher

Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 2151-464X)

Published

2011

Language

EN

Field

Medicine (Health Sciences)