Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Turkey
Approval Date: 2018
Thesis Language: Turkish
Student: Murat Esmer
Supervisor: İLKE KESER
Abstract:Manual lymphatic drainage (MLD) is used in a wide range of diseases, such as lymphedema, chronic venous insufficiency, and rheumatoid diseases. The purpose of this study is to investigate the acute effects of MLD on different body parts (neck, abdomen, anastomosis, arm and leg) on cardiovascular responses (heart rate, blood pressure), respiratory frequency, pain threshold, Ten healthy women and 20 men participated in the study voluntarily. Heart rate, systolic blood pressure and diastolic blood pressure (DBP), respiration frequency, oxygen saturation, pain threshold, pain tolerance, environment measurement and fatigue were evaluated before and after MLD applied to different body parts. With OMRON sphygmomanometer, heart rate, SBP, DBP; with Baseline algometer, pain threshold and tolerance; with unstretched tape measure, circumferential measurement; with pulse oximeter oxygen saturation and with VAS, fatigue were evaluated. Significant reduction in post-MLD SBP (p = 0.002) and DBP (p = 0.004) in the neck region; significant increase in DBP after abdominal administration (p = 0.038); (p = 0.04) and a significant decrease in SBP (p = 0.000). It was also found that the change in the increase in SBP in the anastomotic region was close to statistically significant level (p = 0.054). There was a significant increase in mid-tibia pain threshold and tolerance at the pain threshold of the central ulnar region, quadriceps pain threshold (p <0,05). There was no significant change in fatigue levels of participants after MLD (p <0.223). Significant changes were observed in oxygen saturation (p <0.005). Significant reductions in leg circumference were noted (p <0.0001), while no significant change was observed in arm circumference measurements of participants after MLD. This study has shown that MLD practice has different effects on cardiovascular responses in different body regions. For healthy subjects, the effects of MLD on the body region were found to vary according to the region.