Effectiveness of manual lymphatic drainage with or without the use of functional bandaging on pain, fatigue and edema of the lower limbs in pregnant women: clinical, controlled and randomized trial
DOI: 10.15343/0104-7809.202044217228
Keywords:
Pregnancy. Physiotherapy modalities. Pain. Fatigue. Edema.Abstract
The aim of the study was to compare the effectiveness of manual lymphatic drainage with and without the use of functional
bandaging in pain, fatigue and edema of lower limbs in pregnant women. This was a pilot study of a clinical, controlled
and randomized trial. The sample consisted of 30 pregnant women in their second and third trimester. Group 1 (G1),
performed 10 manual lymphatic drainage (MLD) sessions, group 2 (G2) performed MLD and made use of the functional
bandage (FB) on the lower limbs. The control group (CG) participated in 10 meetings with pregnant women promoted by
the UNIFACOL Academic League of Obstetric Physiotherapy. Perimetry was used to assess edema of the inner limbs and
the Visual Analogue Scale (VAS) for pain and fatigue. There was a significant improvement in edema, pain and fatigue of
the lower limbs when the groups that performed interventions were compared with the CG (p <0.001). From the popliteal
line to the ankle, there was a tendency towards less edema in G2, but without any significant differences when compared
to G1. MLD with and without the use of FB reduces pain, fatigue and gestational edema in the lower limbs. All pregnant
women were satisfied and would recommend MLD with or without the use of FB.
Downloads
References
trial in Turkey. MIDIRS Midwifery Digest 2011;21(1):52-6.
2. Smyth RMD, Aflaifel N, Bamigboye AA. Interventions for varicose veins and leg oedema in pregnancy. Cochrane Database of
Systematic Reviews 2015, Issue 10. Art. No.: CD001066. DOI: 10.1002/14651858.CD001066.pub3.
3. Irion JM, Irion GL. Water immersion to reduce peripheral edema pregnancy. Journal of Women’s Health Physical Therapy
2011;35(2):46-9.
4. Jacobs MK, McCance KL, Stewart ML. Leg volume changes with EPIC and posturing in dependent pregnancy edema. Nursing
Research 1986;35:86-9.
5. Katz VL, Ryder RM, Cefalo RC, Carmichael SC, Goolsby R. A comparison of bed rest and immersion for treating the edema of
pregnancy. Obstetrics & Gynecology 1990;75:147-51.
6. Marhic C. Clinical and rheological eAicacy of troxerutine in gynecology and obstetrics. Revue Francaise de Gynecologie et d
Obstetrique 1991;86:209-12.
7. Mollart L. Single-blind trial addressing the diAerential eAects of two reflexology techniques versus rest, on ankle and foot oedema
in late pregnancy. Complementary Therapies in Nursing and Midwifery 2003;9:203-8.
8. Leduc O, Crasset V, Leleu C, Baptiste N, Koziel A, Delahaie C, Pastouret F, Wilputte F, Leduc A. Impact of manual lymphatic
drainage on hemodynamic parameters in patients with heart failure and lower limb edema. Lymphology. 2011; 44:13–20.
9. Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio Tex taping: a systematic review. Physiother Theory Pract.
2013;29(4):259-70.
10. Bosman J. Lymphtaping for lymphoedema: an overview of the treatment and its uses. British J Com Nursing. 2014;19(4):1-5.
11. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials.
BMC medicine. 2010;8(1):18.
12. Silva RMV et.al. Effects of Kinesio Taping® in treatment of Cellulite: Randomized controlled blind trial. Research Article. Man.
Ther. Posturology Rehabil. J. 2024;12:106-111.
13. Esterson PS. Measurement of ankle joint swelling using a ϐigure-of-8. Journal Orthop Sports PhysTher. 1979;1(1):51-2.
14. Pimenta CAM. Escalas de avaliação de dor. São Paulo. Ed.Lima. p. 46-56, 1994.
15. Delgado A. et al. Efeitos da Drenagem Linfática Manual na diminuição do edema de membros inferiores em gestantes.
Pleiade.2019; 13(28): 49-59.
16. Silva AC, Barreto EAS, Ferdinando JS, Barbosa MST. Os benefícios da drenagem linfática em gestantes. Rev Belezain. 2015.
2(1):34-41.
17. Wenderholm SC. O Efeito da drenagem linfática manual em gestantes no final da gravidez. Campinas, SP, 2008.
18. Foldi M, Foldi E. Foldi’s Textbook of Lymphology: For Physicians and Lymphedema Therapists. New York: Elsevier Health
Sciences; 2012.
19. Junior OAS, Rollo HA, Saliba O, Sobreira ML. Graduated compression stockings effects on chronic venous disease signs and
symptoms during pregnancy. Phlebology. 2020;35(1):46–55.
20. Gatt M, Willis S, Leuschner S. A meta-analysis of the effectiveness and safety of kinesiology taping in the management of cancerrelated
lymphedema. European J Cancer Care. 2016:1-15. DOI: 10.1111/ecc.12510.
21. Thomaz JP, Dias TSM, Rezende LF. Efeito do uso do taping na redução do volume do linfedema secundário ao câncer de mama:
revisão da literatura. J Vasc Bras. 2018; 17(2):136-140.
22. Alves VM, Moura Z.A, Palmeira ILT, LOPES MVO. Estudo do diagnóstico de enfermagem fadiga em gestantes atendidas numa
unidade básica de atenção à saúde. Acta Paul Enferm. 2006;4(2):34-40.
23. Çoban A, Sirin A. Effect of foot massage to decrease physiological lower leg oedema in late pregnancy: A randomized controlled
trial in Turkey. International Journal of Nursing Practice.16: p. 454–460, 2010.
24. Bastos VP. Estudo comparativo entre a drenagem linfática manual e atividade física em mulheres no terceiro trimestre de gestação.
Fisioterapia Ser. 2009;4(4):23-31.
