title: The use of manual edema mobilization for the reduction of persistent edema in the upper limb.
abstract: Management of persistent edema with the common treatment methods reported in the literature is not always successful. Manual edema mobilization (MEM) is a relatively new treatment regimen derived from established European and Australian lymphedema reduction regimens. It includes the use of exercises, light skin-tractioning massage techniques following the lymphatic pathways, and the use of low-compression garments. The typical patient who may benefit from the use of MEM has a presumed healthy lymphatic system, is an active participant, and performs some of the techniques independently between therapy sessions. This case report describes the use of MEM on a patient with multiple trauma, which resulted in a significant reduction--78%--of the persistent edema in the affected upper limb. A theoretic rationale is offered for each MEM technique.
authors.affiliation: Department of Occupational Therapy, Virginia Commonwealth University, Richmond, USA.
authors.forename: S B
authors.initials: SB
authors.lastname: Howard
authors.forename: S
authors.initials: S
authors.lastname: Krishnagiri
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000150:complications* / Q000534:rehabilitation*; D006801:Humans; D008209:Lymphedema / Q000209:etiology* / Q000534:rehabilitation*; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000534:rehabilitation*; D026741:Physical Therapy Modalities / Q000379:methods*; D016896:Treatment Outcome