title: A randomized clinical controlled study comparing the effect of modified manual edema mobilization treatment with traditional edema technique in patients with a fracture of the distal radius.
abstract: METHODS
  Randomized controlled clinical trial.
  
  
  BACKGROUND
  Manual edema mobilization (MEM) is a method of edema reduction based on the lymphatic system's ability to drain and resolve subacute edema.
  
  
  OBJECTIVE
  To investigate the effect of a modified MEM approach and compare it with a traditional edema technique in patients with subacute hand/arm edema after a distal radius fracture.
  
  
  METHODS
  The patients were randomized into one of two treatment groups: a group that received traditional edema treatment and a group that received a modified MEM treatment. All patients were examined for edema, active range of motion (AROM), pain, and activities of daily living (ADL). The number of edema sessions and the number of all sessions were counted.
  
  
  RESULTS
  No statistically significant changes were observed in edema reduction, AROM, pain, and ADL at six and nine weeks between the treatment groups. A statistically significant improvement was observed in ADL after three weeks after inclusion (p=0.03) in the modified MEM group compared with the control group. Furthermore, fewer edema treatment sessions were needed (p=0.03) in the modified MEM group. At six weeks, we observed a difference between the two groups' needs for further edema treatment (p=0.04).
  
  
  CONCLUSIONS
  Neither the traditional nor the modified MEM treatment program was superior in terms of edema reduction, although the modified MEM resulted in fewer sessions to decrease subacute hand/arm edema compared with using traditional edema reduction techniques in patients after distal radius fracture.
  
  
  METHODS
  1.
authors.affiliation: Department of Occupational Therapy and Physiotherapy, Aarhus University Hospital, Århus C, Denmark. kariroen@rm.dk
authors.forename: Karin
authors.initials: K
authors.lastname: Knygsand-Roenhoej
authors.forename: Thomas
authors.initials: T
authors.lastname: Maribo
mesh_terms: D000203:Activities of Daily Living; D000208:Acute Disease; D003718:Denmark; D004322:Drainage; D004487:Edema / Q000209:etiology / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008196:Lymph; D008297:Male; D008405:Massage / Q000379:methods*; D008875:Middle Aged; D015999:Multivariate Analysis; D010146:Pain / Q000209:etiology / Q000534:rehabilitation; D011885:Radius Fractures / Q000150:complications* / Q000534:rehabilitation; D016059:Range of Motion, Articular; D016037:Single-Blind Method; D014954:Wrist Injuries / Q000150:complications* / Q000534:rehabilitation