PTOtherJournal of physical therapy science2017

Effects of simplified lymph drainage on the body: in females with menopausal disorder.

Kazuhisa Inoue, Hiroshi Maruoka

PMID 28210055

WHAT IT FOUND

19 women with menopausal symptoms had lower saliva cortisol, lower DHEA, and lower symptom ratings after one 30-minute whole-body manual lymph drainage session; no control group means the effect is uncertain.

Key findings

01After one 30-minute session, cortisol decreased from 0.131 to 0.091 µg/dl (p=0.044).

02DHEA decreased from 73.5 to 57.8 pg/ml after therapy (p=0.018).

03The VAS score decreased from 5 to 1 (p=0.001), while alpha-amylase and SIgA did not change significantly.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

There was no control group, so time, attention, touch, expectations, or the day itself could explain the changes. Only 19 women were analysed, all from one salon and selected voluntarily by salon staff, so the findings may not apply to other patients. The participants had subjective menopausal symptoms, not a diagnosed condition or lymphedema, and the outcomes were saliva markers and a symptom rating, not functional or clinical endpoints. The therapy was performed by certified facial estheticians, not by physical therapists, and only one session was given. One participant had faulty measurements and was excluded, and the paper does not report how that was handled beyond the exclusion. The paper does not name a pre-specified primary outcome, so the significant changes are among several comparisons.

Declared interests

The supplied text does not report funding or conflict of interest declarations.

The easy way to misread this

Do not conclude that simplified lymph drainage treats menopausal symptoms or reduces stress. The study had no control group, only 19 women, and the changes were measured immediately after one session, so they cannot show the drainage caused benefit.

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