Manual Lymphatic Drainage in the Superior Member in Women in Post-surgery for Breast Cancer

Study Overview
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Brief Summary
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Evaluate the effect of Manual Lymphatic Drainage (MLD) massage in arterial and venous circulation of the upper limb ipsilateral of women submitted after axillary lymphadenectomy breast cancer.

Detailed Description
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The aim of the study is to evaluate the effect of Manual Lymphatic Drainage (MLD) massage in arterial and venous circulation of the upper limb ipsilateral of women submitted after axillary lymphadenectomy breast cancer. Will be evaluated 30 volunteers aged between 40 and 60 years, divided into 2 equal groups, submitted at MLD: Group 1 - volunteers who underwent surgery for breast cancer that have lymphedema, subject to manual lymphatic drainage without upper limb elevation; Group 2 - volunteers who underwent surgery for breast cancer that have lymphedema, subject to manual lymphatic drainage with the upper limb elevation to 30º. Data will be collected by ultrasound Doppler in vein and brachial artery before, after MLD, immediately after, and 30 minutes after therapeutic treatment, with and without elevation of 30°, cross over delimitation, being made a therapy session for therapeutic use with and without elevation, with interval period (washout) for seven days. The order of treatment protocols will be randomized by simple raffle for each volunteer. The data within and between groups will be evaluated by a statistical test t student or ANOVA. Otherwise it will be used Kruskal-Wallis followed test by Dunn. Data processing will be performed by software and fixed the critical level of 5% (p<0,05).

Official Title
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Blood Circulation Assessment of the Superior Member in Women in Post-surgery for Breast Cancer Submitted to the Manual Lymphatic Drainage

Conditions
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Lymphedema

Intervention / Treatment
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* Other: Without upper limb elevation
* Other: Upper limb elevation to 30º


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women with axillary lymphadenectomy surgery Lymphedema Aged 40-60 years. Exclusion Criteria: Women with muscle-tendon injury and / or joint injuries member Skin disorders circulatory diseases.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Without upper limb elevation<br>Manual lymphatic drainage will be held with the voluntary supine without upper limb elevation. | Other: Without upper limb elevation<br>* Lymphatic drainage without elevation of the upper limb.<br>|
| Experimental: Upper limb elevation to 30º<br>Manual lymphatic drainage will be held with the voluntary supine with the upper limb elevation to 30º. | Other: Upper limb elevation to 30º<br>* Lymphatic drainage with elevation of the upper limb to 30º.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood flow velocity (Flow velocity in brachial artery and vein) | Flow velocity in brachial and artery vein | one day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Volume upper limbs | Volume upper limbs | one day |