Comparisons between Manual Lymph Drainage, Abdominal Massage, and Electrical Stimulation on Functional Constipation Outcomes: A Randomized, Controlled Trial.

BACKGROUND: Evidence supports abdominal massage (AM) or electrical stimulation (ES) as effective in treating functional constipation (FC). Manual lymph drainage (MLD) may also be beneficial, however, it was not previously investigated or compared to ES and AM. METHODS: Sixteen college-aged males and 36 females were recruited. Participants were randomly assigned to MLD, AM or ES. Heart rate variability (HRV) measures for total power (TP), high frequency (HF), low frequency and LF/HF ratio assessed ANS outcomes. state-trait anxiety inventory (STAI) and stress response inventory (SRI) assessed psychological factors and bowel movement frequency (BMF) and duration (BMD) were recorded daily. RESULTS: MLD significantly improved all ANS measures (p≤0.01); AM significantly improved LF, HF and LF/HF ratios (p = 0.04); and ES significantly improved LF (p = 0.1). STAI measures improved, but not significantly in all groups. SRI improved significantly from MLD (p < 0.01), AM (p = 0.04) and ES (p < 0.01), but changes were not significant between groups. BMD improved significantly in all groups (p≤ 0.02). BMF improved significantly only following MLD and AM (p < 0.1), but differences between groups were not significant (p = 0.39). CONCLUSIONS: MLD significantly reduced FC symptoms and MLD had greater improvements than AM or ES.

Effects of manual lymph drainage for abdomen on the brain activity of subjects with psychological stress.

[Purpose] The present study investigated the effects of manual lymph drainage for abdomen on electroencephalography in subjects with psychological stress. [Subjects and Methods] Twenty-eight subjects were randomly allocated to undergo a 20-min session of either manual lymph drainage or abdominal massage on a bed. [Results] Analysis of electroencephalograms from the manual lymph drainage group showed a significant increase in relaxation, manifested as an increase in average absolute, relative alpha activity and a decrease in relative gamma activity. [Conclusion] Our results suggest that the application of manual lymph drainage from the abdomen provides acute neural effects that increase relaxation in subjects with psychological stress.

Manual lymph drainage attenuates frontal EEG asymmetry in subjects with psychological stress: a preliminary study.

[Purpose] The purpose of this preliminary study was to investigate the effect of manual lymph drainage (MLD) of the neck on frontal electroencephalogram (EEG) asymmetry in subjects with psychological stress. [Subjects] Thirteen subjects with psychological stress participated in the study. [Methods] Subjects received MLD of the neck for 15 min. [Results] Analysis of the frontal asymmetry index showed that the energy shift in the alpha frequency band from the left hemisphere to the right hemisphere after MLD resulted in greater left-side activation (positive asymmetry values), which could be related to the positive emotional state observed particularly in the F7-F8 area. [Conclusion] These preliminary findings suggest that frontal EEG asymmetry was significantly attenuated after MLD.

Effects of manual lymph drainage of the neck on EEG in subjects with psychological stress.

[Purpose] The present study investigated the effect of manual lymph drainage (MLD) of the neck on electroencephalography (EEG) in subjects with psychological stress. [Methods] Twenty-six subjects were randomly allocated to receive one 15-min session of either MLD or resting on a bed (control). [Results] Analysis of EEG in the MLD group showed a significant increase in relaxation, manifested as an increase in average absolute and relative delta and alpha activity. [Conclusion] It is suggested that MLD provides acute neural effects that increase relaxation in subjects with psychological stress.