Comparative Effects of Manual Lymphatic Drainage and Therapeutic Ultrasound on Breast Engorgement in Postpartum Women: A Feasibility Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 31
- 试验地点
- 1
- 主要终点
- The Breast Enhancement Assessment Scale
研究概览
简要总结
In this article, women were randomly assigned to the manual lymphatic drainage group, therapeutic ultrasound group, and control group, and the breast pain, swelling hardness, and milk excretion before and after each treatment were measured.
详细描述
Breast engorgement as the swelling and distention of breast, which is one of the most common problems of postpartum of 3-8 days. At the same time, the congested blood vessels and tissue fluid will enter the surrounding tissues, resulting in the retention of tissue fluid and blood, resulting in interstitial fluid. In cases such as interstitial edema, the flow of milk is restricted.
There are many conservative treatments for relieving breast swelling. At present, there have been published studies on the application of ultrasound therapy and manual lymphatic drainage to breast problems during lactation. Previous studies have shown that manual lymphatic drainage and ultrasound therapy can significantly improve the pain, temperature, and firmness of breast engorgement. Manual lymphatic drainage and ultrasound therapy have been widely used in physical therapy, but there is little empirical evidence for manual lymphatic drainage on breast swelling. It is hoped that this empirical medical research method can be used to reduce the effect of breast pain caused by breast problems and improve breast milk. The purpose of this study was to examine whether manual lymphatic drainage and ultrasound therapy can improve breast pain, breast swelling, and increase the flow and volume of milk removed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
盲法说明
Typically, participants are unaware whether they are receiving experimental treatment or a control (e.g., standard care). The researchers and medical staff are aware of the treatment allocation.
Due to medical ethics, if there is related breast pain and discomfort, the medical staff will still relieve the patient's breast pain.
入排标准
- 年龄范围
- 20 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Over 20 years old
- •Physiological breast swelling, breast heaviness, lumps, milk plugging, breast pain after childbirth
- •Able to read and understand Chinese
- •At least four points on the Breast Swelling Scale
排除标准
- •Autoimmune system problems
- •physical and mental health problems
- •Breast abscesses, mastitis
- •Breast implants
- •Cardiac pacemakers
- •Malignant tumors
结局指标
主要结局
The Breast Enhancement Assessment Scale
时间窗: Change from Baseline The Breast Enhancement Assessment Scale at 3day
There are six grades of breast swelling: grade 1: tender, the breast does not change; grade 2: slight change; grade 3: the breast feels thick without tenderness; grade 4: the breast feels thick and begins to pressure Pain; Grade 5: Thick breasts with obvious tenderness; Grade 6: Very hard and very painful.
The Visual Analogue Scale for Pain；VASP
时间窗: Change from Baseline The Visual Analogue Scale for Pain；VASP at 3day
Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-10. A higher score indicates greater pain intensity.
The Total Daily Milk Volume
时间窗: Change from Baseline The Total Daily Milk Volume at 3day
Total Daily Milk Volume was be recorded.
次要结局
- Increase breastfeeding rates(3day)