An Experimental Study to Identify the Role of Lymphatic Drainage in Breathing Dissociation Population
Keywords:
Lymphatic Drainage Therapy, Breathing Dissociation, Diaphragmatic Mobility, Pulmonary Function, Autonomic Dysfunction, Manual TherapyAbstract
Background: The lymphatic system plays a pivotal role in fluid homeostasis, immune regulation, and metabolic waste clearance. Unlike the cardiovascular system, it lacks a central pump, relying instead on diaphragmatic movement and muscular activity to facilitate lymph propulsion. Recent evidence links impaired lymphatic flow to chronic inflammatory states and autonomic dysregulation, particularly in individuals exhibiting breathing dissociation—a dysfunctional pattern marked by poor diaphragmatic engagement, shallow chest breathing, and sympathetic overactivation.
Objective: This study aims to evaluate the efficacy of Manual Lymphatic Drainage (MLD) therapy, based on the Chikly Institute's protocol, in improving respiratory function, diaphragmatic mobility, and autonomic symptoms in individuals with breathing dissociation, in comparison with traditional breathing exercises.
Methods: A total of 60 participants aged 25–60 years with clinically diagnosed breathing dissociation were recruited through purposive sampling and randomized into two groups: Group A received a structured program of traditional breathing exercises; Group B underwent MLD therapy for 4 weeks, with both groups followed for an additional 2 weeks. Pulmonary Function Tests (FVC, FEV1, PEFR) and the Borg CR10 Scale were used as outcome measures. Statistical analysis was performed using paired t-tests to assess pre- and post-intervention changes.
Results: patients receiving MLD therapy exhibited statistically significant improvements in lung function parameters and reduced perceived exertion scores compared to Pateints who received traditional breathing exercise with P value < 0.001. Notable enhancements in diaphragmatic mobility and thoracoabdominal synchronization were observed. Participants receiving MLD reported greater relief in chest tightness, breathlessness, and fatigue.
Conclusion: Manual Lymphatic Drainage Therapy demonstrates superior clinical outcomes over traditional breathing exercises in individuals with breathing dissociation. The findings underscore the critical role of lymphatic circulation in respiratory mechanics and autonomic balance. Integrating lymphatic techniques into respiratory rehabilitation may offer a novel and effective approach for managing dysfunctional breathing patterns
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