Eliska O, Eliskova M
Department of Anatomy, 1st Medical Faculty, Charles University, Prague, Czech Republic.
Lymphology. 1995 Mar;28(1):21-30.
Massage of the foot in men and the hindpaw in dogs was performed by applying external pressures of 70-100 mmHg for a period of one, three, five, and ten minutes with a frequency of 25 strokes per minute. This protocol was performed on individuals without edema, on dogs with experimental lymphedema and men with post-thrombotic venous edema. After ten minutes of forceful massage, focal damage of lymphatics was present. In a group of dogs with lymphedema and men with post-thrombotic venous edema, the alteration of lymphatics was greater than in normal individuals and evident only after 3 to 5 minutes of massage. At first, the forceful massage affected the endothelial lining of the initial lymphatics. Alterations of lymphatic collectors were visible later. The fluid in lymphedema was translocated by massage using high pressure from the interstitium into the lumen of lymphatics by means of the open junctions and by artificial cracks that develop from injury to the lymphatic wall. Vigorous massage in lymphedema also produces loosening of subcutaneous connective tissue, formation of large tissue channels and release of lipid droplets that enter the lymphatics. By this mechanism, massage helps reduce the amount of fat cells in the lymphedematous leg.
对男性足部和犬后爪进行按摩，施加70 - 100 mmHg的外部压力，持续1、3、5和10分钟，频率为每分钟25次。该方案在无水肿个体、实验性淋巴水肿犬和血栓后静脉水肿男性中实施。强力按摩10分钟后，淋巴管出现局灶性损伤。在一组淋巴水肿犬和血栓后静脉水肿男性中，淋巴管的改变比正常个体更大，且仅在按摩3至5分钟后才明显。起初，强力按摩影响初始淋巴管的内皮衬里。淋巴管收集器的改变稍后可见。淋巴水肿中的液体通过按摩，利用高压从间质通过开放连接以及淋巴管壁损伤形成的人工裂缝进入淋巴管腔。淋巴水肿中的强力按摩还会使皮下结缔组织松弛，形成大的组织通道并释放进入淋巴管的脂滴。通过这种机制，按摩有助于减少淋巴水肿腿部的脂肪细胞数量。
