Manual Lymphatic Drainage on Pressure Injuries
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorRukiye Kokkiz
About this trial
Pressure injuries are a significant health problem, often resulting from pressure, friction, and impaired tissue perfusion, and are particularly common in individuals in intensive care, those with immobility, and those with chronic diseases. The literature extensively addresses interventions such as pressure reduction, the use of appropriate support surfaces, wound care practices, and nutritional support in the prevention and treatment of pressure injuries. However, the role of manual therapies aimed at improving circulation and lymphatic flow, such as manual lymphatic drainage (MLD), in pressure injuries has been examined in a limited number of studies. This research aims to fill a significant gap in the literature by evaluating the potential effects of manual lymphatic drainage on reducing edema, improving tissue perfusion, and supporting the wound healing process in individuals with pressure injuries.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Presence of pressure injury in the sacrum region
Volunteer to participate in the study
Being over 18 years of age
Being hospitalized in the anesthesia intensive care unit
Disqualifiers
Chronic illness that may affect pressure injury healing (malnutrition, hypertension, and diabetes)
Discharge during the investigation process
Death during the investigation process
Acute cellulitis
Trial design
Design model
Crossover
Treatments tested in this trial
Experimental
Other interventionIndividuals will be randomly assigned to intervention and control groups in a 1:1 ratio via the website random.org. The Bates-Jensen Wound Assessment Tool will be administered to all individuals by the researchers. The size of the wound (length\*depth\*width) will be measured and recorded. Standard care will be applied to the control group. The experimental group will receive standard care along with manual lymphatic drainage according to the protocol below. Afterwards, the Bates-Jensen Wound Assessment Tool will be administered to all individuals by the researchers, and the size of the wound (length\*depth\*width) will be measured and recorded.
Control
Other interventionStandard care practices will include regular position changes for patients, use of supportive surfaces to reduce pressure, maintenance of skin integrity, and keeping the wound area clean. Wound cleaning will be performed with sterile solutions, appropriate debridement methods will be applied in the presence of necrotic tissue, and suitable dressing materials will be selected according to the condition of the wound bed. In addition, patients' nutritional status, hydration level, and signs of infection will be regularly assessed, and necessary supportive treatments will be provided.
Treatment groups
60 Participants
are divided into 2 treatment groupsGroup A: Manual lymphatic drainage groupActive comparator 1 intervention
Group B: comparison groupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Effect of manual lymphatic drainage
The primary aim of this study is to evaluate the effect of manual lymphatic drainage on the healing level of pressure injuries. Wound healing will be assessed considering the wound stage (Stage 1-2-3-4, unstageable stage, and deep tissue injury) and size (length\*width\*depth).
Time frame
3 monthsLocations
Sponsors and contacts
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Rukiye Kokkiz
Lead sponsor
Fenerbahce University
Sponsor institution
Source ClinicalTrials.gov
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