Effects of Manual Lymphatic Drainage Massage Associated with Physical Exercise Program in Morphological-Functional Blood Pressure Parameters

( Vol-5,Issue-12,December 2018 ) OPEN ACCESS

Helio Franklin Rodrigues de Almeida, Leonardo Severo da Luz Neto, Fabrício Moraes der Almeida, Luiz Carlos Cavalcanti de Albuquerque, Paulo Fermiano da Silva, Teresinha Cícera Teodora Viana


Hypertension, Manual Lymphatic Drainage Massage, Physical Exercise.


The objective of this study was to investigate the effects of Manual Massage Lymphatic Drainage (MMLD) performed in association with an Aerobic Physical Exercise Program (APEP), in the arterial blood pressure (PSA) values of hypertensive subjects submitted to pharmacological treatment. The population of this study was composed of hypertensive subjects of both sexes and patients from SESI Clinic of the Municipality of Cacoal in Rondônia / RO, with the sample consisting of 28 subjects in the age group from 45 to 60 years and under pharmacological treatment to control hypertension arterial hypertension (SAH). Experimental Group 1 (GE1), composed of 14 individuals of both sexes (Age: 53.57 ± 7.20, Body Weight: 74, 15 ± 15.85, height: 166.1 ± 61), which during 8 weeks were submitted weekly on alternate days, to three MMLD sessions in parallel to a APEP with intensity controlled by the subjective sensation of effort; and b) An Experimental Group 2 (GE2), also composed of 14 subjects of both sexes (Age: 53.57 ± 7.20; Body Weight: 74.15 ± 15.85; Height: 166.1 ± 61); which during 8 weeks were also submitted to three weekly sessions of the same MMLD maneuvers applied in GE1, but were not submitted to PEFA. At the end of the procedures the statistical analysis allowed to observe that the PASS scores presented by GE1 and GE2, both indicated the same statistical significance (p = 0,000), with mean values being reduced by 8.1 mmHg for GE1 and 6,5 mmHg for GE2, representing a functional improvement of 6.3% and 4.9%, respectively. A similar behavior was found when analyzing the values of PASD, which at the end of the experimental procedure presented similar results for both study groups, statistical significance at the level of p< 0,05. Mean values were reduced by 5.5 mmHg for GE1, and 3.8 mmHg for GE2, representing a functional improvement of 6.3% and 4.3%, respectively. It is also observed that the results of the GE1 are higher than those of the GE2, and this can be attributed to the realization of the MMLD in parallel to the APEP, which seems to have potentiated the effects presented by the GE1. The results found in this research suggest that Manual Lymphatic Drainage Massage may be a valuable nonpharmacological auxiliary therapy in the control of arterial hypertension, also indicating that when performed in association with a regular program of aerobic physical exercises, it significantly increases the reduction of values blood pressure of hypertensive subjects.

ijaers doi crossref DOI:


Paper Statistics:
  • Total View : 179
  • Downloads : 49
  • Page No: 061-068
Cite this Article:
Click here to get all Styles of Citation using DOI of the article.

[1] AMERICAN COLLEGE OF SPORTS MEDICINE (1993): Position Stand: Physical Activity, Physical Fitness, and Hypertension. Med. Sci. Sports Exerc., (25): i-x.
[2] AIRES, M.M. (1999): Physiology. 2ª ed, São Paulo - SP, Guanabara Koogan.
[3] ALMEIDA, H.F; LUZ NETO, L.S.; ALMEIDA, F.M.; ALBUQUERQUE, L.C.C.; SANTOS, M.A.M. LELLIS, L.; BELTRÃO, E.B. (2018): Efeccts of a exercise program on the levels of arterial blood pressure older women, hypertension and sedentary in pharmacological treatment process. International Journal of advanced Enineering Research and Science, (5): 256-261.
[4] ALMEIDA, H.F. R.(2002): Effects of overload on performance parameters of karate-do fighters resulting from the methodological systematization of physical workloads in a training macrocycle. Doctoral thesis. University of A Coruña, La Coruña.
[5] ALMEIDA, H.F.R.(2003): Exercise Physiology - Scientific basis for understanding human motor performance. Apostilha. Department of Physical Education, Federal University of Rondônia - UNIR, Porto Velho-RO.
[6] BALESTRO, R. (2002): Manual Lymphatic Drainage. Available in Accessed in 04/04/2003 and 13/11/2018
[7] BRANDÃO, A.P.; BRANDÃO, A.A.; MAGALHÃES, M.A.C.; POZZAN, R. (2003): Epidemiology of arterial hypertension. Rev. Soc. Cardiol. State of São Paulo.13 (1): 7-19.
[8] DA SILVA, P.F. (2004): Effects of Manual Lymphatic Drainage Massage Associated with a Program of Physical Exercises in Morpho-Functional Parameters of Hypertensive. Universidade Federal de Rondônia, Porto Velho - RO.
[9] EATON, C.B. (1995): Physical activity, physical fitness, and coronary heart disease risk factors. Med. Sci. Sports Exercise, (03): 340-346.
[10] FRANCISCHETTI, E. (2005): Home exercise program: short-term effects on the fitness and blood pressure of hypertensive individuals. Brazilian Archives of Cardiology. (6): 84.
[11] GODOY J.M.P. & GODOY M.F.G. (2004): The Manual Lymph Drainage: a new concept. J Vasc Br, March, 03 (1): 77-80.
[12] HAGBERG, J.M. (1988): Effect of exercise training in older men and women with essential hypertension. The American Academy of Physical Education, (22):186-193.
[13] MARTIN, J.E.; DUBBERT, P.M. & CUSHMAN, W.C. (1990): Controlled trial of aerobic exercise in hypertension. Circulation, (81):1560-1567.
[14] MION, JR.; SILVA, H.B. & MARCONDES, M. (1986): Device to correct the reading of blood pressure according to the patient’s arms circumference. Journal of Hypertension, 4 (15): 55-81.
[15] NIEMAN, D.C. (1999): Exercise and Health: How to prevent diseases using exercise as your medicine. São Paulo - SP, Manole.
[16] NUNES, V.G.S. (1998): Prescription of physical activities for normal people with special problems. Pelotas - RS, Publisher and Graphic of the Federal University of Pelotas - UFPel.
[17] OSIECKI, R. (1997): Effects of a Program of Physical Exercises on Physiological Factors in White and Black Hypertensive Individuals. Masters dissertation. Federal University of Santa Maria, Santa Maria - RS.
[18] PETROSKI, E.L. (1999): Anthropometry: techniques and standardizations. Porto Alegre - RS. Palloti.
[19] PITANGA, F.J.G. (1999): Physical Activity, Physical Exercise and Health. Salvador. Copyright.
[20] PITANGA, F.J.G. (2000): Tests, measures and evaluations in physical education and sports. Salvador - BA, GRAFUFB.
[21] POWERS, S.K. & HOWLEY, E.T. (2000): Exercise Physiology: Theory and application to conditioning and performance. São Paulo - S P, Manole.
[22] ROBERGS, R. A., ROBERTS, S.O.(2009): Fundamental Principles of Exercise Physiology for Fitness, Performance, and Health. São Paulo, 9ª Ed .; Phorte.
[23] SHOJI, V.M.; FORJAZ, C.L.M. (2000): Physical training of hypertension. Rev Soc Cardiol. Sao Paulo. 10: 7-14.
[24] SINGI, G. (2001): Dynamic Physiology: Texts for biological science courses. Belo Horizonte - MG, Atheneu.