Evidence map›Paper›PMID 40444279›Full record

ArticleFrontiers in bioengineering and biotechnology2025

Effectiveness of isometric muscle training combined with manual lymphatic drainage on secondary lower extremity lymphedema following gynecologic cancer surgery.

Jiahui Ma, Hewei Wang, Yilan Li, Xiang Guo, Mengjia Xie, Xinxin Wang, Luxi Mao, Dapeng Xing, Li Shen, Dan Chen and 1 more

Abstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Effectiveness of lymphaticovenular anastomosis combined with perioperative targeted drainage in treatment of secondary lower limb lymphedema: a prospective randomized trial].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Trial
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jiahui Ma *Department of Rehabilitation Medicine, Zhengzhou Central Hospital Affiliated Zhengzhou University, Zhengzhou, China.
Hewei Wang *Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai, China.
Yilan LiDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.
Xiang GuoDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.
Mengjia XieDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.
Xinxin WangDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.
Luxi MaoDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.
Dapeng XingDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.
Li ShenDepartment of Rehabilitation, Huashan Hospital, Fudan University, Shanghai, China.
Dan ChenDepartment of Rehabilitation Medicine, Jing'an District Central Hospital of Shanghai, Shanghai, China.
Jingxin WangDepartment of Rehabilitation, Hangzhou Linping Hospital of Traditional Chinese and Western Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the effects of isokinetic strength training combined with manual lymphatic drainage (MLD) on leg circumference, walking ability and muscle strength in patients with secondary lymphedema following gynecologic cancer surgery. Design: Randomized controlled trial. Setting: Inpatient rehabilitation department. Participants: Sixty-six patients with secondary lymphedema of the lower extremities following gynecologic cancer surgery were randomly allocated into an experimental group and a control group, each comprising 33 patients. Interventions: The control group participated in a 4-week standardized MLD program. In addition to the MLD program, participants in the experimental group received additional isokinetic strength training for 20 min daily over the same 4-week period. Outcomes: Lower limb volume derived from the circumference measurements, Holden Gait Scale and Lovett muscle strength grading. Results: Prior to the intervention, no statistically significant differences were observed between the two groups across all outcomes (P > 0.05). Post-intervention, statistically significant improvements were noted in the experimental group compared to the control group with respect to reduced lower extremity volume, improved walking ability, and increased muscle strength (P < 0.05). Conclusion: For patients with secondary lower limb lymphedema following gynecological tumor surgery, a combination of isokinetic strength training and MLD has been found to be more effective than MLD alone in reducing edema, improving walking ability, and enhancing muscle strength.

Indexed as

gynecologic cancerisokinetic strength traininglower extremitymanual lymphatic drainagesecondary lymphedema

Identifiers

PMID40444279
PMCPMC12120472

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.