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Why Systematic Reviews Can’t Guide Clinically Relevant MLD Practice for Post-Knee-Replacement Clients
When it comes to clinical practice, what matters most to real-world MLD therapists simply isn’t what’s being measured in “Level I evidence”.
To understand this disconnect we need to revisit what evidence based practice really means.
Evidence based therapy is a synthesis of research evidence, clinical experience and observation, in the context of the desired outcomes of the recipient.
Relying on Level 1 evidence alone is just not enough. Yet systematic reviews and meta-analy
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Oct 5, 20256 min read


Why does MLD have such a profound effect on the Autonomic Nervous System?
Almost 50 years ago Prof. Dr. Paul Hutzschenreuter measured the effect of Dr Vodder's MLD on the sympathetic nervous system, noting a signif
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May 13, 20245 min read


Measuring clinically relevant outcomes
An easy - and free - way for therapists to assess clinical progress is to use an analogue scale. Image by Volodymyr Hryshchenko on...
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Jun 25, 20224 min read


Almost all women treated for vulvar cancer will have symptoms of lymphoedema in the first 2 years
One of the most important things about this study is that it used self-reported-symptoms (SRS) to determine if lymphoedema was present,...
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May 18, 20193 min read


Lymphoedema in Rural Ethiopia
The study I am involved with through #CNTD on enhanced #self_care for people affected by moderate to severe #LymphaticFilariasis and...
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Dec 27, 20182 min read


Lymphoedema in Rural Bangladesh
My main role at the Centre for Neglected Tropical Diseases #CNTD - so far - has been to design and implement a study to see if we can...
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Oct 25, 20184 min read
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