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Mathematical Model of the Upper Limb Manual Lymph Drainage Massage

Received: 9 December 2020     Accepted: 16 December 2020     Published: 31 December 2020
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Abstract

This paper reports the formulation of a mathematical model that describes the manual lymph drainage massage typically employed in the treatment of upper limb lymphedema. The ability to model such massage is a key feature for the development of automated physical therapy systems that aim at mimicking and assisting the therapist. This type of mathematical model can be hardcoded into a control system responsible to control a soft exoskeleton such as an upper limb sleeve. There is currently no similar model in the literature, nor is there information available about the actual forces exerted by the occupational therapists or the massage profile. Thus, this paper provides a deeper insight into the massage process, using the upper limb lymphedema as a case study. The first step of the design process was to identify the pressure amplitudes and profiles made by the occupational therapists during the manual lymph drainage. A commercial sensorized pressure glove was used to quantitatively analyze the massage. More than 50 occupational therapists wear the sensorized pressure glove when performing an upper limb drain massage and hours of pressure profiles were recorded. The loads and time spent at each compression were characterized, and the compression spots at the upper limb were identified. With the identification of the pressure sites, the respective load and the massage speed, we propose a model capable of mathematically describing the massage profile.

Published in International Journal of Biomedical Science and Engineering (Volume 8, Issue 4)
DOI 10.11648/j.ijbse.20200804.13
Page(s) 58-63
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Smart Textiles, Wearable Textiles, Compression Garments, Soft Orthotic Devices, Massage, Mathematical Model

References
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[2] Rattanaphan, S. and P. Srichandr, Mechanical Model of Traditional Thai Massage for Integrated Healthcare. Journal of healthcare engineering, 2015. 6 (2): p. 193-212.
[3] Wang, J. and Y. Li. Massaging human feet by a redundant manipulator equipped with a tactile sensor. in Advanced Intelligent Mechatronics (AIM), 2010 IEEE/ASME International Conference on. 2010. IEEE.
[4] Xiaoqin, Y. and X. Yonggen. Design and simulation of Chinese massage robot based on parallel mechanism. in Mechanic Automation and Control Engineering (MACE), 2010 International Conference on. 2010. IEEE.
[5] Minyong, P., et al. Expert massage motion control by multi-fingered robot hand. in Intelligent Robots and Systems, 2003. (IROS 2003). Proceedings. 2003 IEEE/RSJ International Conference on. 2003. IEEE.
[6] Terashima, K., et al., Modeling and massage control of human skin muscle by using multi-fingered robot hand. Integrated Computer-Aided Engineering, 2006. 13 (3): p. 233-248.
[7] Luo, R. C. and C. C. Chang. Electromyographic signal integrated robot hand control for massage therapy applications. in Intelligent Robots and Systems (IROS), 2010 IEEE/RSJ International Conference on. 2010. IEEE.
[8] Wei, Y., et al., Strategies for feet massage robot to position the pelma acupoints with model predictive and real-time optimization. International Journal of Control, Automation and Systems, 2016. 14 (2): p. 628-636.
[9] Tian, L., et al., The making of a 3D-printed, cable-driven, single-model, lightweight humanoid robotic hand. Frontiers in Robotics and AI, 2017. 4: p. 65.
[10] Wang, W., et al., The force control and path planning of electromagnetic induction-based massage robot. Technology and Health Care, 2017. 25 (S1): p. 275-285.
[11] Della Santina, C., et al. Estimating contact forces from postural measures in a class of under-actuated robotic hands. in Intelligent Robots and Systems (IROS), 2017 IEEE/RSJ International Conference on. 2017. IEEE.
[12] Luo, R. C., C.-W. Hsu, and S.-Y. Chen. Control and Analysis of a Therapeutic Massage Robot: A Milestone of Human-Robot in Physical Contact. in ISR 2016: 47st International Symposium on Robotics; Proceedings of. 2016. VDE.
[13] Damstra, R. J., Upper Limb Lymphedema, in Lymphedema. 2011, Springer. p. 287-293.
[14] Edgar, D. W., M. Fear, and F. M. Wood, A Descriptive Study of the Temporal Patterns of Volume and Contents Change in Human Acute Burn Edema: Application in Evidence-Based Intervention and Research Design. Journal of Burn Care & Research, 2016. 37 (5): p. 293-304.
[15] Sagen, A., et al., Upper limb physical function and adverse effects after breast cancer surgery: a prospective 2.5-year follow-up study and preoperative measures. Archives of physical medicine and rehabilitation, 2014. 95 (5): p. 875-881.
Cite This Article
  • APA Style

    Carlos Gonçalves, Alexandre Ferreira da Silva, João Gomes, Ricardo Simoes. (2020). Mathematical Model of the Upper Limb Manual Lymph Drainage Massage. International Journal of Biomedical Science and Engineering, 8(4), 58-63. https://doi.org/10.11648/j.ijbse.20200804.13

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    ACS Style

    Carlos Gonçalves; Alexandre Ferreira da Silva; João Gomes; Ricardo Simoes. Mathematical Model of the Upper Limb Manual Lymph Drainage Massage. Int. J. Biomed. Sci. Eng. 2020, 8(4), 58-63. doi: 10.11648/j.ijbse.20200804.13

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    AMA Style

    Carlos Gonçalves, Alexandre Ferreira da Silva, João Gomes, Ricardo Simoes. Mathematical Model of the Upper Limb Manual Lymph Drainage Massage. Int J Biomed Sci Eng. 2020;8(4):58-63. doi: 10.11648/j.ijbse.20200804.13

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  • @article{10.11648/j.ijbse.20200804.13,
      author = {Carlos Gonçalves and Alexandre Ferreira da Silva and João Gomes and Ricardo Simoes},
      title = {Mathematical Model of the Upper Limb Manual Lymph Drainage Massage},
      journal = {International Journal of Biomedical Science and Engineering},
      volume = {8},
      number = {4},
      pages = {58-63},
      doi = {10.11648/j.ijbse.20200804.13},
      url = {https://doi.org/10.11648/j.ijbse.20200804.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbse.20200804.13},
      abstract = {This paper reports the formulation of a mathematical model that describes the manual lymph drainage massage typically employed in the treatment of upper limb lymphedema. The ability to model such massage is a key feature for the development of automated physical therapy systems that aim at mimicking and assisting the therapist. This type of mathematical model can be hardcoded into a control system responsible to control a soft exoskeleton such as an upper limb sleeve. There is currently no similar model in the literature, nor is there information available about the actual forces exerted by the occupational therapists or the massage profile. Thus, this paper provides a deeper insight into the massage process, using the upper limb lymphedema as a case study. The first step of the design process was to identify the pressure amplitudes and profiles made by the occupational therapists during the manual lymph drainage. A commercial sensorized pressure glove was used to quantitatively analyze the massage. More than 50 occupational therapists wear the sensorized pressure glove when performing an upper limb drain massage and hours of pressure profiles were recorded. The loads and time spent at each compression were characterized, and the compression spots at the upper limb were identified. With the identification of the pressure sites, the respective load and the massage speed, we propose a model capable of mathematically describing the massage profile.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Mathematical Model of the Upper Limb Manual Lymph Drainage Massage
    AU  - Carlos Gonçalves
    AU  - Alexandre Ferreira da Silva
    AU  - João Gomes
    AU  - Ricardo Simoes
    Y1  - 2020/12/31
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijbse.20200804.13
    DO  - 10.11648/j.ijbse.20200804.13
    T2  - International Journal of Biomedical Science and Engineering
    JF  - International Journal of Biomedical Science and Engineering
    JO  - International Journal of Biomedical Science and Engineering
    SP  - 58
    EP  - 63
    PB  - Science Publishing Group
    SN  - 2376-7235
    UR  - https://doi.org/10.11648/j.ijbse.20200804.13
    AB  - This paper reports the formulation of a mathematical model that describes the manual lymph drainage massage typically employed in the treatment of upper limb lymphedema. The ability to model such massage is a key feature for the development of automated physical therapy systems that aim at mimicking and assisting the therapist. This type of mathematical model can be hardcoded into a control system responsible to control a soft exoskeleton such as an upper limb sleeve. There is currently no similar model in the literature, nor is there information available about the actual forces exerted by the occupational therapists or the massage profile. Thus, this paper provides a deeper insight into the massage process, using the upper limb lymphedema as a case study. The first step of the design process was to identify the pressure amplitudes and profiles made by the occupational therapists during the manual lymph drainage. A commercial sensorized pressure glove was used to quantitatively analyze the massage. More than 50 occupational therapists wear the sensorized pressure glove when performing an upper limb drain massage and hours of pressure profiles were recorded. The loads and time spent at each compression were characterized, and the compression spots at the upper limb were identified. With the identification of the pressure sites, the respective load and the massage speed, we propose a model capable of mathematically describing the massage profile.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Center for Micro Electro Mechanical Systems (CMEMS-UMinho), Guimaraes, Portugal

  • Institute for Polymers and Composites IPC/I3N, University of Minho, Portugal

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