<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000200008</article-id>
<article-id pub-id-type="doi">10.24875/ciru.24000129</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Rehabilitation effect of manual lymphatic drainage on pain threshold and tolerance, tactile sensation, and strength]]></article-title>
<article-title xml:lang="es"><![CDATA[Efecto de rehabilitación del drenaje linfático manual en el umbral y tolerancia al dolor, sensación táctil y fuerza]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cihan]]></surname>
<given-names><![CDATA[Emine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pirinççi]]></surname>
<given-names><![CDATA[Cansu S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Selcuk University, Vocational School of Health Sciences Department of Therapy and Rehabilitation ]]></institution>
<addr-line><![CDATA[Konya ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Gulhane Physiotherapy and Rehabilitation Faculty, University of Health Sciences Department of Cardiopulmonary Physiotherapy and Rehabilitatio ]]></institution>
<addr-line><![CDATA[Ankara ]]></addr-line>
<country>Turkey</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>2</numero>
<fpage>181</fpage>
<lpage>189</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: This study evaluates the acute therapeutic effect of manual lymphatic drainage (MLD).  Method: Eighty-two individuals (164 upper limbs) participating in the study were divided into two groups: MLD and sham. Before and after treatment, measurements of pressure pain threshold (PPT), pain tolerance, muscle strength (using a hand dynamometer and pinchmeter), and two-point discrimination (2PD) with an esthesiometer were conducted.  Results: Age, height, weight, body mass index, gender, and dominant extremity of the participants showed similar characteristics (p &gt; 0.05). There was a difference hypothenar PPT (p = 0.038) and pain tolerance (p = 0.009), thenar PPT (p = 0.021) and pain tolerance (p = 0.001), mid-ulnar PPT (p = 0.028), biceps PPT (p &lt; 0.001), pain tolerance (p &lt; 0.001), and grip strength (p = 0.030) between the groups after the therapy. When comparison was made between the groups at baseline and after the treatment all were found to differ (p &lt; 0.05).  Conclusions: MLD reduced PPR, pain tolerance, hand grip, and pinch strength in young adults. However, in this population, the distance felt in 2PD evaluation with MLD decreased.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Este estudio evalúa el efecto terapéutico agudo del drenaje linfático manual (DLM).  Método: Ochenta y dos individuos (164 miembros superiores) que participaron en el estudio se dividieron en dos grupos: DLM y DLM simulado. Antes/después del tratamiento, mediciones de umbral de dolor por presión (PPT) y tolerancia al dolor, mediciones de fuerza muscular con dinamómetro de mano y pinchómetro, y evaluación de discriminación de dos puntos (2PD) con un estesiómetro.  Resultados: La edad, talla, peso, índice de masa corporal, sexo y extremidad dominante de los participantes mostraron características similares (p &gt; 0.05). Hubo diferencia entre PPT hipotenar (p = 0.038) y tolerancia al dolor (p = 0.009), PPT tenar (p = 0.021) y tolerancia al dolor (p = 0.001), PPT mediocubital (p = 0.028), PPT de bíceps (p &lt; 0.001) y tolerancia al dolor (p &lt; 0.001), fuerza de agarre (p = 0.030) entre los grupos después de la terapia. Cuando se hizo la comparación entre los grupos al inicio y después del tratamiento, se encontró que todos diferían (p &lt; 0.05).  Conclusiones: El DLM redujo la PPT, la tolerancia al dolor, el agarre manual y la fuerza de pellizco en adultos jóvenes. Sin embargo, en esta población, la distancia sentida en la evaluación 2PD con DLM disminuyó.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Manual lymphatic drainage]]></kwd>
<kwd lng="en"><![CDATA[Pain threshold]]></kwd>
<kwd lng="en"><![CDATA[Pain tolerance]]></kwd>
<kwd lng="en"><![CDATA[Tactile sense]]></kwd>
<kwd lng="en"><![CDATA[Muscle strength]]></kwd>
<kwd lng="es"><![CDATA[Drenaje linfático manual]]></kwd>
<kwd lng="es"><![CDATA[Umbral del dolor]]></kwd>
<kwd lng="es"><![CDATA[Tolerancia al dolor]]></kwd>
<kwd lng="es"><![CDATA[Sentido táctil]]></kwd>
<kwd lng="es"><![CDATA[Fuerza muscular]]></kwd>
</kwd-group>
</article-meta>
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