Use of the HIVAMAT(®) 200 with manual lymphatic drainage in the management of lower-limb lymphoedema and lipoedema

Isabel Teo, Anna Coulborn, D. A. Munnoch

Research output: Contribution to journalArticlepeer-review


Background: Manual lymphatic drainage (MLD) is a well-recognised and traditional treatment modality for oedema. HIVAMAT(®) 200 is a novel device that uses an intermittent electrostatic field to stimulate blood and lymphatic flow, thereby reducing oedema. This study aims to compare the effects of MLD alone to HIVAMAT(®) 200 plus MLD. Method: Three females with lipoedema and two males with lymphoedema were recruited. The larger leg was treated with HIVAMAT(®) 200 plus MLD and the contralateral limb with MLD only over the course of 3 weeks. Efficacy of treatment was determined with measurements of leg volumes and high-definition ultrasound to analyse oedema. Results: The mean reduction in volume for the HIVAMAT(®) 200 plus MLD-treated legs was 902 ml (SD 793 ml) and the mean reduction in MLD-only legs was 707 ml (SD 630 ml). While there was greater improvement in the HIVAMAT(®) 200-treated limb, this was not statistically significant (p=0.06). Using high-definition ultrasound to analyse oedema, the limbs treated with HIVAMAT(®) 200 plus MLD showed significantly greater reduction in levels of oedema than the limbs treated with MLD alone (p=0.017). Conclusion: HIVAMAT(®) 200 reduces lower-limb oedema and is at least as efficacious as MLD in achieving volume reduction. Prospective studies with larger numbers of participants are required to further evaluate this.

Original languageEnglish
Pages (from-to)49-53
Number of pages5
JournalJournal of Lymphoedema
Issue number1
Publication statusPublished - 2016
Externally publishedYes


  • HIVAMAT200
  • Lipoedema
  • Lymphoedema
  • Manual lymphatic drainage
  • Oedema


Dive into the research topics of 'Use of the HIVAMAT<sup>(®)</sup> 200 with manual lymphatic drainage in the management of lower-limb lymphoedema and lipoedema'. Together they form a unique fingerprint.

Cite this