It is further proposed that increased clearance reduces local levels of
inflammatory mediators, which are often associated with edema
and pain.11 In addition, physical pressure applied on hypertonic
surrounding soft tissues and mechanical stretching of the
contractile component of musculature can improve tissue
tension,19 potentially providing further improvement in edema and
pain. Although passive knee ROM will improve from the aforementioned
benefits of MLD, it is thought that active knee joint
ROM may benefit additionally through the reduced influence of
swelling, inflammation,