The Effect of Complex Decongestive Applications on Lower Extremity Limb Volume in Patients With Lipedema
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Gazi University
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- Limb Volume
Study Overview
Brief Summary
Lipedema is a rare condition which almost exclusively affects women. The disease is characterized with bilateral, symmetric abnormal accumulation of subcutaneous fat and is often mistaken for simple obesity. In most patients, the hips, buttocks, thighs, knees, and lower legs are affected. Upper extremity involvement has been reported to be present in 80% patients. The hands and feet are never affected. The accumulation of subcutaneous fat and edema results in tenderness, sensitivity to touch and pressure and also pain. Patients also tend to bruise easily even after a minimal trauma. It has been reported that the complaint of pain increases with aging.There is no known cure for lipedema. However, conservative treatment with physiotherapy, manual lymph drainage and compression, also known as complex decongestive physiotherapy is used worldwide as a standard treatment regimen . The aim of this study is to investigate the effect of complex decongestive applications on lower extremity limb circumference and volume in patients with lipedema.
Detailed Description
All participants included in the study were included in a treatment protocol consisting of complex decongestive physiotherapy Each patient received;
- 45 minutes of manual lymph drainage on both lower extremities,
- Moisturisation of the lower extremities,
- Bandage application
Alongside this routine, the patients were advised to exercise (walk) regularly every day.
This treatment routine was continued until the patients were discharged from the clinic.
Study Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Being willing to participate in the study
- •Being 18-65 years old
- •Having a diagnosis of lower extremity lipedema
Exclusion Criteria
- •Having edematous disease in the lower extremity such as lymphedema or chronic venous insufficiency
Outcomes
Primary Outcomes
Limb Volume
Time Frame: Change from Baseline limb volume at 6 weeks
In measurement of limb volume, the perometer was used. The device measures limb volume via infrared light and it has been reported to be a quick and reliable method. The device has a square frame which is used to surround the perimeter of the limb. The limb interrupts the emitted infrared beams that would normally be sensed by the light-sensing diodes in the two planes. Thus two perpendicular diameter measurements of the limb for the measured segment are provided. The device estimates the opposite two sides based on an elliptical cross-section.
Secondary Outcomes
No secondary outcomes reported
Investigators
Gokhan Yazici
Principal Investigator
Gazi University