Lipedema
Conditions
Keywords
Upper extremity lipedema, Lymphatic drainage
Brief summary
Lipedema which causes excessive accumulation of fat in the subcutaneous tissue, is a rare, progressive disease. This disease generally affects women, following puberty or early adulthood and usually results in the slow increase of the circumference of the legs and/or arms, bilaterally. In a typical presentation of lipedema, the enlargement of the lower extremities is disproportionately greater than that of the trunk and upper extremities When first described in 1940, lipedema was thought to exclusively affect the lower extremities. However, as the disease has been recognized over the years, lipedema has been reported to affect the upper extremities. Upper extremity lipedema, with no involvement of the lower extremities is an extremely rare incident.
Detailed description
Due to the hypertrophy in adipose tissue, the link between lymphatic dysfunction and the progression to lipo-lymphedema, lipedema is conservatively treated with physiotherapy, manual lymph drainage and compression, also known as complex decongestive physiotherapy. Furthermore, the consensus of the International Society of Lymphology has stated that intermittent pneumatic compression is an optional treatment which may be applied as an adjuvant therapy to complex decongestive physiotherapy. All participants included in the study were included in a treatment protocol consisting of complex decongestive physiotherapy and intermittent pneumatic compression. The Perometer was used in the measurement of upper extremity volume and circumference before and after treatment.
Interventions
PROCEDUREComplex decongestive physiotherapy
Each patient received a treatment protocol of Complex decongestive physiotherapy for 5 days a week until they were discharged from the clinic. All patients fully completed all components of the treatment routine daily. The treatment was performed by a physiotherapist who was certified with Manual Lymph Drainage Combined Decongestive Physiotherapy. After the daily treatment protocol was completed, patients wore standard or individually sized compression grade II or III medical compression stockings for the rest of the day.
Sponsors
Yuksek Ihtisas University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* being between the ages of 18-65, * having a diagnosis of upper extremity lipedema * being willing to participate in the study
Exclusion criteria
* accompanying diagnosis of lymphedema, * deep vein thrombosis * disease which causes edema in the upper extremities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Limb Circumference | Change from baseline circumference at 4 weeks | For every patient, the circumference measurements of the upper limbs were measured with the Perometer. |
| Limb Volume | Change from baseline volume at 4 weeks | For every patient, the volume measurements of the upper limbs were measured with the Perometer. |
Countries
Turkey (Türkiye)
Outcome results
None listed