Assessment, Dermatologic Complication, Lipedema, Vascular Diseases
Conditions
Keywords
Lipedema, physical therapy,liposuction,complications,treatment,assessment
Brief summary
The goal of this observational study or clinical trial is to know evaluate the effects of a modified Complete Decongestive Therapy protocol using the Godoy Method in the postoperative period following lipedema surgery. The main question it aims to answer are: * if the treatment is effective on pain reduction, edema resorption, mobility improvement in short term and follow-up at 90 days * if the treatment is effective on preventing complications of these participants after surgery Participants have been treated in the lasts years and authors recover information of the effects of the treatment. Researchers will compare sub-groups of participants depending on the number of physical therapy sessions received
Detailed description
Background: Lipedema is an adipose tissue disorder in women, with an abnormal fat deposition in lower limbs and occasionally upper limbs. The patients present pain, bruising, heaviness, and mobility impairment. It affects them physically and psychologically. Purpose: This study aims to evaluate the effects of a modified CDT protocol using the Godoy Method in the postoperative period following lipedema surgery. Outcomes: pain (VAS), edema resorption, complications, mobility and patient satisfaction. A descriptive statistical analysis will be performed using means and standard deviation (quantitative outcomes) and percentages (dichotomous and categorical outcomes). An inferential analysis will be carried out using paired and unpaired T-tests as One-way and repeated measures ANOVA to search for differences between quantitative outcomes. Pearson chi-square will also be used to relate dichotomous and categorical variables in a transversal analysis. All missing values will be excluded from the analysis. In all cases, a P\<0.05 value and a 95% confidence interval will be determined forstatistical significance. All statistical analysis will be performed using the Stata® version 14.2 package for MS Windows® version 10.
Interventions
OTHERmodified CDT physical therapy protocol, based on Godoy's Method
modified CDT physical therapy protocol
Sponsors
University of Alcala
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* female subject who underwent a lipedema surgery * recommendation of the surgeon to receive physical therapy
Exclusion criteria
* unilateral surgery * lack of data in the clinical history * only 1-2 physical therapy sessions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain VAS scale | 2018-2022 | VAS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient satisfaction | 2018-2022 | binary outcome |
| edema resorption - volume | 2018-2022 | lower limb edema is measured |
| complications reported - binary outcome | 2018-2022 | seroma, wound infection, chafing or risk of ulcer, pain, fibrosis, genital edema |
| mobility - scale | 2018-2022 | 1- dependent to move/no improvement, 2-somewhat dependent/minor to medium improvement, 3- independent marked improvement |
Countries
Spain
Outcome results
None listed