Chronic Venous Insufficiency, Lipedema
Conditions
Keywords
Foot deformity, venous insufficiency, pressure, Lipedema
Brief summary
Chronic venous disease (CVD) are common vascular pathology characterized by a wide spectrum of clinical manifestations occurring with symptoms and/or signs that vary in type and severity. The pathophysiological mechanisms of CVD start from the development of venous hypertension, leading to endothelial dysfunction and venous wall dilatation. Lipedema is subcutaneous adipose tissue disorder characterized by enlargement of both lower extremities. Previous studies showed that foot deformities such as pes planus or cavus are at a high prevalence in CVD patients, and the authors indicated that foot disorders are an important risk factor that negatively affects venous disease. To the best of our knowledge, there is only one study investigating plantar arch abnormalities in lipedema patients based on clinical observation. Therefore, the study aimed to investigate plantar foot distribution and foot deformity in patients with CVD and lipedema.
Interventions
OTHERPresence of foot deformity, ankle range of motion, foot posture, local tissue water percentage, and foot pressure distribution will be evaluated in patients with chronic venous disease.
Presence of foot deformity, ankle range of motion, foot posture, local tissue water percentage, and foot pressure distribution will be evaluated in patients with chronic venous disease and lipedema.
Sponsors
Hacettepe University
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* diagnosed with CVD or CVD combined with lipedema, * The clinic (C) score of clinical, etiological, anatomical, pathophysiological (CEAP) classification was C1, C2 or C3 (C1: telangiectasia-reticular vein; C2: varicose vein; C3: edema)
Exclusion criteria
* C4, C5 or C6 (presence of skin changes or ulcer) in C score of CEAP classification * undergone lower extremity orthopedic surgery within the last year, * have peripheral artery disease * patients who could not mobilize independently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The presence of foot deformity | baseline of study | The presence of foot deformity including hallux valgus, hallux limitus or rigidus, pes planus, pes cavus, toe deformities will be evaluated by inspection. In the presence of hallux valgus, its stage will be evaluated by measuring the angle using a universal goniometer, and in the presence of pes planus, the severity of pes planus will be determined by performing the navicular drop test. |
| Plantar pressure distribution | baseline of study | Plantar pressure distribution (PPD) will be evaluated with EsCoSCAN® (EsCo Orthopädie Service GmbH, Germany) pedobarography. The plantar pressure in both feet will be evaluated with the force platform while standing, and the average pressure distribution percentage for each foot will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ankle range of motion | baseline of study | Ankle dorsi- and plantar-flexion range of motion will be measured using a universal goniometer. |
| Foot posture | baseline of study | The foot posture will be evaluated with the Foot Posture Index. |
| Local tissue water percentage | baseline of study | Local tissue water percentages will be evaluated with the Moisturemeter-d compact (MMDc, Delfin Technologies, Kuopio, Finland) device. |
Countries
Turkey (Türkiye)
Outcome results
None listed