Physical Therapy in Lipedema Surgery
Condition: Assessment; Lipedema; Vascular Diseases; Dermatologic Complication
MeSH terms: Vascular Diseases; Lipedema
Study type: Observational

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.
    

Intervention name(s): modified CDT physical therapy protocol, based on Godoy's Method
Intervention type(s): Other
Intervention description(s): modified CDT physical therapy protocol
Observational model: Ecologic or Community
Time perspective: Retrospective
Sampling method: Probability Sample
Study population: 
        females from undergon a surgical proceeding for lipedema in two private hospitals in Madrid
        and were treated in a private physical therapy center. After surgery they were recommended
        to receive CDT by their surgeons. All participants received the same physical therapy
        treatment. The study was approved by the Clinical Research Committee of Hospital
        Universitario Principe de Asturias (CEIm 36/2023).
      
Keywords: Lipedema, physical therapy,liposuction,complications,treatment,assessment