Effect of Modified Complete Decongestive Therapy on Lower Limbs Fibrosis Post Cellulitis

Study Overview
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Brief Summary
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this study will be designed to investigate the therapeutic benefits of kinesio tape in combination to complete decongestive therapy on limb volume , skin fibrosis, functional capacity ,ankle range of motion, lymphedema associated symptoms (pain, tightness, heaviness and hardness) and quality of life in patients with lower limbs fibrosis post cellulitis ,as well as finding out a physical therapy approach that has positive effect in treatment and care such cases which would enhance the physical therapy field.

Detailed Description
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Lymphedema patient need a rehabilitative intervention in two phases : decongestion phase to reduce edema volume , improve the skin extensibility and provide him a better quality of life, followed by the maintenance phase to keep the outcomes. When we use the kinesio tape in addition to the complete decongestive therapy, the patient will experience a better improvement in the edema volume and the skin extensibility within a shorter period of time , a lesser number of sessions and a lower cost. So, the patient will have a better quality of life and could be a productive person in the society.

Official Title
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Effect of Modified Complete Decongestive Therapy on Lower Limbs Fibrosis Post Cellulitis

Conditions
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Fibrosis, Lower Limb Lymphedema, Cellulitis of Leg

Intervention / Treatment
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* Other: Complete decongestive therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patient will be according the following criteria:- Males and females with Lower limb lymphedema Stage 2. Age will range from45 to 55years old. BMI <40 (kg/m2). All patients will be clinically and medically stable when attending the study. Patients free from any acute conditions. Post cellulitis for at least 2 weeks. Exclusion Criteria: Unstable cardiovascular problems. Altered mental status or poor cognition. Lower limb ischemia (ABI ≤0.8). Lower limb lymphedema stage 3&4. Acute deep venous thrombosis. Any acute infection. Patients with orthopedic or neurological limitations to exercise. Any lower limb acute ulcer or arterial wounds.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: will receive kinesio tape in addition to complete decongestive therapy for 6 successive weeks.<br>will receive Complete decongestive therapy in combination with kinesio tape | Other: Complete decongestive therapy<br>* Education. Skin care . Pneumatic compression device . Manual lymph draining . Multilayer short stretch compression bandages. Exercises.<br>|
| Other: will receive complete decongestive therapy for 6 successive weeks.<br>Complete Decongestive Therapy(traditional physical therapy) that includes: Education. Skin care . Pneumatic compression device . Manual lymph draining . Multilayer short stretch compression bandages. Exercises. | Other: Complete decongestive therapy<br>* Education. Skin care . Pneumatic compression device . Manual lymph draining . Multilayer short stretch compression bandages. Exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To assess limb volume | using Circumferential tape measurement to measure round measurements in cm at the beginning of the study then every 3 sessions | 6 weeks | 
| To assess skin extensibility | using tonometer at the beginning of the study and at last session after 6 weeks | 6 weeks | 
| To evaluate ankle range of motion | using digital goniometer at the ankle joint to assess the dorsi flexion degree at the beginning of the study and at the last session | 6 weeks | 
| To evaluate patient quality of life | using Lymphedema life impact scale in form of 18 questions every question' answer from 0 ( no symptoms) to 4 ( sever symptoms) at the beginning of the study and at the end of sessions | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Lymphedema, complete decongestive therapy, kinesio tape