Trunk Stabilization Exercises at Lipoedema Patients

Study Overview
=================
Brief Summary
-----------------
Lipedema is a chronic, progressive adipose tissue disorder that is mostly seen as a symmetrical growth of the hips and legs, affecting women. The aim of this study is to investigate the effect of trunk stabilization exercises in addition to active range of motion exercises on body composition, pain, edema, trunk endurance, functional capacity and postural stability.

Detailed Description
-----------------
Thirty female patients with upper and lower leg lipedemia were included in the study. Subjects were divided into two groups as experimental (n = 15) and control (n = 15). The physiotherapy program of the control group will consist of active range of motion exercises and the physiotherapy program in the experimental group will include active range of motion exercises as well as trunk stabilization exercises. After recording demographic data of all subjects, limb volume (environmental measurement), body composition analysis, trunk endurance, pain (Visual Analogue Scale), postural stability (Biodex Balance System®) and functional capacities (6-Minute Walk Test) will be taken. After the six-week treatment program, all evaluations will be repeated. SPSS (SPSS 21.0) program was used for statistical analysis of the data. Significance level in all analyzes will be accepted as p <0.05.

Official Title
-----------------
The Effect of Trunk Stabilization Exercises on Postural Stability at Lipoedema Patients

Conditions
-----------------
Lipedema

Intervention / Treatment
-----------------
* Other: Active ROM Exercises
* Other: Trunk Stabilization Exercises Training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: diagnosed with lower or upper type lipedema to be able to understand Turkish being older than 18 years Exclusion Criteria: diagnosed with vestibular disorders having orthopedic or neurologic co morbidities

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control Group<br>Patients in this group will receive active ROM exercises, 10 repeats X 3 times a day, 5 days a week for 6 weeks. All exercises will be performed at home . | Other: Active ROM Exercises<br>* Active ROM exercises programme will include hip flexion-extention, hip abduction-adduction, hip internal-external rotation, knee flexion-extention and ankle dorsi-plantar flextion exercises.<br>|
| Experimental: Training group<br>I addition to active ROM exercises, patients in this group will also receive trunk stabilization exercises training for 45 minutes, 2 times a week for 6 weeks. All exercises sessions will be supervised by a physiotherapist in a clinic per week. | Other: Active ROM Exercises<br>* Active ROM exercises programme will include hip flexion-extention, hip abduction-adduction, hip internal-external rotation, knee flexion-extention and ankle dorsi-plantar flextion exercises.<br>Other: Trunk Stabilization Exercises Training<br>* Trunk stabilization exercises training will be given under the supervision of a physiotherapist. This training exercises will include diphragmatic exrecises, posterior pelvic tilt exercises, abdominal streghtening exercises,<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Extremity volume | tape measurements | Six weeks | 
| Body Composition | fat mass; muscle mass | Six weeks | 
| Extremity pain | Visual Analog Scale | Six weeks | 
| Endurance | Abdominal endurance tests | Six weeks | 
| Balance | Change from baseline postural stability test score in BIODE Balance System at 6 weeks. | Six weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
lipedema, postural stability, trunk stabilization exercises