Physical Therapy in Lipedema Surgery

Study Overview
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Brief Summary
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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
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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.

Official Title
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Physical Therapy Intervention in the Immediate Postoperative Phase of Lipedema Surgery

Conditions
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Assessment, Lipedema, Vascular Diseases, Dermatologic Complication

Intervention / Treatment
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* Other: modified CDT physical therapy protocol, based on Godoy's Method


Participation Criteria
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Eligibility Criteria
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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

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

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| modified CDT physical therapy protocol, based on Godoy's Method<br>A complete physical therapy assessment was done. All sociodemographic data were recruited as well as body mass index (BMI), the month of intervention, kind of surgery, extracted liters, psychological treatment, physical therapy sessions, pain, mobility, complications (seroma, wound infection, chafing or risk of ulcer, pain, fibrosis, genital edema), compression, smoking, satisfaction with the treatment received. A modified CDT physical therapy protocol, based on Godoy's Method, was applied to all study participants. This protocol comprised of Cervical Stimuli 15min MLD based on Godoy Mechanical lymphatic drainage with RA Godoy® device Compression therapy with multilayer and multicomponent bandages during the mechanical lymphatic drainage. Skin care - before and after the bandages- and therapeutic education. Put on compression garments Active movement if possible. | Other: modified CDT physical therapy protocol, based on Godoy's Method<br>* modified CDT physical therapy protocol<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain VAS scale | VAS | 2018-2022 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| edema resorption - volume | lower limb edema is measured | 2018-2022 | 
| complications reported - binary outcome | seroma, wound infection, chafing or risk of ulcer, pain, fibrosis, genital edema | 2018-2022 | 
| mobility - scale | 1- dependent to move/no improvement, 2-somewhat dependent/minor to medium improvement, 3- independent marked improvement | 2018-2022 | 
| patient satisfaction | binary outcome | 2018-2022 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Lipedema, physical therapy,liposuction,complications,treatment,assessment