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

August 28, 2023 updated by: Eva Magdy Bottros Nakhla, Cairo University
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.

Study Overview

Status

Recruiting

Detailed Description

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.

Study Type

Interventional

Enrollment (Estimated)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Cairo, Egypt
        • Recruiting
        • Al Sahel teaching hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

41 years to 51 years (Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

The patient will be according the following criteria:-

  1. Males and females with Lower limb lymphedema Stage 2.
  2. Age will range from45 to 55years old.
  3. BMI <40 (kg/m2).
  4. All patients will be clinically and medically stable when attending the study.
  5. Patients free from any acute conditions.
  6. Post cellulitis for at least 2 weeks.

Exclusion Criteria:

  1. Unstable cardiovascular problems.
  2. Altered mental status or poor cognition.
  3. Lower limb ischemia (ABI ≤0.8).
  4. Lower limb lymphedema stage 3&4.
  5. Acute deep venous thrombosis.
  6. Any acute infection.
  7. Patients with orthopedic or neurological limitations to exercise.
  8. Any lower limb acute ulcer or arterial wounds.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional 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.
will receive Complete decongestive therapy in combination with kinesio tape
  1. Education.
  2. Skin care .
  3. Pneumatic compression device .
  4. Manual lymph draining .
  5. Multilayer short stretch compression bandages.
  6. Exercises.
Other: will receive complete decongestive therapy for 6 successive weeks.

Complete Decongestive Therapy(traditional physical therapy) that includes:

  1. Education.
  2. Skin care .
  3. Pneumatic compression device .
  4. Manual lymph draining .
  5. Multilayer short stretch compression bandages.
  6. Exercises.
  1. Education.
  2. Skin care .
  3. Pneumatic compression device .
  4. Manual lymph draining .
  5. Multilayer short stretch compression bandages.
  6. Exercises.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
To assess limb volume
Time Frame: 6 weeks
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
Time Frame: 6 weeks
using tonometer at the beginning of the study and at last session after 6 weeks
6 weeks
To evaluate ankle range of motion
Time Frame: 6 weeks
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
Time Frame: 6 weeks
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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 20, 2023

Primary Completion (Estimated)

March 1, 2024

Study Completion (Estimated)

June 1, 2024

Study Registration Dates

First Submitted

November 27, 2022

First Submitted That Met QC Criteria

December 13, 2022

First Posted (Actual)

December 22, 2022

Study Record Updates

Last Update Posted (Actual)

August 30, 2023

Last Update Submitted That Met QC Criteria

August 28, 2023

Last Verified

August 1, 2023

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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