- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07558317
The Effect of Resistance Exercise in Patients With Lower Limb Lymphedema (the LymphEx Study) (LymphEx)
The Effect of Resistance Exercise in Patients With Lower Limb Lymphedema - With and With-out Compression - a Randomized Controlled Trial (the LymphEx Study)
The aim of the study is to investigate the short-term (within 2 weeks) effects of resistance exercise with and without compression garments on lower limb lymphedema(LLL). Additionally, the study will explore the immediate response in LLL to resistance exercise (2 hours and 24 hours post-exercise).
Participants will continously wear a circumfencential sensor at the calf (CIMON from Icompression) under a compression garment and an activity tracker (SENS Motion from SENS Innovation Aps) at the thigh for 3 periods (two with supervised exercise sessions of 2 weeks and one control period).
Participants will attend supervised resistance exercise 2-3 times per week for 2 periods of 2 weeks (one with compression garment and one without). Assessments with the principal investigator will be scheduled before and after every 2 week period. Participants will keep a digital diary or diary in paper of their lymphedema related symptoms and experienced issues with the sensors or app.
Studieoversigt
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Merete C Wittenkamp, PhD student
- Telefonnummer: 93911784
- E-mail: merete.celano.wittenkamp@regionh.dk
Studiesteder
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Herlev, Danmark, 2730
- Rekruttering
- Herlev and Gentofte Hospital, Department of Physiotherapy and Occupational Therapy
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Kontakt:
- Merete Wittenkamp, PhDstudent
- Telefonnummer: 4593911784
- E-mail: merete.celano.wittenkamp@regionh.dk
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Ledende efterforsker:
- Merete Wittenkamp, PhD student
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- verified diagnosis of lymphedema of the lower limb
- completed compression bandaging
- adherence to compression garment in daytime (minumum 5-6 days per week)
- calf circumference > 35 and <75 cm
Exclusion Criteria:
- severe neuropathy of the lower leg
- severe skin problems or wounds at the lower leg
- cellulitis, DVT or acute injuries of the lower limb < 2 months prior to inclusion
- ongoing adjuvant treatment for cancer
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Group A
Week 1-2 no exercise, week 3 washout, week 4-5 exercise without compression, week 6 washout, week 7-8 exercise with compression
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Supervised resistance exercise targeted at the larger muscle groups in the lower limbs, 5 exercises, 3 sets of 10RM
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Eksperimentel: Group B
Week 1-2 exercise without compression, week 3 washout, week 4-5 exercise with compression, week 6 washout, week 7-8 no exercise
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Supervised resistance exercise targeted at the larger muscle groups in the lower limbs, 5 exercises, 3 sets of 10RM
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Eksperimentel: Group C
Week 1-2 exercise with compression, week 3 washout, weekend 4-5 no exercise, week 6 washout, week 7-8 exercise without compression
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Supervised resistance exercise targeted at the larger muscle groups in the lower limbs, 5 exercises, 3 sets of 10RM
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Lower leg circumference
Tidsramme: 14 days
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circumferential sensor CIMON, measured in Picoferens (pF)
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14 days
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Lower Limb volume
Tidsramme: 14 days
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perometry, volume (mL)
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14 days
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Lower Limb volume
Tidsramme: 14 days
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circumferential measurements, 8 cm interval, converted to volume (mL)
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14 days
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Edema of the foot and ankle
Tidsramme: 14 days
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Figure of eight with tape measure, (cm)
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14 days
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Extracellular fluid of the lower limb
Tidsramme: 14 days
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Bioimpedance Spectroscophy, (L-dex)
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14 days
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Body composition
Tidsramme: 14 days
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Bioimpedance Spectroscophy, One measurement provides the following data: Total Body Water (L/%) , Extracellular fluid (L/%), Intracellular fluid (L/%), Skeletal muscle mass (kg/%), Fat mass (kg/%), Fat free mass (kg/%)
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14 days
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Segmental body composition of the lower limbs
Tidsramme: 14 days
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Bioimpedence Spectroscophy, One measurement provides the following data: Total Body water (L), Extracellular fluid (L), Intracellular fluid (L), Skeletal Muscle Mass(kg), Lean soft tissue (kg)
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14 days
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Self reported lymphedema symptoms
Tidsramme: 14 days
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Pain, tension, heaviness, tinkling, numeric ranking scale 0-10
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14 days
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Physical activity
Tidsramme: 14 days
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Daily number of minutes in activity (defined as the sum of time spent with standing, walking, cycling and high intensity activity) registered by a activity sensor (SENS Motion).
Level of physical activity time per 24 hours at the following categories: lying, sitting, standing, walking, brisk walking, biking, high intensity activity
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14 days
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Adverse events
Tidsramme: 14 days
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E.g. skin irritation, cellulitis, severe muscle injury, number of events
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14 days
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Adherence to compression
Tidsramme: 14 days
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Adherence to compression garments = 7 days a week, yes or no, if no - number of days with compression per participant
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14 days
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Adherence to study
Tidsramme: 8 weeks
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Completion of supervised exercise sessions and application of the sensors, number of exercise sessions attended and number of days with sensors applied per participant
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8 weeks
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Withdrawal from study
Tidsramme: 8 weeks
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Number of participants and reasons for withdrawal
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8 weeks
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Adherence to study
Tidsramme: 8 weeks
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Completion of supervised exercise sessions and application of the sensors, number of exercise sessions attended and number of days with sensors applied
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8 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studiestol: Carsten B Juhl, Professor, Herlev Gentofte Hospital
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Lymfesygdomme
- Opførsel
- Hemiske og lymfatiske sygdomme
- Lymfødem
- Motorisk aktivitet
- Stillesiddende adfærd
- Motorisk aktivitet
- Bevægelse
- Muskuloskeletale fysiologiske fænomener
- Muskuloskeletale og neurale fysiologiske fænomener
- Terapeutik
- Fysioterapimodaliteter
- Patientpleje
- Træningsterapi
- Rehabilitering
- Efterpleje
- Kontinuitet i patientpleje
- Fysisk konditionering, menneske
- Øvelse
- Modstandstræning
Andre undersøgelses-id-numre
- LymphEx
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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