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.
調査の概要
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Merete C Wittenkamp, PhD student
- 電話番号:93911784
- メール:merete.celano.wittenkamp@regionh.dk
研究場所
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Herlev、デンマーク、2730
- 募集
- Herlev and Gentofte Hospital, Department of Physiotherapy and Occupational Therapy
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コンタクト:
- Merete Wittenkamp, PhDstudent
- 電話番号:4593911784
- メール:merete.celano.wittenkamp@regionh.dk
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主任研究者:
- Merete Wittenkamp, PhD student
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:支持療法
- 割り当て:ランダム化
- 介入モデル:クロスオーバー割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的: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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実験的: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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実験的: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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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Lower leg circumference
時間枠:14 days
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circumferential sensor CIMON, measured in Picoferens (pF)
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14 days
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Lower Limb volume
時間枠:14 days
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perometry, volume (mL)
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14 days
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Lower Limb volume
時間枠: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
時間枠: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
時間枠:14 days
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Bioimpedance Spectroscophy, (L-dex)
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14 days
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Body composition
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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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協力者と研究者
スポンサー
捜査官
- スタディチェア:Carsten B Juhl, Professor、Herlev Gentofte Hospital
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- LymphEx
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
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