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- Klinische proef 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.
Studie Overzicht
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Merete C Wittenkamp, PhD student
- Telefoonnummer: 93911784
- E-mail: merete.celano.wittenkamp@regionh.dk
Studie Locaties
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Herlev, Denemarken, 2730
- Werving
- Herlev and Gentofte Hospital, Department of Physiotherapy and Occupational Therapy
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Contact:
- Merete Wittenkamp, PhDstudent
- Telefoonnummer: 4593911784
- E-mail: merete.celano.wittenkamp@regionh.dk
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Hoofdonderzoeker:
- Merete Wittenkamp, PhD student
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: Gerandomiseerd
- Interventioneel model: Crossover-opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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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Experimenteel: 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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Experimenteel: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Lower leg circumference
Tijdsspanne: 14 days
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circumferential sensor CIMON, measured in Picoferens (pF)
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14 days
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Lower Limb volume
Tijdsspanne: 14 days
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perometry, volume (mL)
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14 days
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Lower Limb volume
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 14 days
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Bioimpedance Spectroscophy, (L-dex)
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14 days
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Body composition
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie stoel: Carsten B Juhl, Professor, Herlev Gentofte Hospital
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Lymfatische ziekten
- Gedrag
- Hemische en lymfatische ziekten
- Lymfoedeem
- Motorische activiteit
- Sedentair gedrag
- Motorische activiteit
- Beweging
- Musculoskeletale fysiologische fenomenen
- Musculoskeletale en neurale fysiologische fenomenen
- Therapeutica
- Modaliteiten fysiotherapie
- Patiëntenzorg
- Transporttherapie
- Revalidatie
- Nazorg
- Continuïteit van patiëntenzorg
- Fysieke conditionering, mens
- Oefening
- Weerstandstraining
Andere studie-ID-nummers
- LymphEx
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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