- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving 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.
Studieoversikt
Studietype
Registrering (Antatt)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
- Navn: Merete C Wittenkamp, PhD student
- Telefonnummer: 93911784
- E-post: 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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Ta kontakt med:
- Merete Wittenkamp, PhDstudent
- Telefonnummer: 4593911784
- E-post: merete.celano.wittenkamp@regionh.dk
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Hovedetterforsker:
- Merete Wittenkamp, PhD student
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske 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 studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: Randomisert
- Intervensjonsmodell: Crossover-oppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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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Eksperimentell: 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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Eksperimentell: 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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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
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 |
Tiltaksbeskrivelse |
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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Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studiestol: Carsten B Juhl, Professor, Herlev Gentofte Hospital
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Lymfesykdommer
- Oppførsel
- Hemic og lymfatiske sykdommer
- Lymfødem
- Motorisk aktivitet
- Stillesittende atferd
- Motorisk aktivitet
- Bevegelse
- Muskel- og skjelettfysiologiske fenomener
- Muskel- og skjelett og nevrale fysiologiske fenomener
- Terapeutikk
- Fysioterapi -modaliteter
- Pasientbehandling
- Treningsterapi
- Rehabilitering
- Ettervern
- Kontinuitet i pasientbehandling
- Fysisk kondisjonering, menneskelig
- Øvelse
- Motstandstrening
Andre studie-ID-numre
- LymphEx
Plan for individuelle deltakerdata (IPD)
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