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Diathermy Effectiveness in Reducing Subcutaneous Adipose Tissue Affected by Lipedema

Study Purpose

Diathermy, a therapy that uses deep heat to reach deep tissue layers, is known to induce the breaking down of fatty cells and fibrotic tissue. In lipedema, patients develop fibrosis of their subcutaneous adipose tissue. Therefore, diathermy could be an interesting tool to treat this disease. To test the effectiveness of diathermy on these patients, the investigators will select women with lipedema (18 to 70 yo) and place them in two groups (experimental and control group). The experimental group will receive the treatment, that is, 10 minutes of diathermy on the medial knee surface of both knees, with an intensity that produces heat just below the participants' pain threshold. Participants from the control group will receive sham diathermy, that is, placebo. The intervention consists of 10 sessions, 3 times a week, for 4 weeks. Researchers will collect data pre and post intervention and one month after the intervention ends. Data will consist of measurements at knee level with tape and an ultrasound device, pain threshold with an algometer, a VAS score and an SF-12 questionnaire for quality of life.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 70 Years
Gender Female
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - women between 18-70 years old.
  • - Diagnosed with lipedema by a medical service.
  • - Patients with type III or V lipedema (involvement of legs).
  • - Patients with type II lipedema are also admitted if they have a fat pad on the inner side of the knee.

Exclusion Criteria:

  • - Pregnant.
  • - Pacemaker or some other electronic implant.
  • - Metal implants or knee prostheses.
  • - Open wounds or burns on the inside of the knee.
  • - Thrombophlebitis.
  • - Malignant growths (cancer) - Infectious processes.
- Follow other non-conservative treatment related to lipedema at that time

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05944796
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

N/A
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Camilo Jose Cela University
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Not yet recruiting
Countries
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Lipedema
Additional Details

The goal of this clinical trial is to test the effectiveness of diathermy in reducing the subcutaneous adipose tissue affected by lipedema in women suffering from this disorder. The main questions it aims to answer are:

  • - Does diathermy produce changes in subcutaneous adipose tissue affected by lipedema? - Is it effective as a tool for lipolysis and/or fibrolysis of said subcutaneous adipose tissue affected by lipedema? - Do these changes result in a reduction of subcutaneous adipose tissue affected by lipedema? - Do these changes decrease pain in the area treated with diathermy? Participants will: - Be assesed prior to receiving treatment: - Circometry of both knees (at joint space level) - Pain threshold using an algometer.
Area: medial below knee region, at fibular head level.
  • - SF-12 questionnaire.
  • - VAS score.
  • - Ultrasound mesurements at medial collateral ligament (distance from skin to ligament) - Receive 10 diathermy sessions.
10 minutes per knee (medial knee surface), 3 times a week for 4 weeks. Parameters: 470 KHz, capacitive head, intensity: heat below pain threshold.
  • - Be assesed after receiving treatment: - Circometry of both knees (at joint space level) - Pain threshold using an algometer.
Area: medial below knee region, at fibular head level.
  • - SF-12 questionnaire.
  • - VAS score.
  • - Ultrasound mesurements at medial collateral ligament (distance from skin to ligament) - Be assesed after receiving treatment (one month post intervention): - Circometry of both knees (at joint space level) - Pain threshold using an algometer.
Area: medial below knee region, at fibular head level.
  • - SF-12 questionnaire.
  • - VAS score.
  • - Ultrasound mesurements at medial collateral ligament (distance from skin to ligament) Researchers will compare an experimental group to a placebo group to see if treatment with diathermy is effective in reducing subcutaneous adipose tissue affected by lipedema.

Arms & Interventions

Arms

Experimental: Diathermy

The experimental group will receive 10 diathermy sessions.

Placebo Comparator: Placebo

The placebo comparator, will receive 10 placebo sessions.

Interventions

Other: - Diathermy

The patients belonging to the experimental group will undergo 10 diathermy sessions. The control group will have the same sessions but in athermy (placebo)

Other: - Placebo

The patients belonging to the placebo group will undergo 10 placebo sessions (athermya)

Contact Information

This trial has no sites locations listed at this time. If you are interested in learning more, you can contact the trial's primary contact:

For additional contact information, you can also visit the trial on clinicaltrials.gov.

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The content provided in the Lipedema Foundation Legwork program is for informational purposes and does not, under any circumstance, constitute medical advice. Consult with your healthcare provider regarding any changes to your lipedema treatment including participation in any study. Information provided here is maintained by the TrialScope vendor and supplied by the individual study teams. Use of the TrialScope service requires acceptance of the TrialScope privacy policy and terms of service. Some features of the service may require registration of the user's contact information with TrialScope through the TrialScope website. Do not register if you do not consent to providing such information. The Lipedema Foundation does not guarantee that the contents are accurate or complete, or that any given study will be available for participation or applicable to your condition. The listing of a study on the site does not constitute an endorsement or recommendation of that study by the Lipedema Foundation. As such, you hereby waive claims and liability against the Lipedema Foundation for any harm, including bodily injury and death, that may result in connection with the use of this service. The Lipedema Foundation reserves the right, at its discretion, to omit studies or add studies to the service without notice. The Lipedema Foundation does not represent that the list of studies presented through the service is complete.

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