Telerehabilitation Versus Supervised Pilates Training in Lipedema Women

Study Purpose

1. Pilates Exercise: The Pilates method is a low-intensity form of movement based on body control, which works the body in a complete way, promoting physical and mental health. PET is different when compared to traditional exercises, which, in turn, tend to isolate the working muscles and have specific training approaches using repetitive motions. 2. Telerehabilitation: Telehealth is emerging as a key method for delivering essential healthcare. Primary care research suggests that telehealth is acceptable and has potential to overcome geographical barriers for individuals needing many times rehabilitation by eliminating the need for extensive and costly travel. 3. Diet approach: A customized low-carbohydrate high-fat (LCHF) restricted caloric diet in women with lipedema will be used for 12 weeks. The LCHF diet may be a valuable nutritional strategy for lipedema and overweight/obese women, reducing inflammatory status with a beneficial effect on weight, glucose profile the concentration of triglycerides and HDL

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	35 Years - 45 Years
Gender	Female

More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Sixty female patients diagnosed with lipedema. 2. Their ages will range from 35-45 years old. 3. Patients diagnosed with lipedema ≥ 5 years. 4. Patients with grade 2 and 3 lipedema. 5. Patients with type 2 and 3 lipedema. 6. Patients with BMI ≥ 25 kg/m2. 7. All patients will be clinically stable.

Exclusion Criteria:

Patient with any of the following will be excluded from the study: 1. Patients with lower limb edematous diseases such as lymphedema or chronic venous insufficiency. 2. Patients with history of previous liposuction. 3. Patients with asymmetrical lower limbs. 4. Patients with history of bariatric surgeries. 5. Patients on weight loss medications. 6. Patients any medical condition prohibiting exercise (cardiac pacemakers, diabetes mellitus, uncontrolled hypertension, and congestive heart failure) 7. Pregnant females. 8. Patients with BMI ≥ 40 kg/m2 (morbid obese). 9. Cancer patients (patients on chemotherapy, immunotherapy radiopathy). 10. Infectious diseases (HIV/AIDS, HCV, and Tuberculosis). 11. Chronic inflammatory autoimmune disease such as Sjogren's syndrome. 12. Patients with neurological disorders: stroke and epilepsy.

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.	NCT06695403
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.	Cairo 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	Active, not recruiting
Countries	Egypt
Conditions The disease, disorder, syndrome, illness, or injury that is being studied.	Lipedema

Arms & Interventions

Arms

Experimental: Pilates Exercise (supervised versus telerehabilitation)

Interventions

Procedure: - Pilates Exercise

1. Pilates Exercise: The Pilates method is a low-intensity form of movement based on body control, which works the body in a complete way, promoting physical and mental health. PET is different when compared to traditional exercises, which, in turn, tend to isolate the working muscles and have specific training approaches using repetitive motions. 2. Telerehabilitation: Telehealth is emerging as a key method for delivering essential healthcare. Primary care research suggests that telehealth is acceptable and has potential to overcome geographical barriers for individuals needing many times rehabilitation by eliminating the need for extensive and costly travel 3. Diet approach: A customized low-carbohydrate high-fat (LCHF) restricted caloric diet in women with lipedema will be used for 12 weeks. The LCHF diet may be a valuable nutritional strategy for lipedema and overweight/obese women, reducing inflammatory status with a beneficial effect on weight, glucose profile the concentration of

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International Sites

Faculty of physical therapy, Cairo, Egypt

Status

Address

Faculty of physical therapy

Cairo, , 3753450

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