Defocused and Radial Shock Wave Therapy, Mesotherapy, and Kinesio Taping Effects in Patients with Lipedema: A Pilot Study.

Autor:	Michelini S; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Musa F; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Vetrano M; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Santoboni F; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Nusca SM; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Latini E; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Trischitta D; Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy., Michelini S; Vascular Diagnostics and Rehabilitation Service, San Giuseppe Hospital, Marino, Italy., Iosa M; Department of Psychology, Sapienza University of Rome, Rome, Italy.; Laboratory for the Study of Mind and Action in Rehabilitation Technologies, IRCCS Santa Lucia Foundation, Rome, Italy., Vulpiani MC; Department of Medical and Surgical Sciences and Translational Medicine, 'Sapienza' University, Rome, Italy.; Physical Medicine and Rehabilitation Unit, Sant'Andrea University Hospital, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Lymphology [Lymphology] 2023; Vol. 56 (1), pp. 13-26.
Abstrakt:	The aim of this pilot study was to investigate the effects of defocused and radial shock wave therapy, mesotherapy, and kinesio taping on pain, circumferences of lower limbs, echographic/ elastosonographic pattern of subcutaneous adipose tissue (SAT), and quality of life in patients with lipedema. Fifteen women affected by lower limb lipedema in stage II were treated with shock wave therapy, mesotherapy, and kinesio taping on thighs and legs (eight sessions, twice a week). The primary outcome was pain, as assessed by Numeric Rating Scale (NRS). Secondary outcomes included the limb circumferences measurements, the SF-12 Health Survey for quality of life, the International Classification of Functioning (ICF) for disability, and echographic/ elastosonographic changes of SAT. Significant reductions of pain and circumference measurements were seen in patients at each follow up. This was associated with significant reduction of thickness, echographic pattern improvement, and increased elasticity of SAT, with consequent positive impact on the quality of life and disability reported by the patients. The results demonstrate improved clinical and functional ultrasound findings in patients affected by lipedema in the early stages of lower limbs, and this combination therapy needs to be investigated in larger populations at multiple centers to confirm the findings. Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose. (Copyright by International Society of Lymphology.)
Databáze:	MEDLINE
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