Ricolfi Lorenzo, Reverdito Valeria, Gabriele Guido, Bortolon Micaela, Macherelli Ilaria, Haag Piero, De Santis Nicoletta, Guerriero Massimo, Patton Laura
Endocrinology and Lymphology Clinic, 38096 Vallelaghi, TN, Italy.
Human Project Studio, 10138 Torino, TO, Italy.
Life (Basel). 2024 Jul 8;14(7):854. doi: 10.3390/life14070854.
We evaluated the effect of compression leggings with micromassage in association with physical activity on women with lipedema, not previously treated and without recent changes in body weight. The treatment resulted in an improvement in all subjective parameters, in spontaneous and evoked pain, in the volume of the limbs, in the absence of significant changes in body weight, and regardless of the duration of use, age, years of illness, the clinical stage, and body mass index (BMI). Evoked pain did not improve in areas affected by untreated lipedema; foot circumferences did not increase. We found a significant reduction in the thickness of subcutaneous adipose tissue (SAT) and skin evaluated in multiple points of the lower limb. Micromassage compression leggings are proposed as an integral part of conservative treatment. A method is proposed for the clinical evaluation of evoked pain, called the Progressive Pain Check (PPC), which allows for the calculation of a numerical score called the Ricolfi-Patton Score (RPS) and for the ultrasound evaluation of tissues. The method is simple and repeatable and allows for completion of the clinical evaluation of the patient at diagnosis and for an evaluation of the effects of various treatments, even applied to just one side of the body.
我们评估了带有微按摩功能的加压紧身裤结合体育活动对未接受过治疗且近期体重无变化的脂肪性水肿女性的影响。治疗使所有主观参数、自发痛和诱发痛、肢体体积均得到改善，体重无显著变化，且不受使用时长、年龄、患病年限、临床分期和体重指数（BMI）的影响。未治疗的脂肪性水肿所影响区域的诱发痛未改善；足部周长未增加。我们发现下肢多个部位的皮下脂肪组织（SAT）厚度和皮肤厚度显著降低。微按摩加压紧身裤被提议作为保守治疗的一个组成部分。提出了一种用于诱发痛临床评估的方法，称为渐进性疼痛检查（PPC），它可以计算一个名为里科尔菲 - 巴顿评分（RPS）的数值分数，并用于组织的超声评估。该方法简单且可重复，能够在诊断时完成对患者的临床评估，并评估各种治疗的效果，甚至应用于身体的一侧。
