Telerehabilitation Versus Supervised Pilates Training in Lipedema Women

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.