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Multimodal Circuit Exercises for Chronic Musculoskeletal Pain in Older Adults

Not Applicable
Completed
Conditions
Chronic Pain
Musculoskeletal Pain
Interventions
Other: Multidisciplinary lectures
Other: Multimodal circuit exercise
Registration Number
NCT04719130
Lead Sponsor
University of Brasilia
Brief Summary

Analyze the effectiveness of a multimodal circuit exercise program on chronic musculoskeletal pain and disability in older adults.

Detailed Description

This is a randomized parallel study (two arms) with blinded outcome assessments. The participants' recruitment will be done by a non-probabilistic sampling resulting from invitations to Basic Health Units. The sample size estimation indicated 164 participants. Participants will be allocated, by means of a randomization process, to one of two groups (82 for each group): Experimental Group (multimodal circuit exercise) or Control Group (cycle of multidisciplinary lectures on pain ). The primary outcomes are global chronic pain intensity and global functional disability scores. The secondary outcomes are functional mobility and cardiorespiratory capacity. All analyses will be processed using the RStudio software. The differences will be considered statistically significant when a 2-tailed p-value is less than 5% (p \< 0.05). The statistical analysis will follow the intention to treat. Discussion: This study will discuss the effects of multimodal circuit exercise on global chronic pain intensity and global body functional disability scores. The hypothesize is that multimodal exercises will reduce musculoskeletal chronic pain and disability in older adults to the same extent as traditional supervised and structured exercises.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
113
Inclusion Criteria
  • Subjects from both sexes;
  • Aged 60 or higher;
  • Had a history of chronic pain in at least one synovial joint for more than three months.
Exclusion Criteria
  • Participants with some types of co-morbidities that may interfere with the research parameters, such as a history of stroke, stenosis of the spinal canal, severe heart disease, fibromyalgia, rheumatoid arthritis;
  • Participants who presented a level of pain between 7 and 10 points on the Numeric Rate Scale (NRS) in any body location;
  • Participants being under psychiatric treatment with sensory deficits (visual, auditory and intellectual)
  • Participants performing any supervised and structured exercise at the moment of study enrollment or six months before.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control GroupMultidisciplinary lecturesWill received multidisciplinary lectures on pain and usual care provided by the Basic Health Units.
Experimental GroupMultimodal circuit exerciseWill received multimodal circuit exercise group.
Primary Outcome Measures
NameTimeMethod
Change on disability.Change from Baseline at immediately post-intervention

Will be used the Independence Index in Activities of Daily Living (Katz Index - KI). The total KI score is in the range 0 to 6, whose score 6 represents an independent patient and 0 indicates a highly dependent patient.

Change on pain intensity.Change from Baseline at immediately post-intervention

Will be used the Numeric Rating Scale. It is a subjective procedure, widely used due to its reliability, as the patients classify their pain at the moment within a scale from 0 (no pain at all) to 10 (worst pain imaginable).

Secondary Outcome Measures
NameTimeMethod
Change on functional mobilityChange from Baseline at immediately post-intervention

Will be used the Time up and go test.

Change on cardiorespiratory capacity.Change from Baseline at immediately post-intervention

Will be used the 6-minute walk test.

Trial Locations

Locations (1)

University of Brasilia

🇧🇷

Brasilia, Distrito Federal, Brazil

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