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Physical Training in Patients With Relapsing Polychondritis

Not Applicable
Completed
Conditions
Physical Activity
Interventions
Other: Physical training
Registration Number
NCT03092141
Lead Sponsor
University of Sao Paulo
Brief Summary

Physical training may improve physical capacity and health parameters in various systemic autoimmune diseases. Therefore, the present study will assess the role of an exercise training program in patients with relapsing polychondritis.

Detailed Description

Impact of physical training in patients with relapsing polychondritis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Fullfill the classification criteria of McADAM et al. (1976)
  • Using prednisone ≤ 0.5 mg/kg/day in the last three months
  • Sedentary
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Exclusion Criteria
  • Disease relapsing
  • Overlapping disease
  • Chronic and/or current infections (viral, bacterial or fungal)
  • Patients undergoing major surgery within six months before the study
  • With commitment to ambulation (joint affection in limbs)
  • Smoking
  • Diabetes mellitus
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
PatientsPhysical trainingPatients will be submitted to physical training (12-weeks, twice/week)
Control groupPhysical trainingHealthy individuals will be submitted to physical training (12-weeks, twice/week)
Primary Outcome Measures
NameTimeMethod
Cardiopulmonary test12 weeks

Patients will undertake a maximal graded exercise test on a treadmill, with increments in velocity and grade at every minute until volitional exhaustion. VO2peak will be considered as the average of the final 30 s of the test. Ventilatory threshold (VAT) will be determined when ventilatory equivalent for VO2 (VE/VO2) increased without a concomitant increase in ventilatory equivalent for carbon dioxide (VE/VCO2). Respiratory compensation point (RCP) will be determined when VE/VO2 and VE/VCO2 increased simultaneously.

Secondary Outcome Measures
NameTimeMethod
Strength muscle tests12 weeks

The dynamic 1-RM for the leg-press and the bench-press exercises, arm curl (with the dominant arm), and isometric strength (assessed by handgrip, with the dominant arm) will be assessed at baseline and after the intervention.

Healthy Assessment Questionnaire (HAQ)12 weeks

Especific questionnaire to assess the quality of life. Pontuaction: 0.00-3.00

Functional muscle tests12 weeks

Muscle function will be evaluated through the TUG and the TST tests

Muscle biopsy12 weeks

After local anesthesia, a cutaneous incision will be made in lateral thigh face. The biopsy will be done using the Bergstrom needle. Histological (hematoxylin and eosin)/immunohistochemical (CD4, CD8, CD68, CD20, C5b-9, MHCI, MHCII, CD31) analysis will be performed in muscle samples (at baseline and after 12 weeks) in all patients (present study)

Trial Locations

Locations (1)

Samuel Katsuyuki Shinjo

🇧🇷

Sao Paulo, Brazil

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