The Effect of Exercise Training on Knee Joint Proprioception in Patients with Rheumatoid a Exercise Training on Knee Joint Proprioception in Patients with Rheumatoid Arthritisrthritis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 19
- Locations
- 1
- Primary Endpoint
- Cognitive Exercise Therapy Approach (BETY)- Biopsychosocial Questionnaire
Study Overview
Brief Summary
Rheumatoid arthritis (RA) is a chronic disorder that affects 0.5% to 1% of adults and is the result of an autoimmune attack against joint tissues. In recent years, advances in anti-rheumatoid drugs and treatment strategies have improved the health status of patients with RA. However, many patients do not achieve disease remission and experience progressive functional impairment. According to 2003 data from the National Health Interview Survey in the United States, by 2030, approximately 25% of adults aged 18 years and older are expected to have doctor-diagnosed arthritis, and 9.3% of adults are expected to have arthritis-related activity limitations.
In order for patients with RA to perform activities of daily living, it is very important for them to maintain their balance, i.e., their sense of proprioception. It is known that knee proprioception is decreased in RA. In addition, the presence of pain, decreased muscle strength, and functionality in patients with RA lead many of them to adopt a sedentary lifestyle.
The main aim of this study was to evaluate the effects of exercise training on knee joint proprioception in individuals with RA. In addition, it also aims to examine how exercise training improves pain, functionality, performance, fear of falling, biopsychosocial status, and quality of life. The importance of this research is that it provides more scientific data for improving knee joint proprioception in individuals with RA and guides clinical practice. It is also expected to contribute to the development of a comprehensive approach to improving the quality of life of patients by demonstrating not only the physical but also the psychological and functional effects of exercise training.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 45 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Being diagnosed with RA
- •Being able to walk
- •Being between the ages of 40-
- •Accepting to participate in the study and approving the informed consent form.
- •Being literate and able to use technological devices.
Exclusion Criteria
- •Having acute inflammatory pathology in the knee joint.
- •Knee arthroplasty surgery.
- •Intra-articular or systemic corticosteroid use in the last 3 months.
- •Having participated in an FTR program in the last 3 months.
- •Advanced musculoskeletal, cardiac or peripheral vascular disease.
- •Significant system or organ failure.
- •Having a disease that will affect cognitive functions such as Alzheimer's disease or dementia
Arms & Interventions
Training Group
Intervention: Exercise (Other)
Kontrol Group
Outcomes
Primary Outcomes
Cognitive Exercise Therapy Approach (BETY)- Biopsychosocial Questionnaire
Time Frame: 3 mounths
it is a 30-item Likert-type scale developed through repeated statistics of feedback from rheumatic individuals who have participated in exercise sessions for many years, expressing the healing characteristics. It evaluates the individual from a biopsychosocial perspective with the subheadings of pain, functionality-fatigue, mood, sociability, sexuality and sleep. It is scored between 0 and 120. BETY-BQ evaluates the individual from a holistic perspective with six subheadings: pain (5 items), functionality (9 items), mood (10 items), sociability (3 items), sexuality (2 items) and sleep (1 item). A high score indicates a low biopsychosocial status.
Secondary Outcomes
- 6 min walk test(3 mounths)
- Health Assessment Questionnaire (HAQ)(3 mounths)
- Hospital Anxiety Depression Scale (HADS)(3 mounths)
- Time Up and Go Test(3 mounths)
- 10-step stair climbing test(3 mounths)
- Fall efficacy scale(3 mounths)
- Proprioception of the knee joint(3 mounths)
- WOMAC Osteoarthritis Index(3 mounths)
- McGill pain scale short form (SF McGill)(3 mounths)
- World health organization quality of life scale-short form (WHOQOL-BREF)(3 mounths)
Investigators
Aysima Barlak
PT
Hacettepe University