Comparison of Tele-rehabilitation or Video-Based Core Exercises in Individuals With Axial Spondyloarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 4
- 主要终点
- Core Endurance Tests : Trunk Flexion Test
研究概览
简要总结
Exercise is a core treatment method in the management of Axial Spondyloarthritis. Clinical guidelines recommend a combination of pharmacologic and non-pharmacologic approaches to reduce disease activity and symptoms and improve physical function. The COVID-19 pandemic has accelerated the provision of healthcare services remotely and the digitalization of rehabilitation services. Telerehabilitation methods provide advantages in terms of transportation, prevention of infections that may occur due to suppression of immunity with drugs, and continuity of treatment in patients with axial spondyloarthritis. In this context, it is important to evaluate the effects of remote physiotherapy and rehabilitation delivery in chronic inflammatory rheumatic diseases. This study, which will examine the effects of telerehabilitation in the disease management processes of individuals with axial spondyloarthritis, is thought to shed light on future studies.
The aim of this study was to compare the effectiveness of telerehabilitation or pre-recorded video-based core exercise program on core endurance, disease activity and physical function in subjects with axial spondyloarthritis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 - 55 years old,
- •Axial Spondyloarthritis diagnosed by a rheumatologist,
- •Not having any orthopedic, neurological, or mental illness that would affect exercise,
- •Not using any assistive device for ambulation
- •People who volunteer to participate
排除标准
- •Pregnancy, malignancy, and recent surgery
- •Presence of cardiopulmonary disease
- •Patients with endoprosthesis and prosthesis
- •Attending a regular exercise program (Pilates, core, or yoga etc.)
结局指标
主要结局
Core Endurance Tests : Trunk Flexion Test
时间窗: 8 weeks
The patient will be asked to cross his/her hands over his/her chest and positioned with the trunk in 60° flexion and knees in 90° flexion. The time in this position will be measured and recorded with a stopwatch. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.
Core Endurance Tests : Biering-Sorenson Test
时间窗: 8 weeks
Patients will be positioned in a prone position with their spina iliaca anterior superior to the edge of the bed. Participants will be asked to extend their upper body straight forward from the edge of the table. They will be immobilized over their knees with the help of a belt and the time they stay in this position will be measured and recorded with a cornometer. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.
Core Endurance Tests : Side Plank (Side Bridge Test):
时间窗: 8 weeks
The patient will be asked to lie on his/her side on the dominant side and cross his/her foot over the other foot. The non-dominant arm will be crossed over the chest and placed over the dominant shoulder. The patient will be asked to stand on the dominant forearm and elbow. The time in this position will be measured with a cronometer and recorded. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.
Core Endurance Tests : Modified Plank
时间窗: 8 weeks
The patient will be asked to position on his/her knees and elbows with his/her face to the floor. He/she will be fixed over his/her knees with the help of a belt and the duration of his/her stay in this position will be measured and recorded with a cornometer. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.
次要结局
- Ankylosing Spondylitis Quality of Life(8 weeks)
- Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)(8 weeks)
- Pain intensity (Numeric Rating Scale/NRS)(8 weeks)
- Timed Up and Go Test(8 weeks)
- Bath Ankylosing Spondylitis Metrology Index (BASMI)(8 weeks)
- Bath Ankylosing Spondylitis Functional Index (BASFI)(8 weeks)
- Global Rating of Change (GROC)(8 weeks)
- 30 Seconds Sit and Stand Test(8 weeks)
研究者
Özgül Öztürk
Assistant Professor
Acibadem University