Walking Football and Axial Spondyloarthritis: Assessing Feasibility, Safety and Patient Reported Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Clinical measurement and standardised disease burden questionnaires
研究概览
简要总结
Axial spondyloarthritis (axSpA) is a long-term inflammatory condition affecting the spine. Patients with this condition can have pain and stiffness in their back and neck. NICE Guidelines recommend that these patients should follow a structured exercise programme with additional hydrotherapy, to maintain mobility and flexibility, so as to improve quality of life.
While there is limited hydrotherapy provided in Portsmouth to approximately 40 axSpA patients via the National Axial Spondyloarthritis Society (NASS), there is no bespoke structured exercise programme for over 400 axSpA patients under the care of the Rheumatology Department, other than exercise advice which patients are asked to follow in their own time.
We propose twice-weekly Walking Football sessions for our axSpA patients as a structured exercise programme. Walking Football is an inclusive sport, with proven health benefits to other patient groups. Unlike traditional football, walking football is a non-contact sport; players are not allowed to run or jump, and the ball must stay below head height. In this way, people with some mobility impairment or mild frailty can still play. In addition to getting regular physical exercise, twice-weekly sessions would provide training in a sporting skill, as well as give opportunities to connect with other players socially, providing mental health benefits.
We have a number of axSpA patients who are keen to try Walking Football as part of their axSpA management, but there is a lack of evidence on the safety and effectiveness of this. We thus plan to undertake a 12-week pragmatic feasibility study to gather this evidence.
详细描述
NICE guidelines recommend structured exercise programme as the non-pharmacological management of Axial Spondyloarthritis (axSpA), with hydrotherapy to be considered as adjunctive therapy. While limited hydrotherapy is provided at our hospital via the National Axial Spondyloarthritis Society (NASS) for some of our patients, there is a gap in the provision of structured exercise programme for axSpA patients in our community. We propose to offer Walking Football to fill this gap.
Walking Football is an inclusive sport, accommodating those with mild mobility impairments, as no jumping or running is allowed, and the ball in play is not permitted to exceed players' head-height. It could be an ideal form of exercise for axSpA patients, whose treatment goal is to maintain mobility in order to maximise quality of life. While the hydrotherapy currently offered helps to maintain joint flexibility and range of movement, Walking Football provides weight-bearing exercise which is key to maintaining bone health. Furthermore, the proposed Walking Football sessions will be led by exercise and football coaches, building on recent findings (van Wissen et al, 2024) that longstanding supervised exercise therapy was more effective in axSpA patients than usual care.
We have a group of axSpA patients who are interested in using Walking Football as part of their axSpA management, but there is a lack of literature on the safety and effectiveness of this. We thus plan to design and undertake a pragmatic feasibility study.
OBJECTIVES:
- To assess safety of Walking Football in players with axSpA
- To assess objective as well as patient-reported outcomes of a Walking Football intervention, including disease burden measures
- To assess feasibility of providing Walking Football in our community
- To maximise Patient and Public Involvement (PPI), gather information to inform a larger pilot/RCT
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Has a formal diagnosis of axial spondyloarthritis, as stated in existing clinical documents
- •Able to walk independently without walking aids (note: there will be no upper age limit)
- •Good understanding of spoken and written English
排除标准
- •Under 18 years of age
- •Significant disability affecting ability to play walking football
- •Inability to commit to at least 18 of the 24 planned sessions of walking football
- •Already a regular participant in local walking football sessions
研究组 & 干预措施
Feasibility study
Twice-weekly hourlong walking football sessions
干预措施: Walking Football (Other)
结局指标
主要结局
Clinical measurement and standardised disease burden questionnaires
时间窗: 12 weeks
Clinical assessments including biometric data, MASES and BASMI scores, 6-minute walk test, sit-to-stand test, and injury surveillance reporting. Participant self-reported disease outcome and quality of life questionnaires including ASQoL, AS-WIS, HADS, BASFI, BASDAI, BAS-G, VAS, WASTEd and loneliness scale. All of the above clinical assessments, tests, as well as qualitative results will combine to determine whether Walking Football is/isn't a safe and beneficial form of exercise for axSpA patients.
次要结局
未报告次要终点