INVESTIGATING THE EFFECTIVENESS OF TELEREHABILITATION-BASED YOGA EXERCISES IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 32
- 主要终点
- Functional Reach Test (FRT)
研究概览
简要总结
Juvenile Idiopathic Arthritis (JIA) is a chronic autoimmune condition starting before age 16, often leading to fatigue, joint stiffness, and decreased physical activity. While exercise is widely recommended to improve functional capacity in children with JIA, the effectiveness of specialized mind-body exercises like yoga is still being explored. This study aims to investigate the impact of an 8-week, telerehabilitation-based yoga program on children with JIA. Participants will engage in 45-minute individual yoga sessions twice a week via Zoom, led by certified physiotherapists. The sessions will progress in difficulty and focus on breathing techniques, physical postures, and meditation to improve the overall physical and mental well-being of the children.
详细描述
Juvenile Idiopathic Arthritis (JIA) is characterized by chronic inflammation that manifests in symptoms such as pain, swelling, movement restriction, and growth retardation. Clinical evidence suggests that exercise interventions, including aerobic and strengthening programs, provide significant benefits for pain management, range of motion (ROM), and quality of life in this population.
Yoga is a traditional exercise discipline that integrates breathing techniques (Pranayama), physical postures (Asanas), and meditation (Dhyana). Due to its adaptable nature and minimal equipment requirements, it has gained popularity as a therapeutic intervention. This study utilizes a telerehabilitation-based approach to deliver yoga to children with JIA, ensuring accessibility and professional guidance at home.
The Intervention Protocol:
Participants will undergo a specialized yoga program twice a week for 8 weeks. Each session will last 45 minutes and will be conducted one-on-one by two physiotherapists certified in "Yoga for Children" via the Zoom platform. The protocol is based on established literature.
Each session follows a structured sequence:
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 (Participant)
入排标准
- 年龄范围
- 8 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being between 8 and 12 years of age.
- •Diagnosed with Juvenile Idiopathic Arthritis (JIA) by a pediatric rheumatologist.
- •Having no major changes in pharmacological treatment within the last 3 months.
- •Having reliable internet access and the necessary technological equipment to participate in online video sessions.
- •Voluntary participation in the study.
- •Providing written parental informed consent and child assent.
排除标准
- •Being in an acute disease flare-up/attack period.
- •Having undergone orthopedic surgery within the last 6 months.
- •Presence of severe cardiopulmonary or neurological conditions that contraindicate participating in yoga exercises.
- •Cognitive level or impairment that prevents the child from following instructions and verbal cues.
- •Regular participation in another structured exercise or physical rehabilitation program.
研究组 & 干预措施
Telerehabilitation-Based Yoga Group
Participants will be allocated to this group using block randomization based on age and body mass index (BMI). This group will participate in a telerehabilitation-based yoga program for 8 weeks, 2 days per week, with each session lasting 45 minutes. The sessions will be conducted one-on-one, in real-time, via the Zoom platform, led by certified physiotherapists. The structured program includes diaphragmatic breathing techniques, progressive pediatric-focused yoga postures (asanas), and relaxation/meditation phases.
干预措施: Telerehabilitation-Based Yoga Group (Behavioral)
Home-Based Exercise Control Group
Participants will be allocated to this group using block randomization based on age and body mass index (BMI). This control group will follow a standard, home-based physical exercise program. The exercises will be performed independently at home by the children, with family supervision, during the 8-week study period.
干预措施: Standard Home-Based Physical Exercise Program (Behavioral)
结局指标
主要结局
Functional Reach Test (FRT)
时间窗: Baseline (Week 0) and Post-intervention (Week 8)
This test evaluates dynamic balance and limits of stability. Participants stand barefoot or with flat-molded shoes parallel to a wall, with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline. For the forward reach, participants reach as far forward as possible without taking a step. The distance between the initial and final positions is measured in centimeters (cm). The test is repeated three times, and the average score is recorded. Higher scores indicate better dynamic balance and stability.
1-Minute Sit-to-Stand Test (1STST)
时间窗: Baseline (Week 0) and Post-intervention (Week 8)
This test assesses lower extremity muscle endurance and functional capacity. Participants sit on a standard-height chair with their arms crossed over their chest. Upon the "start" command, they perform as many full sit-to-stand repetitions as possible within 1 minute. The number of correctly completed repetitions is recorded. Higher repetition counts indicate superior lower extremity muscular endurance.
Lateral reach test
时间窗: Baseline (Week 0) and Post-intervention (Week 8)
This test evaluates dynamic balance. The patricipants leaning against the wall with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline. For the test, they reach as far sideways as possible without trunk rotation. The distance between the initial and final positions is measured in centimeters (cm). The test is repeated three times, and the average score is recorded. Higher scores indicate better dynamic balance and stability.
次要结局
- Biering-Sorensen Test for Trunk Extensor Endurance(Baseline (Week 0) and Post-intervention (Week 8))
- Sit-and-Reach Test(Baseline (Week 0) and Post-intervention (Week 8))
- Curl-Up Test for Abdominal Endurance(Baseline (Week 0) and Post-intervention (Week 8))
- Push-Up Test for Upper Body Endurance(Baseline (Week 0) and Post-intervention (Week 8))
- Physical Activity Questionnaire for Children (PAQ-C) Score(Baseline (Week 0) and Post-intervention (Week 8))
研究者
Sebahat Yaprak Cetin, PT
Assoc. Prof. Dr.
Akdeniz University