The Effect of Core Stabilization Training on Pain, Functional Status, Fatigue, and Quality of Life in Patients With Juvenile Spondyloarthropathy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Visual Analogue Scale
研究概览
简要总结
Core stabilization exercises developed by McGill have been shown to be one of the physiotherapy techniques aimed at reducing pain, increasing aerobic capacity, enhancing muscle strength, and thereby improving bone health in children with JIA. However, there is no study that has investigated core stabilization training for different types of JIA. In our study, we aim to compare the effectiveness of core stabilization training and a daily physical activity program in children with spondyloarthropathy, to help identify the most effective strategy for clinical practice. Additionally, highlighting the specific effects of core stabilization training on the treatment of juvenile spondyloarthropathy (pain, functional status, fatigue, and quality of life) will make a significant contribution to the literature.
Taking into account the gaps in the literature, our study will investigate the effect of core stabilization training on pain, functional status, fatigue, and quality of life in patients with juvenile spondyloarthropathy.
详细描述
Core stabilization exercises are one of the physiotherapy techniques aimed at reducing pain, increasing aerobic capacity, enhancing muscle strength, and thereby improving bone health in children with JIA (1). Spondyloarthropathy typically begins as asymmetric oligoarthritis in children, and enthesitis and axial skeleton involvement may develop over the course of the disease (4). Since juvenile spondyloarthropathies can lead to severe functional impairments and long-term sequelae, the primary goal in treatment should be to suppress inflammation as early as possible and to prevent sequelae (5). Physiotherapy is recommended for children and adolescents with enthesitis or sacroiliitis, or those with functional limitations (6). Yoga exercises focusing on the core region have shown significant effects on lower extremity functional status, pain levels, and quality of life in patients with enthesitis-related conditions (2). Studies have supported that core stabilization exercises, combined with traditional physical therapy aimed at improving bone health status and functional capacity, serve as an effective combination therapy for children with JIA involving multiple joint involvement (3).
Therefore, this study aims to fill the knowledge gap regarding core stabilization training in children with spondyloarthropathy.
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
- 10 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •"According to the International League of Associations for Rheumatology criteria, individuals aged 10-18 diagnosed with spondyloarthritis within the JIA subgroup will be included.
- •Only cases with stable disease activity and without additional neurological or orthopedic conditions will be considered.
- •Participants must also possess the cognitive ability to engage in active rehabilitation.
排除标准
- •Individuals with a cardiovascular disease that impedes exercise
- •those who have participated in a rehabilitation program within the last 6 months
- •cases with variable medical treatment will be excluded.
研究组 & 干预措施
Core stabilization group
lumbo-pelvic/core strength and stability exercises group
干预措施: core stabilization exercises (Other)
Control group
the group that will have a daily physical activity program established and monitored for participation through weekly exercise tracking chart
干预措施: daily physical activity program (Other)
结局指标
主要结局
Visual Analogue Scale
时间窗: immediately after intervention
Pain intensity assessment in the lower extremity regions of the sacroiliac joint, hip, knee, and ankle. It is frequently used to quantify the severity or frequency of different symptoms in epidemiologic and clinical research. From the standpoint of the patient, pain seems to be a continuous spectrum rather than discretely varying, as categories like none, mild, moderate, and severe would imply. To represent this concept of an underlying continuum, the VAS was developed.
次要结局
- Timed Up and Down Stairs Test (TUDS)(immediately after intervention)
- Six minute walk test(immediately after intervention)
- Pediatric quality of life(immediately after intervention)
- PedsQL-Multidimensional Fatigue Scale(immediately after intervention)
研究者
Gokce Leblebici
Principal investigator
Istanbul University - Cerrahpasa