High-intensity Aquatic Exercise for Adults with Rheumatic Diseases (AquaHigh)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 84
- 试验地点
- 2
- 主要终点
- Change in peak oxygen consumption
研究概览
简要总结
The purpose of this study is to compare aquatic high intensity interval training with moderate intensity exercise training on exercise capacity in a population with rheumatic diseases.
详细描述
Exercise is important to manage rheumatic diseases (RDs). In 2007, the American College of Sports Medicine (ACSM) launched a global initiative to advocate the use of exercise not only to prevent illness but to serve as a key element in the management and treatment of multiple chronic diseases. Their "Exercise is Medicine" initiative promotes exercise as a highly potent free medicine with few side effects. Despite catchphrases such as "best drug ever," few adhere to the global recommendations for weekly physical activities. Exercise is one of the therapeutic strategies that helps minimise deleterious effects on the musculoskeletal system generated by aging while preserving independence, promoting weight control, and maintaining or improving quality of life, functional capacity, and emotional well-being. However, exercises performed on the ground can aggravate joint pain and increase the risk of falls among those with RDs. Aquatic exercises are a popular adjunct treatment modality for patients with inflammatory RDs. Aquatic exercises are highly preferred by people with RDs, who are more likely to report feeling better than those treated with similar exercises on land. A preference for a water-based rehabilitation or environment may enable greater exercise compliance.
A systematic review and meta-analysis from 2011 concluded that the effects of aquatic exercise for adults with arthritis appears comparable to land-based exercise. When people are unable to exercise on land or find it difficult, aquatic programs provide an enabling alternative strategy.
Aquatic exercise programmes have been criticised for being non-progressive or low-intensive. One possible advantage of the aquatic environment is that the people with chronic diseases may be able to train at higher intensities than on land.
The effectiveness of aquatic exercise needs further comprehensive investigation, particularly related to the link between load, types of exercise, and degree of changes in physical functioning and physical fitness.
Method:
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
- Double (Investigator, Outcomes Assessor)
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
- •Individuals who
- •are 18 years or older,
- •have a diagnosis of any kind of RDs,
- •can walk with or without a walking aid and
- •understand Norwegian.
排除标准
- •medical contraindications to high intensity exercise,
- •life expectancy below 1 year and
- •currently participating or have participated in aquatic high intensity exercise programs or trials during the last 3 months.
结局指标
主要结局
Change in peak oxygen consumption
时间窗: Change from baseline at 3 and 6 months
Physical capacity will be assessed with a maximal walking treadmill test for estimation of peak oxygen consumption. A modified Balke protocol on a treadmill will be used.
次要结局
- Change in 30 STS(Change from baseline at 3 and 6 months)
- Change in Patients Global Assessment score(Change from baseline at 3 and 6 months)
- Change in the 8-item Patient-Reported Outcomes Measurement Information System (PROMIS) physical function form (PF-8a).(Change from baseline at 3 and 6 months)
- Change in Quality of Life(Change from baseline at 3 and 6 months)
- Change in patients' level of physical activity(Change from baseline at 3 and 6 months)
- Change in reported pain(Change from baseline at 3 and 6 months)
- Change in fatigue(Change from baseline at 3 and 6 months)
- Demographic variables(Baseline and change from baseline to 3 and 6 months for age, smoking, medications)
- Training diary(From baseline to 3 months. From 3 to 6 months is optional)
- Self-reported physical activity (HUNT)(From baseline to 3 months and 6 months)