Comparison of the Effects of Aerobic and Resistive Exercises in Female Patients With Rheumatoid Arthritis

NCT ID: NCT04570280

Last Updated: 2022-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2021-10-10

Brief Summary

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It is aimed to objectively demonstrate and compare the effectiveness of aerobic and resistant exercises performed on female patients with rheumatoid arthritis with sonographic muscle measurements. In addition, it is planned to compare the effects of 2 group exercises on functional status, quality of life and body composition and to show its correlation with sonographic measurements. There are 3 groups in total in the study. These are the control group given only the range of motion exercise, the second group given the range of motion and resistance exercise, and the third group given the range of motion and aerobic exercise. Exercise programs will last 12 weeks and it is planned to exercise 3 days a week.

Detailed Description

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There are 3 groups in total in the study. The patients in the control arm will be given the practice of range of motion exercises for 50 minutes (1 day with a physiotherapist) 3 days a week for 12 weeks. The resistance exercise group will be given range of motion and resistance exercises with sandbag to the lower extremities for 12 weeks, 3 days a week for 50 minutes (1 day in the presence of a physiotherapist). In the aerobic exercise group, range of motion exercises and aerobic exercises on the treadmill will be given 50 minutes (1 day in the presence of a physiotherapist) 3 days a week for 12 weeks.

After the patient completes the 12-week exercise program, ultrasonographic measurements of transverse muscle thickness of M. Rectus femoris, vastus intermedius, long head of M.Biceps femoris and medial head of M. , 6-minute walk test, body composition measurements with DEXA device and quality of life measurements with SF-36, fatigue severity scale, fear assessment questionnaire in inflammatory rheumatic diseases and scales for other rheumatoid arthritis and pain status. Ultrasonographic measurements will be made at the midpoint between the anterior superior iliac spina and the upper end of the patella for rectus femoris and vastus intermedialis. For the medial head of the gascrokinemius, the measurement will be made at the thickest point where the head of the muscle is in the leg area, and for the biceps femoris muscle, 60% distal between the greater trochanter and the outer femoral condyle, and at the intersection point of a line drawn at the midline of the popliteal fossa. While measurements made for rectus femoris and vastus intermedius were evaluated in the supine position; The biceps femoris and gastrocnemius will be evaluated while the patient lies comfortably in the prone position.

Conditions

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Rheumatoid Arthritis Exercise Exercise Therapy

Keywords

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Rheumatoid Arthritis Exercise Therapy Exercise

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Range of Motion Exercises

The patients in the control group will be given the practice of range of motion exercises for 12 weeks, 3 days a week for 50 minutes (1 day accompanied by a physiotherapist).

Group Type PLACEBO_COMPARATOR

Range of Motion Exercises

Intervention Type OTHER

Range of Motion Exercises will be applied 3 times a week for 12 weeks.

Range of Motion and Resistive Exercises Group

Patients in this group will be given joint range of motion and resistive exercises with sandbag to the lower extremity for 12 weeks, 3 days a week for 50 minutes (1 day in the presence of a physiotherapist). For the exercises with resistance, the repetition maximum will be calculated and the intensity of the exercises will be adjusted in accordance with the DeLorme protocol.

Group Type ACTIVE_COMPARATOR

Resistive Exercises

Intervention Type OTHER

Resistive exercises with sandbag will be applied 3 times a week for 12 weeks.

Range of Motion Exercises

Intervention Type OTHER

Range of Motion Exercises will be applied 3 times a week for 12 weeks.

Range of Motion and Aerobic Exercises Group

Joint range of motion exercises and aerobic exercises on the treadmill will be given to the aerobic exercise arm, 3 days a week for 12 weeks (1 day in the presence of a physiotherapist). For aerobic exercises, the maximum heart rate of the patients will be calculated during exercise and the exercise intensity will be determined by increasing the target heart rate level during the exercise.

Group Type ACTIVE_COMPARATOR

Aerobic Exercises

Intervention Type OTHER

Aerobic exercises with treadmill will be applied 3 times a week for 12 weeks.

Range of Motion Exercises

Intervention Type OTHER

Range of Motion Exercises will be applied 3 times a week for 12 weeks.

Interventions

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Aerobic Exercises

Aerobic exercises with treadmill will be applied 3 times a week for 12 weeks.

Intervention Type OTHER

Resistive Exercises

Resistive exercises with sandbag will be applied 3 times a week for 12 weeks.

Intervention Type OTHER

Range of Motion Exercises

Range of Motion Exercises will be applied 3 times a week for 12 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Romatoid Arthritis diagnosed for\> 1 year
* Female gender
* The patient has been in remission or low disease activity for at least 3 months
* 20-50 years

Exclusion Criteria

* Patient with active arthritis or high disease activity
* Significant deformity and inability to ambulate in the lower extremity joints
* Pregnant patient
* Patient with menopause
* The presence of malignancy
* A patient with a serious psychiatric disorder and difficulty in cooperation
* Presence of cardiovascular and pulmonary comorbidity that may prevent exercise
* Male gender
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sisli Hamidiye Etfal Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Aylin Ayyıldız

Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Ayyildiz A, Yilmaz F, Altindas H, Ciftci S, Kuran B. Effects of Aerobic and Resistive Exercise on Muscle Measurements and Body Composition in Female Patients With Rheumatoid Arthritis. Am J Phys Med Rehabil. 2023 Dec 1;102(12):1076-1084. doi: 10.1097/PHM.0000000000002283. Epub 2023 May 10.

Reference Type DERIVED
PMID: 37204935 (View on PubMed)

Other Identifiers

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2915

Identifier Type: -

Identifier Source: org_study_id