Multimodal Circuit Exercises for Chronic Musculoskeletal Pain in Older Adults

NCT ID: NCT04719130

Last Updated: 2023-08-15

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

113 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-30

Study Completion Date

2022-04-25

Brief Summary

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Analyze the effectiveness of a multimodal circuit exercise program on chronic musculoskeletal pain and disability in older adults.

Detailed Description

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This is a randomized parallel study (two arms) with blinded outcome assessments. The participants' recruitment will be done by a non-probabilistic sampling resulting from invitations to Basic Health Units. The sample size estimation indicated 164 participants. Participants will be allocated, by means of a randomization process, to one of two groups (82 for each group): Experimental Group (multimodal circuit exercise) or Control Group (cycle of multidisciplinary lectures on pain ). The primary outcomes are global chronic pain intensity and global functional disability scores. The secondary outcomes are functional mobility and cardiorespiratory capacity. All analyses will be processed using the RStudio software. The differences will be considered statistically significant when a 2-tailed p-value is less than 5% (p \< 0.05). The statistical analysis will follow the intention to treat. Discussion: This study will discuss the effects of multimodal circuit exercise on global chronic pain intensity and global body functional disability scores. The hypothesize is that multimodal exercises will reduce musculoskeletal chronic pain and disability in older adults to the same extent as traditional supervised and structured exercises.

Conditions

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Musculoskeletal Pain Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized parallel study (two arms) with blinded outcome assessments.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Another researcher collaborator (blinded) will be carried out the outcomes investigated.

Study Groups

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Experimental Group

Will received multimodal circuit exercise group.

Group Type EXPERIMENTAL

Multimodal circuit exercise

Intervention Type OTHER

A structured and supervised multimodal exercise circuit twice a week, under 12 weeks program. The circuit workout program consists of 8 exercises, divided into motor coordination, balance, strength, and aerobic exercises. The exercises will be employed in a reserved room inside of the Basic Health Units. The sessions of exercises will last approximately 50 minutes,

Control Group

Will received multidisciplinary lectures on pain and usual care provided by the Basic Health Units.

Group Type ACTIVE_COMPARATOR

Multidisciplinary lectures

Intervention Type OTHER

Multidisciplinary lectures on pain and usual care provided by the Basic Health Units. A cycle of multidisciplinary lectures on pain will be offered by professionals in physical education, nursing, physiotherapy, medicine, psychology and social work that will take place in the Basic Health Units every 15 days.

Interventions

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Multimodal circuit exercise

A structured and supervised multimodal exercise circuit twice a week, under 12 weeks program. The circuit workout program consists of 8 exercises, divided into motor coordination, balance, strength, and aerobic exercises. The exercises will be employed in a reserved room inside of the Basic Health Units. The sessions of exercises will last approximately 50 minutes,

Intervention Type OTHER

Multidisciplinary lectures

Multidisciplinary lectures on pain and usual care provided by the Basic Health Units. A cycle of multidisciplinary lectures on pain will be offered by professionals in physical education, nursing, physiotherapy, medicine, psychology and social work that will take place in the Basic Health Units every 15 days.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects from both sexes;
* Aged 60 or higher;
* Had a history of chronic pain in at least one synovial joint for more than three months.

Exclusion Criteria

* Participants with some types of co-morbidities that may interfere with the research parameters, such as a history of stroke, stenosis of the spinal canal, severe heart disease, fibromyalgia, rheumatoid arthritis;
* Participants who presented a level of pain between 7 and 10 points on the Numeric Rate Scale (NRS) in any body location;
* Participants being under psychiatric treatment with sensory deficits (visual, auditory and intellectual)
* Participants performing any supervised and structured exercise at the moment of study enrollment or six months before.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federal University of Minas Gerais

OTHER

Sponsor Role collaborator

Federal University of Tocantins

UNKNOWN

Sponsor Role collaborator

Universidade Federal de Goias

OTHER

Sponsor Role collaborator

University of Brasilia

OTHER

Sponsor Role lead

Responsible Party

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Wagner Rodrigues Martins

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Brasilia

Brasília, Federal District, Brazil

Site Status

Countries

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Brazil

References

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Blyth FM, Noguchi N. Chronic musculoskeletal pain and its impact on older people. Best Pract Res Clin Rheumatol. 2017 Apr;31(2):160-168. doi: 10.1016/j.berh.2017.10.004. Epub 2017 Nov 4.

Reference Type BACKGROUND
PMID: 29224694 (View on PubMed)

Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD011279. doi: 10.1002/14651858.CD011279.pub3.

Reference Type BACKGROUND
PMID: 28436583 (View on PubMed)

Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015 Feb 18;350:h444. doi: 10.1136/bmj.h444.

Reference Type BACKGROUND
PMID: 25694111 (View on PubMed)

Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, Macera CA, Castaneda-Sceppa C; American College of Sports Medicine; American Heart Association. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007 Aug 28;116(9):1094-105. doi: 10.1161/CIRCULATIONAHA.107.185650. Epub 2007 Aug 1.

Reference Type BACKGROUND
PMID: 17671236 (View on PubMed)

Ribeiro DBG, Gentil PRV, Resende RA, Carregaro RL, Fonseca STD, Martins WR. Effectiveness of multimodal circuit exercises for chronic musculoskeletal pain in older adults: A randomized controlled trial protocol. J Frailty Sarcopenia Falls. 2022 Sep 1;7(3):175-182. doi: 10.22540/JFSF-07-175. eCollection 2022 Sep.

Reference Type DERIVED
PMID: 36119552 (View on PubMed)

Other Identifiers

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UNB11121

Identifier Type: -

Identifier Source: org_study_id

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