Facioscapulohumeral Muscle Dystrophy
Conditions
Keywords
FSHD, Endurance exercise, Protein supplementation, Placebo RCT
Brief summary
The hypotheses is that regular post exercise supplementation increase fitness and daily activity level in patients with Fascioscapulohumeral (FSH) muscular dystrophy. All patients are tested before and after 12 weeks of cycle-ergometer exercise. Maximal oxygen consumption and 6MWT is used as primarily effect goals. Secondary effect goals are risk of falls and daily activity level.
Detailed description
The purpose of this study is to investigate the response to protein-carbohydrate supplementation doing regular exercise in patients with FSHD. All patients are tested before and after 12 weeks of cycle-ergometer exercise. Maximal oxygen consumption and a functional 6 min walk test(6MWT) is used as primarily effect goals. Secondary effect goals are risk of falls and daily activity level. We measure manuel muscle strength, a balance test, a 5-time-up-and-down-chair-test, a 14 steps-stair-test, accelerometer measuring, daily activity level questionnaire and SP36. We use a blinded randomized controlled trail. The interventions are 12 weeks regular exercise and consumption of a post-exercise drink. The exercise consists of 30 session of 30 minutes moderate exercise on a cycle-ergometer. After each exercise session patients consume a protein or a non-caloric placebo drink.
Interventions
Duration: 3 session each week, in 12 week. Intensity: 70 % of VO2max. Type: cycle-ergometer exercise.
Dosage: 45g powder mixed in 0.5 L water After each exercise session, 3 times each week, in 12 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Verified FSHD * Age 18-65 * Untrained. Less than two hours cardio-training each week the last 4 month.
Exclusion criteria
* Competitive disorders * Pregnant and breastfeeding * Unable to walk 200 m within 6 min.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximal oxygen consumption test | up to Week 12 | All participant are tested with a standardized maximal oxygen consumption test. Maximal oxygen uptake pr. minute pr. kg body (VO2max) weight and maximal work load (Wmax) is measured. The effect of intervention is found in different between groups in relative and absolute improvement in VO2max and Wmax. |
| 6MWT | up to Week 12 | 6 min walk test. Outcome in meter. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk of falls | week: 0 and 12 | Measuring of: Muscle strength, balance, 5-times-up-and-down-chair-test, 14-steps-stair-test. |
| Daily activity level | week: 0 and 12 | assessment of daily-activity level by accelerometer daily-activity level questionary SP36 life quality questionary |
| Blood samples | week: 0, 4, 7, 10, 12 | Creatine Kinase and myoglobin levels (safe parameter) Inflammatory level |
Countries
Denmark