Enthesitis Related Arthritis
Conditions
Keywords
yoga, home exercises, juvenile idiopathic arthritis
Brief summary
The aim of this study is to compare the effectiveness of different exercises programs as 'Yoga' and 'Home Exercise' in Enthesitis Related Arthritis.
Detailed description
Enthesitis is the localized inflammation in the attachments of muscles, ligaments, fascia to bone. Enthesitis related arthritis is a sub-form of Juvenile Idiopathic Arthritis (JIA) and primarily lower extremities, spine, and sacroiliac joints. In the literature, exercise therapy is found beneficial to improve bone density, muscle strength and functionality without leading adverse effects in these children. Recently yoga has emerged as a new exercise approach which consist of both physical an mental components to improve self-awareness and mindfulness. However, the effects of yoga did not investigated in JIA patients. The only evidence is a case study which reports improvements in pain and stiffness in a child with JIA.
Interventions
OTHERExercise
The children with enthesitis related arthritis will be randomized into one of the exercise groups as yoga or home exercises and will perform the exercise program for 2 times a week for 8 weeks according to their groups.
Sponsors
Dokuz Eylul University
Izmir Katip Celebi University
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
1. Being between 13-18 years 2. Having a diagnosis of enthesitis related arthritis 3. Having a diagnosis at least 6 months ago 4. Being able to understand exercise instructions 5. Consent of family and the patient
Exclusion criteria
1. Any contraindication to perform exercise (neurological, cardiovascular etc.) 2. Change in medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in 6 minute walking distance | At baseline and 8 weeks later | Six minute walking distance will be used for determining the functional status of lower extremity. The test will be performed in a 15-m corridor. The patient will be asked to walk as fast as possible without running. Standard instructions will be used for motivation. The patients will be allowed to stop if they want without stopping the chronometer. The total distance will be measured at the end of six minutes. |
| Change in timed up and down stair test | At baseline and 8 weeks later | The patients will be asked to climb and descend 13 steps and the time will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Quality of Life | At baseline and 8 weeks later | Pediatric Quality of Life (PedsQL) 3.0 Arthritis Module will be used to assess the quality of life of the patients and their parents.It is a 22-item measure consisting of 5 scales: pain and hurt, daily activities, treatment, worry, and communication. Items are rated on a 5-point Likert scale (0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Often, 4 = Almost Always). The possible range of scores is 0-88 by summing subscale scores and lower scores indicates better quality of life. |
| Change in Pain | At baseline and 8 weeks later | Numeric Rating Pain Scale will be used to assess pain severity. It has 11 points (0-10) where 0 represents no pain and 10 represents extreme pain. |
Countries
Turkey (Türkiye)
Outcome results
None listed