Juvenile Idiopathic Arthritis
Conditions
Brief summary
The Juvenile Idiopathic Arthritis (JIA) affects joints mobility and leads pain, impacting the practice of physical activities. Adapted Physical Activities are rehabilitation methods increasingly used, but additional studies are needed to define the nature of the physical activity for patients with JIA. The ATHLETIQUE project aims to evaluate the impact of a program integrating APA sessions together with the wearing of a pedometer watch on disease activity of patients with JIA.
Interventions
OTHERAdaptated Physical Activity (APA) + pedometer watch
Adapted physical activities program : 12 weeks, 2 40-minutes sessions per week ( one broadcast live via online video conferencing and other one in autonomy according to a sequence of different personalized exercises defined by the APA's professional). Children are divided into 6 groups. Each session will be broken down into three parts: the warm-up (10mins), the session's corps alternating between five to eight of muscle strengthening, proprioception, and endurance exercises (20mins) and a cool-down with stretching (10mins). The physical activity performed during the sessions will be quantified with a heart rate monitor and the range of 60-70% of the maximum theoretical heart rate for each child will be respected. A pedometer watch will wear during 1 year and will provide the number of steps.
Sponsors
Centre Hospitalier Universitaire de Besancon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Children (boys and girls) aged 6 to 17 years * Children with juvenile idiopathic arthritis (JIA) : oligoarticular, polyarticular, psoriatic or enthesitis-related arthritis, with more than one year of disease progression * Children on stable conventional or biotherapy 3 months prior to inclusion * Children with a computer/tablet/connected phone that allows them to follow adapted physical activities sessions online * If sexually active adolescents, use an effective method of contraception (oral contraceptives, contraceptive injections, intrauterine devices, double barrier method, contraceptive patches) * Signed informed consent to participate indicating that the parent(s) understand the purpose and procedures required for the study and agree(s) that their child(ren) will participate in the study and abide by the requirements and restrictions of the study * Affiliation with a French social security system or beneficiary of such a system. Non-inclusion criteria: * Treatment by intra-articular infiltration less than 1 month old (immobilization required after the procedure and temporary cessation of physical activity unavoidable) * Contraindications to physical activity * Subject unlikely to cooperate with the study and/or poor cooperation anticipated by the investigator * Subject without health insurance * Pregnant adolescent * Subject in the exclusion period of another study or is the national volunteer register
Exclusion criteria
: * Intra-articular infiltration treatment during the 3 months of the adapted physical activity (APA) program (except for the temporomandibular joint) * Change of biotherapy during the 3 months of the APA program if the treatment is ineffective * Physical inability to engage in physical activity, unrelated to JIA, during the 3-month of the APA program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Juvenile Arthritis Disease Activity-27 Score Assesment | Week 14 | JADAS-27 score includes 4 components : 1. number of inflammatory joints among 27 joints identified, 2. a medical assesment of clinical disease activity with Visual Analogic Scale (from 0 point = worst to 10 points = best), 3. assesment of assesment of patient's well-being by the patient or a parent with Visual Analogic Scale (froom 0 point = worst to 10 points = best), 4. sedimentation rate (from 0 to 10). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the physical activity level | Weeks 13, 25 and 49 | The difference of the medium physical activity level is assessed by the continue measures (for 7 days) of the time spent in the MVPA (Moderate to Vigorous Physical Activity) via actimetry (counts/min). Actimetric measurements will be performed before the start of the intervention to determine a value for V0, at 13 weeks (for V1), at 25 weeks (for V2), and at 49 weeks (for V3) |
| Quantification of the difference in muscle strength | Weeks 14, 26 and 50 | By dynamometry (Newton) |
| Evolution of quality of life | Weeks 14, 26 and 50 | Difference of the score obtained in the Pediatric Quality of Life (PedsQL) tool. Score out of 100 for children assess and 100 for parents assess. A high score means a reduced quality of life. |
| Juvenile Arthritis Disease Activity-27 Score Assesment | Weeks 26 and 50 | JADAS-27 score includes 4 components : 1. number of inflammatory joints among 27 joints identified, 2. a medical assesment of clinical disease activity with Visual Analogic Scale (from 0 point = worst to 10 points = best), 3. assesment of assesment of patient's well-being by the patient or a parent with Visual Analogic Scale (froom 0 point = worst to 10 points = best), 4. sedimentation rate (from 0 to 10). |
| Evolution of pain | Weeks 14, 26 and 50 | Assessment by the Visual Analogic Scale (VAS) of the CHAQ-38 tool. VAS are out of 10. A high score means an increased pain. |
| Evolution of fatigue | Weeks 14, 26 and 50 | Difference of the score obtained in the PedsQL-Multidimensional Fatigue Scale questionnaire. Score out of 100 for children assess and 100 for parents assess. A high score means a increased fatigue. |
| Assessment of the feasibility of the program | week 2 to 13 | Assessment of program participation. Participation is the proportion of subjects who agree to participate in the study among eligible patients. |
| Evolution of functional capacities | Weeks 14, 26 and 50 | Assessment by the questionnaire of the ChildHood Assessment Questionnaire (CHAQ-38) tool. Questionaire's score out of 3, it's a medium of 8 items. A high score means reduced functional capacities. |
Countries
France
Contacts
Primary ContactClaire BALLOT-SCHMIT, MD
Backup ContactStéphanie PY, PhD
Outcome results
None listed