Psychotic Disorder
Conditions
Keywords
Exercise, Functional ability, Quality of life, Pilates
Brief summary
Mental health represents a fundamental dimension of overall well-being, exerting a significant influence on mortality rates, health-related quality of life (HRQoL), levels of disability, and the strain on healthcare systems. As the interest in mental wellness continues to grow, exercise training (ET) has become increasingly recognized as a validated and effective intervention for individuals experiencing mental health challenges. An expanding body of research underscores the adverse effects of physical inactivity, reinforcing the role of exercise as a viable therapeutic strategy. Well-structured ET interventions have consistently demonstrated benefits across multiple domains, including improvements in physical health, reductions in cardiovascular risk, and enhancements in psychological constructs such as depression, self-esteem, resilience, and self-efficacy. However, the majority of prior studies have been limited to relatively short durations-typically ranging from 4 to 24 weeks, with an average of about 12 weeks. A significant gap in the literature persists regarding the long-term implementation and effectiveness of ET programs, particularly in populations with severe mental illness. Additionally, the small sample sizes commonly seen in previous studies restrict the statistical robustness and generalizability of their outcomes. The aim of the randomized control trial is to examine whether an 1-year mixed type exercise training program within the hospital setting will improve functional capacity and health-related quality of life. Forty- eight participants will be randomly allocated into two groups: Group A (Exercise group) will receive 3 exercise sessions per week for 1-year and Group B (Control Group) will continue their usual care, without participating in organized exercise programs. Prior to the group random allocation, part of the assessment at the baseline and 1 year follow-up will include lower extremity strength test, muscle power using a dynamometer, aerobic capacity test, balance test, body positioning and health- related quality of life.
Interventions
OTHERExercise intervention
Patients that will be randomly assigned in the group A will be invited to attent 1-year exercise sessions, with frequency 3 sessions per week. The program included 30 minutes of Pilates exercises, strengthening, balance and flexibility exercises, which are performed with rubber bands, mobility sticks and balls.
Sponsors
Aristotle University Of Thessaloniki
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* being an adult * inpatient with a diagnosis of psychotic syndrome * on stable medication * controlled as far as psychosis is concerned * consenting to participate
Exclusion criteria
* adolescents * with other diagnoses * not on stable medication * in an unstable condition * unwilling to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Isometric Lower Extremity Strength Assessment in Semi-Squat Using Baseline Leg Dynamometer | Baseline | The isometric strength of the lower extremities is evaluated in a semi-squat position using a Baseline Leg Dynamometer, with musclular strength quantified in kilograms (kg). |
| Handgrip Strength | Baseline | Evaluation of the isometric handgrip strength using a hand dynamometer |
| Sit-and-Reach Test | Baseline | Evaluation of flexibility using sit- and- reach test |
| 30 -second Sit-to-stand test (STS) | Baseline | Evaluation of functional capacity and mobility using 30-second STS |
| Six- Minute Walking Test | Baseline | Estimation of aerobic capacity through six minute walking test |
| Berg Balance Scale Test | Baseline | Evaluation of balance using Berg Balance Scale Test |
| Short form Quality of Life (SF-36) | Baseline | Assessment of Quality of Life using SF-36 |
Countries
Greece
Contacts
Primary ContactEvangelia Kouidi
Backup ContactTheochari Victoria
Outcome results
None listed