Chikungunya Fever
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical diagnosis of chikungunya with symptoms for more than three months; have sufficient cognitive level to understand the proposed activities; both sexes (female and male); between 18 and 75 years of age; residents of the state of Rio Grande do Norte
Exclusion criteria
Exclusion criteria: Individuals who have contraindications to exercise; people who are participating in another exercise program or in another type of treatment at the same time; those who for some reason are unable to continue with the proposed intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is hoped that physical exercise can show differences in the outcome of pain in patients with chikungunya. This outcome will be measured using the Visual Analogue Scale (VAS), which is widely used in research and clinical practice, where individuals rate their pain on an 11-point segmented scale, ranging from 0 to 10. This scale can be presented visually to the participant and they will rate their pain with the number 0 representing no pain and the number 10 the worst possible pain. The NDT can be used before, during or after any test or physical activity ;It is hoped that physical exercise can show differences in the degree and impact of pain on the daily lives of individuals with chikungunya. To this end, the Brief Pain Inventory (BDI) will be used. This instrument proposes the identification of pain sites based on the representation of the body schema, where individuals will point out the regions with the greatest perception of pain. This is followed by subjective recognition of the intensity and influence of the pain on carrying out daily activities. The average intensity of the pain in the last 24 hours and the impact on mood, general activity, work, relationships with other people, sleep and the ability to enjoy life are all asked about;It is hoped that physical exercise can show differences in physical function in patients with chikungunya. This outcome will be assessed using the Health Assessment Questionnaire (HAQ) instrument, which will be used to measure the impact of the disease on the day-to-day functionality of individuals, quantifying the degree of difficulty the individual has in performing activities and the need for assistance to carry them out. This questionnaire comprises 20 items that make up 8 domains, and is considered in different rheumatic conditions, as the results reflect the functional context of the individuals. The greater the functional limitation of the individual assessed, the higher the score, representing worse performance in th | — |
Secondary
| Measure | Time frame |
|---|---|
| It is hoped that the physical exercises will improve the physical performance of patients with chikungunya. To analyse this outcome, functional tests will be carried out before and after the functional rehabilitation programme. Mobility tests will be carried out to assess the range of motion (ROM) of ankle dorsiflexion (lunge test), knee extension (hamstring flexibility), shoulder rotation and hip rotation, as well as toe touch. Hip-lumbar dissociation will be checked by performing the hip hing test. In order to check for possible restriction of hip extension movement, the Thomas test will be used. To assess stability, tests will be carried out on the lumbar spine, measuring the time each posture is maintained (anti-hyperextension; anti-lateral flexion; anti-rotation); and functional movements such as squats, lunges, cook bridges and unilateral step down tests. The 30-second sit and stand test counts the total number of complete chair stands without upper limb support during the set time period; the 40-metre brisk walk test is a timed test that involves walking forward and backward twice over a controlled, standardised distance of 10 metres; the Stair Climbing Test (one flight), in which the individual must climb the steps indicated (use a staircase between 08 and 12 steps with a height of 20 cm on each flight) and descend promptly, being able to use the handrail as a safety tool; and the Time up and go Test (TUG), which assesses performance in the task of getting up from a chair, walking 3 m, turning around, returning and sitting down in the chair;It is hoped that physical exercise can show differences in upper limb function in patients with chikungunya. Therefore, for this outcome, the Disabilities of the arm, shoulder and hand (DASH) questionnaire will be used to specifically assess upper limb function, with scores ranging from 0 (no disability) to 100 (maximum disability);It is hoped that physical exercise can improve kinesiophobia in patients with chikungunya. | — |
Countries
Brazil
Contacts
Faculdade de Ciências da Saúde do Trairí da Universidade Federal do Rio Grande do Norte