Comparison of Tele-rehabilitation or Video-Based Core Exercises in Individuals With Axial Spondyloarthritis

Exercise Clinical Trial

Official title:

Comparison of Tele-rehabilitation or Video-Based Core Exercises in Individuals With Axial Spondyloarthritis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06000072
• Other study ID #: ATADEK 2023 - 10/341
• Status: Recruiting
• Phase: N/A
• Start date: August 11, 2023
• Est. completion date: June 30, 2024

Study information

• Verified date: June 2024
• Source: Acibadem University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Exercise is a core treatment method in the management of Axial Spondyloarthritis. Clinical guidelines recommend a combination of pharmacologic and non-pharmacologic approaches to reduce disease activity and symptoms and improve physical function. The COVID-19 pandemic has accelerated the provision of healthcare services remotely and the digitalization of rehabilitation services. Telerehabilitation methods provide advantages in terms of transportation, prevention of infections that may occur due to suppression of immunity with drugs, and continuity of treatment in patients with axial spondyloarthritis. In this context, it is important to evaluate the effects of remote physiotherapy and rehabilitation delivery in chronic inflammatory rheumatic diseases. This study, which will examine the effects of telerehabilitation in the disease management processes of individuals with axial spondyloarthritis, is thought to shed light on future studies.

The aim of this study was to compare the effectiveness of telerehabilitation or pre-recorded video-based core exercise program on core endurance, disease activity and physical function in subjects with axial spondyloarthritis.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 50
• Est. completion date: June 30, 2024
• Est. primary completion date: June 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 55 Years

Eligibility

Inclusion Criteria:

• 18 - 55 years old,

• Axial Spondyloarthritis diagnosed by a rheumatologist,

• Not having any orthopedic, neurological, or mental illness that would affect exercise,

• Not using any assistive device for ambulation

• People who volunteer to participate

Exclusion Criteria:

• Pregnancy, malignancy, and recent surgery

• Presence of cardiopulmonary disease

• Patients with endoprosthesis and prosthesis

• Attending a regular exercise program (Pilates, core, or yoga etc.)

Related Conditions & MeSH terms

• Axial Spondyloarthritis
• Exercise
• Spondylarthritis
• Spondylitis
• Telerehabilitation

Intervention

Other:
• Core Exercise Program
Core exercises

Locations

Country	Name	City	State
Turkey	Acibadem Mehmet Ali Aydinlar University	Istanbul
Turkey	Haydarpasa Numune Research and Training Hospital	Istanbul

Sponsors (2)

Lead Sponsor	Collaborator
Acibadem University	Haydarpasa Numune Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Core Endurance Tests : Trunk Flexion Test	The patient will be asked to cross his/her hands over his/her chest and positioned with the trunk in 60° flexion and knees in 90° flexion. The time in this position will be measured and recorded with a stopwatch. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.	8 weeks
Primary	Core Endurance Tests : Side Plank (Side Bridge Test):	The patient will be asked to lie on his/her side on the dominant side and cross his/her foot over the other foot. The non-dominant arm will be crossed over the chest and placed over the dominant shoulder. The patient will be asked to stand on the dominant forearm and elbow. The time in this position will be measured with a cronometer and recorded. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.	8 weeks
Primary	Core Endurance Tests : Modified Plank	The patient will be asked to position on his/her knees and elbows with his/her face to the floor. He/she will be fixed over his/her knees with the help of a belt and the duration of his/her stay in this position will be measured and recorded with a cornometer. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.	8 weeks
Primary	Core Endurance Tests : Biering-Sorenson Test	Patients will be positioned in a prone position with their spina iliaca anterior superior to the edge of the bed. Participants will be asked to extend their upper body straight forward from the edge of the table. They will be immobilized over their knees with the help of a belt and the time they stay in this position will be measured and recorded with a cornometer. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.	8 weeks
Primary	Core Endurance Tests : 30 Second Sit and Stand Test	The patient sits and stands for 30 s in a chair whose height is adjusted so that the knees are 90° when seated. The number of times the patient can sit and stand during this time will be calculated and recorded.	8 weeks
Secondary	Bath Ankylosing Spondylitis Functional Index (BASFI)	The questionnaire used to assess physical function in patients consists of 10 items related to activities of daily living. Each item is scored between 0-10 (0 meaning no difficulty, 10 meaning impossible).	8 weeks
Secondary	Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)	The BASDAI is used to measure ankylosing spondylitis disease activity. In this index, fatigue, pain due to spinal and peripheral joint involvement, local tenderness at the sites of insertion, duration and severity of morning stiffness in the last 1 week are evaluated. It consists of a total of 6 items and each item is scored between 0-10 (0 meaning no difficulty, 10 meaning impossible).	8 weeks
Secondary	Bath Ankylosing Spondylitis Metrology Index (BASMI)	It is an index that includes several measurements used to evaluate spinal mobility. These measurements are tragus-wall distance, lumbar lateral flexion test, Modified Schober test, intermalleolar distance.	8 weeks
Secondary	Global Rating of Change (GROC)	It is used to assess the patient's current health status and to calculate the difference between the initial health status.	8 weeks
Secondary	Pain intensity (Numeric Rating Scale/NRS)	It is a scale used to determine the severity of pain. It allows the patient to describe their pain in numbers. The scale starts with the absence of pain (0) and is expressed as unbearable pain (10 or 100).	8 weeks