Video Coaching of Physical Activity in Axial Spondyloarthritis
Paraules clau
Resum
Descripció
The spondyloarthritides are a group of inflammatory rheumatic diseases, including ankylosing spondylitis, reactive arthritis, inflammatory bowel disease-related rheumatic disease, and psoriatic arthritis.
The frequence of axial spondyloarthritis is 0.41% in the french population. This disease is associated with a reduction of physical capacities and quality of life. NSAIDs or even biologic therapies do not always permit a sufficient control of the disease. Different physical exercise programs can be effective as an additional therapy for spondyloarthritis, with positive effects on spinal mobility as well as main disease activity and functional indices (BASDAI, BASFI and BASMI). The severity of the disease does not seem to influence significantly the patients' motivation in practicing physical activity.
This proposed study aims to demonstrate the beneficial effect of physical exercises coached with a specific internet program diffused on a secured platform.
Each patient will have to connect 3 times weekly in order to follow the entire program.
The impact will be evaluated at 3 months and 6 months.
Potential impacts of video-coaching program are:
- reduction of the intrinsic inflammatory activity of the rheumatic disease;
- improvement of the global physical condition: muscular strength and resistance, walking ability, chest expansion;
- reduction of fatigue and improvement of sleeping;
- reduction of consumption of symptomatic drug (analgesics, NSAIDs, corticosteroids).
Dates
| Darrera verificació: | 02/29/2020 |
| Primer enviat: | 05/23/2019 |
| Inscripció estimada enviada: | 05/23/2019 |
| Publicat per primera vegada: | 05/28/2019 |
| Última actualització enviada: | 03/05/2020 |
| Publicació de l'última actualització: | 03/09/2020 |
| Data d'inici de l'estudi real: | 04/30/2020 |
| Data estimada de finalització primària: | 05/31/2020 |
| Data estimada de finalització de l’estudi: | 05/31/2020 |
Condició o malaltia
Intervenció / tractament
Other: Intervention group: video coaching exercises
Other: Control group: routine exercises
Fase
Grups de braços
| Braç | Intervenció / tractament |
|---|---|
| Experimental: Intervention group: video coaching exercises Video coaching exercises group: patients will perform physical exercises according to a video coaching program 3 times weekly during 6 months. The on-line program has been designed especially for this study. | Other: Intervention group: video coaching exercises Patients will perform physical exercises following a specifical video coaching program during 6 months. |
| Active Comparator: Control group: routine exercises Routine method advising and encouraging patients to perform physical activities according to the WHO recommendations during 3 months then to follow the video coaching physical exercises program during 3 months. | Other: Control group: routine exercises Routine method by advising and encouraging patients to perform exercises according to the WHO recommendations during the first 3 months of the study.
Thereafter, patients will have access to the video coaching program of physical activities during the following 3 months. |
Criteris d'elegibilitat
| Edats elegibles per estudiar | 18 Years Per a 18 Years |
| Sexes elegibles per estudiar | All |
| Accepta voluntaris saludables | Sí |
| Criteris | Inclusion Criteria: - Patient between 18 and 65 years; - Patient can read and understand French; - Signed informed consent form to participate in the study; - Axial spondylarthritis according to ASAS criteria; - Patient with a BASDAI score between 2.5 and 5; - No change of biotherapy anti-TNF or anti-IL17 during the 3 months preceding the inclusion; - Patient equipped with an internet access; - Medical certificate of proposed physical activities. Exclusion Criteria: - All diseases (cardiovascular disease or chronic neurological disease or others) contraindicating the requested exercises according to physician; - Axial spondyloarthritis in remission defined by a BASDAI < 2.5/10 or in excessive inflammatory activity, defined by BASDAI > 5/10; - Pregnant woman (positive pregnant test) or woman try to conceive in following 6 months; - Patient with articular prosthesis; - Patient who already participate in a specific exercise program or practice a sport (including Yoga or Tai Chi) more than one hour per week; - Severe obesity ( BMI > 35); - Patient without health insurance; - Patient legally unable. |
Resultat
Mesures de resultats primaris
1. Proportion of patients responding to the "ASAS 20" criterion at 3 months [at 3 months]
Mesures de resultats secundaris
1. Ankylosing Spondylitis Disease Activity : (BASDAI) (PRO) [at baseline, 3 months and 6 months]
2. Ankylosing Spondylitis Disease Activity : (ASDAS CRP) (PRO) [at baseline, 3 months and 6 months]
3. Bath Ankylosing Spondylitis Functional Index (BASFI) (PRO) [at baseline, 3 months and 6 months]
4. Fatigue (PRO) [at baseline, 3 months and 6 months]
5. Health assessment: HAQ-S (PRO) [at baseline, 3 months and 6 months]
6. SPA impact on general health: ASAS-HI (PRO) [at baseline, 3 months and 6 months]
7. Work Productivity and Activity : WPAI (PRO) [at baseline, 3 months and 6 months]
8. Sleep quality: PSQI [at baseline, 3 months and 6 months]
9. Physical activity: IPAQ (PRO) [at baseline, 3 months and 6 months]
10. Analgesic and anti-inflammatory drug intake [at 3 months and 6 months]
11. Anthropometric measures: BASMI [at baseline, 3 months and 6 months]
12. Anthropometric measures: Enthesitis: MASES [at baseline, 3 months and 6 months]
13. Anthropometric measures: Muscle strength: dynamometer [at baseline, 3 months and 6 months]
14. Anthropometric measures: 6-minutes walk test [at baseline, 3 months and 6 months]
15. Anthropometric measures: Body mass index (BMI) [at baseline, 3 months and 6 months]
