- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03832491
Effect of Game Based Approach on Oxygenation, Functional Capacity and Quality of Life in Primary Ciliary Dyskinesia
Study Overview
Status
Intervention / Treatment
Detailed Description
Primary ciliary dyskinesia (PCD) is an autosomal recessive hereditary disorder characterized by congenital structural abnormalities and impairment of respiratory function. Mucociliary clearance is affected by disorders in the structure and movement of cilia. That causes repeated infections in the upper and lower respiratory tract.In addition to mucociliary effects and impaired lung function, it is thought that there may be a decrease in respiratory muscle strength and functional capacity. One of the factors affecting functional capacity is the level of physical activity. For these reasons, the management of the respiratory system in patients with PCD is very important. In addition to airway clearence techniques, approaches to increase physical activity are also important. It was thought that severe physical activity could be an important determinant of cardiopulmonary functional capacity in patients with mild to moderate PCD. The level of physical activity is known to be associated with quality of life.
In literature no study investigated the effects of game based approach on oxygenation, functional capacity and quality of life in patients with PCD. Game based approach is a new method lead to increase physical activity. In literature there is no study investigated the effects of game based approach on oxygenation, functional capacity and quality of life in patients with PCD.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ankara, Turkey, 06100
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Being diagnosed with PCD
- Being clinically stable
- Between 6-18 years old
- Volunteer to participate in research
Exclusion Criteria:
- Not having a stable clinical condition
- Patients with severe neuromuscular, musculoskeletal and rheumatological problems
- Patients with loss of balance
- Not being cooperative
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Control Group
Home Based Therapy: 16 patients with PCD Airway clearence techniques, everday of the week, during eight weeks |
Airway clearence techniques
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Experimental: Game and home based therapy group
Game based approach programme: 16 patients with PCD Game based approach programme will be done using the exergame with the game console, fourty minutes three times per week for eight weeks. Exergame includes five games selected from two kinects games CD. Each game will be played for five games set. Airway clearence techniques, everday of the week, during eight weeks |
Game based approach programme and airway clearence techniques
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functional capacity using six minute walk test
Time Frame: Change from baseline distance of six minute walk test in 8 weeks
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Six minute walk test will be performed in a long, straight, enclosed corridor 30 meters in length.
Patients are required to walk in their walking speed with standardized instructions.
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Change from baseline distance of six minute walk test in 8 weeks
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Distance of six minute walk test
Time Frame: Change from baseline distance of six minute walk test in 8 weeks
|
The distance walked will be recorded as meters at the end of 6 minute walk test.
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Change from baseline distance of six minute walk test in 8 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Demographic features-Age
Time Frame: Before and after 8 weeks
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The age will be recorded in years.
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Before and after 8 weeks
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Demographic features-Weight
Time Frame: Before and after 8 weeks
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Weight will be recorded in kilograms.
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Before and after 8 weeks
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Demographic features-Lenght
Time Frame: Before and after 8 weeks
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The length will be saved in meters.
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Before and after 8 weeks
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Demographic features-Body Mass Index
Time Frame: Before and after 8 weeks
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Body mass index will be calculated by dividing the weight by the square of the height (kg/m^2).
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Before and after 8 weeks
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Vital Signs-Heart Rate
Time Frame: Before and after 8 weeks
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Heart rate will be recorded before and after six minute walk test, shuttle walk test, glittre ADL test, playing seated game and kinect games.
The number of heart beats per minute will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Vital Signs-Systolic Blood Pressure
Time Frame: Before and after 8 weeks
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Systolic blood pressure will be measued before and after six minute walk test, shuttle walk test, glittre ADL test, playing seated games and kinect games.
The systolic blood pressure will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Vital Signs-Diastolic Blood Pressure
Time Frame: Before and after 8 weeks
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Diastolic blood pressure will be measued before and after six minute walk test, shuttle walk test, glittre ADL test, playing seated games and kinect games.
The diastolic blood pressure will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Vital Signs-Respiratory Rate
Time Frame: Before and after 8 weeks
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Respiratory rate will be recorded before and after six minute walk test, shuttle walk test, glittre ADL test, playing seated games and kinect games.
The respiratory rate will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Vital Signs-Perception of dyspnea
Time Frame: Before and after 8 weeks
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Perception of dyspnea will be evaluated by the OMNI scale before and after six minute walk test, shuttle walk test, glittre ADL test, playing seated games and kinect games.
OMNI is a perceived exertion scale as BORG perceived exertion scale.
The term OMNI is an acronym for the word omnibus.
This perceived exertion scale includes numerical categories from 0 to 10.
The numbers on the scale show a range of exertion levels from extremely easy (0) to extremely hard (10).
The perception of dyspnea will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Perception of general fatigue
Time Frame: Before and after 8 weeks
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Perception of fatigue will be assessed by the OMNI scale before and after six minute walk test, shuttle walk test, glittre ADL test, playing seated games and kinect games.OMNI is a perceived exertion scale as BORG perceived exertion scale.The term OMNI is an acronym for the word omnibus.
This perceived exertion scale includes numerical categories from 0 to 10.
The numbers on the scale show a range of exertion levels from extremely easy (0) to extremely hard (10).
The perception of general fatigue will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Perception of quadriceps fatigue
Time Frame: Before and after 8 weeks
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Perception of quadriceps fatigue will be assessed by the OMNI scale before and after six minute walk test, shuttle walk test, glittre ADL test,playing seated games and kinect games.
OMNI scale is a perceived exertion scale as BORG scale.
The term OMNI is an acronym for the word omnibus.
This perceived exertion scale includes numerical categories from 0 to 10.
The numbers on the scale show a range of exertion levels from extremely easy (0) to extremely hard (10).
The perception of quadriceps fatigue will be evaluated before and after the tests to measure how much it has changed in 8 weeks.
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Before and after 8 weeks
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Pulmonary function
Time Frame: Before and after 8 weeks
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Pulmonary function assessed by the spirometer
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Before and after 8 weeks
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Respiratory muscle strength
Time Frame: Before and after 8 weeks
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Respiratory muscle strength will be evaluated by the intraoral pressure measurement device.
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Before and after 8 weeks
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Peripheral muscle strength
Time Frame: Before and after 8 weeks
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Peripheral muscle strength will be assessed by the hand held dynamometer.
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Before and after 8 weeks
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Statical Balance
Time Frame: Before and after 8 weeks
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Statical balance will ve assessed by the flamingo balance test.
The test evaluates the postural balance.In this test, a metal or wooden beam with a length of 50 cm, a height of 4 cm and a width of 3 cm is used.
During this test, the participant tries to stand with a single foot in a manner similar to the flamingo position for as long as possible on the long axis of the beam.
The stopwatch starts with the command.
When the balance is distorted, the time is stopped and the time progresses until the next equilibrium loss.
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Before and after 8 weeks
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Loss of balance of Flamingo Balance Test
Time Frame: Before and after 8 weeks
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Balance disturbances within 1 min are counted.
If there is more than 15 loss of balance within the first 30s, the test is terminated and zero score is given.
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Before and after 8 weeks
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Dynamic Balance
Time Frame: Before and after 8 weeks
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Dynamic balance will be evaluated by the Y balance test.
The test extends to the directions determined by the lower limb of the participant and assesses the stability and stability of the participant on the other.In the test setup, 3 pieces of tape measure will be glued to the floor in an angle of 120 degrees.
At the intersection of these 3 scales, one will be asked to stand on one foot with the other foot in 3 directions as anterior, posteromedial and posterolateral.
At this time, the participant's balance, not to stand on the foot of the heel of the feet to stand up and extend the finger tips of the feet will be careful to touch slightly.
At the end of each test, the participant will be asked to bring his foot to the side of his foot without losing the balance and touching the floor.
This application will be repeated 3 times for each test.
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Before and after 8 weeks
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Extending distance in Y Balance Test
Time Frame: Before and after 8 weeks
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Extending distance will be recorded as centimeter (cm).
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Before and after 8 weeks
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Subjective Physical Activity
Time Frame: Before and after 8 weeks
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Subjective physical activity will ve assessed by the Bouchard Three-Day Physical Activity Questionnaire.
It queries the individual's level of physical activity on weekdays and at the weekend.
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Before and after 8 weeks
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Daily energy consumption in the Bouchard Three-Day Physical Activity Questionnare
Time Frame: Before and after 8 weeks
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The average energy calculation in kilocalories per kilogram at intervals of fifteen minutes is used to calculate daily energy consumption.
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Before and after 8 weeks
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Objective Physical Activity
Time Frame: Before and after 8 weeks
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The objective physical activity will be evaluated by the SenseWear Armband which has three-axis accelerometer sensors during the Glittre Activity of Daily Living Test.
Energy consumption will be calculated as metabolic equivalent of task (MET).
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Before and after 8 weeks
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Energy expenditure while playing seated games.
Time Frame: Before and after 8 weeks
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Energy expenditure will be evaluated by Sense Wear Armband while playing seated games.
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Before and after 8 weeks
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Energy expenditure while playing each kinect games.
Time Frame: Week one and half
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Energy expenditure will be assessed by Sense Wear Armband before starting to play each kinect games to determine how much energy consumption level of the games has reached during the session.
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Week one and half
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Activity of Daily Living
Time Frame: Before and after 8 weeks
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Activity of daily living will ve evaluated by the Glittre Activity of DailyLiving (ADL) test.
Glittre ADL test is a test that provides standardized functional status assessment including activities similar to daily living activities.
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Before and after 8 weeks
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Oxygenation using wearable lactate measuring instrument (BSX insight device) during Incremental Shuttle Walk Test.
Time Frame: Before and after 8 weeks
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1.
The device is a portable NIRS LED device used to determine lactate level during the movement.
BSX is housed in a compression sleeve and fitted over the gastrocnemius muscle.
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Before and after 8 weeks
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Oxygenation using wearable lactate measuring instrument (BSX insight device) during Glittre Activity of Daily Living Test.
Time Frame: Before and after 8 weeks
|
1.
The device is a portable NIRS LED device used to determine lactate level during the movement.
BSX is housed in a compression sleeve and fitted over the gastrocnemius muscle.
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Before and after 8 weeks
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Exercise capacity using incremental shuttle walk test.
Time Frame: Before and after 8 weeks
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Incremental shuttle walk test will be performed in a enclosed corridor.
Patients are required to turn around two cones placed 9 meters apart making the shuttle distance 10 meters long.
Patients will follow the rhythm dictated by the audio signal
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Before and after 8 weeks
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Quality of daily living using disease specific questioannare-Version2 (QOL-PCDV2)
Time Frame: Before and after 8 weeks
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The Turkish version of QOL-PCD will be used.
The questionnare evaluate physical, social and emotional status in different age groups (pediatrics, adolescents, adults and parents).The total numbers of items in the questionnaires are 35 questions for parents' , 32 questions for children, 38 questions for adolescents, 40 questions for adults.
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Before and after 8 weeks
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Hazal Sonbahar Ulu, MSc, PT, Hacettepe University
- Study Chair: Deniz Inal Ince, Prof. Dr., Hacettepe University
- Study Director: Hayriye Ugur Ozcelik, Prof. Dr., Hacettepe University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Respiratory Tract Diseases
- Neurologic Manifestations
- Disease
- Congenital Abnormalities
- Bronchial Diseases
- Genetic Diseases, Inborn
- Otorhinolaryngologic Diseases
- Movement Disorders
- Heart Defects, Congenital
- Cardiovascular Abnormalities
- Abnormalities, Multiple
- Ciliopathies
- Bronchiectasis
- Respiratory System Abnormalities
- Dextrocardia
- Situs Inversus
- Syndrome
- Dyskinesias
- Ciliary Motility Disorders
- Kartagener Syndrome
Other Study ID Numbers
- KA-180026
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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