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- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT01586650
Effects of Aerobic Training in Patients With Ankylosing Spondylitis
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Ankylosing Spondylitis (AS) is a systemic inflammatory disease that affects mainly the spine and compromises globally the physical capacity of the patients. Despite new advances in pharmacological therapy, physiotherapy and exercise remain essential in the treatment of AS. However, the literature lacks studies showing which types of exercises are more effective in patients with AS.
This is a randomized controlled trial with the objective is to evaluate the effects of aerobic training on functional capacity, mobility, disease activity, cardiopulmonary capacity and cytokine levels (TNF, IL10, IL6 and IL1) in patients with AS.
The duration of the trial is 24 weeks with the first 12 weeks reserved to exercise programs. The participants will be divided in two groups. The intervention group (IG) will perform walking for 50 minutes plus global stretching 3 times a week for 12 weeks. The control group (CG) will do only stretching exercises 3 times a week for 12 weeks.
Tipo de estudio
Inscripción (Actual)
Fase
- Fase 3
Contactos y Ubicaciones
Ubicaciones de estudio
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Sao Paulo, Brasil, 04039-002
- Universidade Federal de Sao Paulo
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
Diagnosis of Ankylosing Spondylitis according to New York modified criteria.
- Stable drug treatment for at least 3 months
- Sedentary for at least 3 months before randomization
- Steinbrocker class I/II
Exclusion Criteria:
Uncontrolled Systemic Arterial Hypertension and Diabetes mellitus.
- Ischemic heart disease
- Clinically significant diseases
- Orthopedic surgery, such as hip arthroplasty, in the last year.
- Inability to walk.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Experimental: Aerobic training
The patients in this arm perform a 50-minute-walking at anaerobic threshold plus stretching exercises 3 times a week for 12 weeks.
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The intervention comprises fifty minutes of walking at anaerobic threshold plus stretching exercises 3 times a week for 12 weeks.
Global stretching exercises will be performed for about 20 minutes 3 times a week for 12 weeks with supervision of specialized physiotherapists.
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Comparador de placebos: Stretching exercises
The control group perform global stretching exercises for approximately 20 minutes 3 times a week for 12 weeks.
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Global stretching exercises will be performed for about 20 minutes 3 times a week for 12 weeks with supervision of specialized physiotherapists.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Change in BASFI
Periodo de tiempo: Baseline, after 6, 12 and 24 weeks.
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Bath Ankylosing Spondylitis Functional Index (BASFI) is a quaestionnaire with 10 questions about functional capacity validated to AS patients.
Each question is answered with a visual analogue scale 0-10 cm.
Zero means the best, and 10 the worst function.
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Baseline, after 6, 12 and 24 weeks.
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Change in BASDAI
Periodo de tiempo: Baseline, after 6, 12 and 24 weeks.
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Bath Ankylosing Spondylitis Disease Activity Score (BASDAI) is a instrument with 6 questions about disease activity validated to AS patients.
The questions comprise the following areas: back pain, peripheral pain, morning stifness, fatigue and enthesitis.
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Baseline, after 6, 12 and 24 weeks.
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Change in BASMI
Periodo de tiempo: Baseline, after 6, 12 and 24 weeks.
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Bath Ankylosing Spondylitis Mobility Index (BASMI) is an instrument that comprises 5 measures of mobility validated to AS patients.
The measurements are: cervical rotation, lumbar flexion (Schober's test modified, intermalleolar distance, lumbar side flexion and tragus to wall.
The total score is shown in a 0-10 cm visual analogue scale.
The low scores represent better mobility.
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Baseline, after 6, 12 and 24 weeks.
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Change in HAQ-S
Periodo de tiempo: Baseline, after 6, 12 and 24 weeks.
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Health Assessment Questionnaire for Spondyloarthritis (HAQ-S)is a questionnaire with 10 domains about functional capacity validated to AS patients.
The scores ranges from 0 to 3.
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Baseline, after 6, 12 and 24 weeks.
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Incremental cardiopulmonary exercise testing protocol by treadmill
Periodo de tiempo: Baseline and after 12 weeks.
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Incremental cardiopulmonary exercise testing protocol by treadmill is used to measure aerobic capacity of the patients.
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Baseline and after 12 weeks.
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Levels of C reactive protein and erythrocyte rate sedimentation
Periodo de tiempo: Baseline, after 6. 12 and 24 weeks
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CRP and ESR are laboratory methods to evaluate inflammatory response using blood sample.
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Baseline, after 6. 12 and 24 weeks
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Levels of cytokines- TNF, IL10, IL6 and IL1.
Periodo de tiempo: Baseline and after 12 weeks.
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Cytokines are substances that make part of inflammatory response.
The most important cytokines- TNF alpha, IL10, IL6 and IL1 will be measured in serum samples.
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Baseline and after 12 weeks.
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Change in the Six minute walking test
Periodo de tiempo: Baseline, after 6, 12 and 24 weeks.
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The 6-minute walking test is a instrument to evaluate functional capacity.
It is performed measuring the distance that the participant is able to walk during 6 minutes.
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Baseline, after 6, 12 and 24 weeks.
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Director de estudio: Jamil Natour, Prof, MD, Federal University of São Paulo
Publicaciones y enlaces útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 1325/08
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
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