YOGA FOR CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS (JIA)
2026년 6월 18일 업데이트: Sebahat Yaprak Cetin, PT, Akdeniz University
INVESTIGATING THE EFFECTIVENESS OF TELEREHABILITATION-BASED YOGA EXERCISES IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS
Juvenile Idiopathic Arthritis (JIA) is a chronic autoimmune condition starting before age 16, often leading to fatigue, joint stiffness, and decreased physical activity.
While exercise is widely recommended to improve functional capacity in children with JIA, the effectiveness of specialized mind-body exercises like yoga is still being explored.
This study aims to investigate the impact of an 8-week, telerehabilitation-based yoga program on children with JIA.
Participants will engage in 45-minute individual yoga sessions twice a week via Zoom, led by certified physiotherapists.
The sessions will progress in difficulty and focus on breathing techniques, physical postures, and meditation to improve the overall physical and mental well-being of the children.
연구 개요
상태
상태
아직 모집하지 않음
정황
정황
개입 / 치료
개입 / 치료
상세 설명
Juvenile Idiopathic Arthritis (JIA) is characterized by chronic inflammation that manifests in symptoms such as pain, swelling, movement restriction, and growth retardation. Clinical evidence suggests that exercise interventions, including aerobic and strengthening programs, provide significant benefits for pain management, range of motion (ROM), and quality of life in this population.
Yoga is a traditional exercise discipline that integrates breathing techniques (Pranayama), physical postures (Asanas), and meditation (Dhyana). Due to its adaptable nature and minimal equipment requirements, it has gained popularity as a therapeutic intervention. This study utilizes a telerehabilitation-based approach to deliver yoga to children with JIA, ensuring accessibility and professional guidance at home.
The Intervention Protocol:
Participants will undergo a specialized yoga program twice a week for 8 weeks. Each session will last 45 minutes and will be conducted one-on-one by two physiotherapists certified in "Yoga for Children" via the Zoom platform. The protocol is based on established literature.
Each session follows a structured sequence:
Introduction: Diaphragmatic breathing exercises. Main Phase: Progressive yoga postures (moving from simple to complex). Postures will be held for 2-3 breaths initially, progressing up to 10 breaths as the child's tolerance increases.
Closing: Relaxation and meditation.
List of Yoga Postures to be Utilized:
Mountain Pose, Crescent Pose (Starting positions) Star Pose, Tree Pose, Eagle Pose Bumblebee and Camel Pose Warrior I, II, and III Poses Triangle Pose, Horse Pose Lunge Pose, Butterfly Pose Frog, Pigeon, Turtle, and Basket Poses Diamond and Candle Poses Tiger Pose, Boat Pose Cat-Cow Pose, Reversed Hedgehog Pose Bridge, Rabbit, Child's Pose, and Plank. During transitions, children will be allowed rest periods as needed. The focus will remain on the synchronization of breath and movement throughout the intervention.
연구 유형
연구 유형
중재적
등록 (추정된)
등록
32
단계
단계
- 해당 없음
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
자격 기준
공부할 수 있는 나이
- 어린이
건강한 자원 봉사자를 받아들입니다
아니
설명
Inclusion Criteria:
- Being between 8 and 12 years of age.
- Diagnosed with Juvenile Idiopathic Arthritis (JIA) by a pediatric rheumatologist.
- Having no major changes in pharmacological treatment within the last 3 months.
- Having reliable internet access and the necessary technological equipment to participate in online video sessions.
- Voluntary participation in the study.
- Providing written parental informed consent and child assent.
Exclusion Criteria:
- Being in an acute disease flare-up/attack period.
- Having undergone orthopedic surgery within the last 6 months.
- Presence of severe cardiopulmonary or neurological conditions that contraindicate participating in yoga exercises.
- Cognitive level or impairment that prevents the child from following instructions and verbal cues.
- Regular participation in another structured exercise or physical rehabilitation program.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
팔의 수
2
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: Telerehabilitation-Based Yoga Group
Participants will be allocated to this group using block randomization based on age and body mass index (BMI).
This group will participate in a telerehabilitation-based yoga program for 8 weeks, 2 days per week, with each session lasting 45 minutes.
The sessions will be conducted one-on-one, in real-time, via the Zoom platform, led by certified physiotherapists.
The structured program includes diaphragmatic breathing techniques, progressive pediatric-focused yoga postures (asanas), and relaxation/meditation phases.
|
An 8-week, home-based virtual yoga program designed specifically for pediatric populations with chronic conditions. Sessions are conducted 2 days per week for 45 minutes each. The intervention is delivered live, face-to-face, and one-on-one via the Zoom platform by two physiotherapists certified in "Yoga for Children." Each session follows a standardized sequence:
Difficulty and repetitions are adapted weekly based on the individual child's physical capacity and comfort. |
|
활성 비교기: Home-Based Exercise Control Group
Participants will be allocated to this group using block randomization based on age and body mass index (BMI).
This control group will follow a standard, home-based physical exercise program.
The exercises will be performed independently at home by the children, with family supervision, during the 8-week study period.
|
An 8-week structured home exercise program consisting of standard physical therapy exercises conventionally recommended for children with juvenile idiopathic arthritis.
The protocol includes gentle stretching to maintain joint range of motion, low-impact strengthening exercises for major muscle groups, and basic posture/balance training.
Participants perform these exercises independently at home, under parental supervision, to match the 8-week timeline of the intervention group.
|
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Functional Reach Test (FRT)
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test evaluates dynamic balance and limits of stability.
Participants stand barefoot or with flat-molded shoes parallel to a wall, with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline.
For the forward reach, participants reach as far forward as possible without taking a step.
The distance between the initial and final positions is measured in centimeters (cm).
The test is repeated three times, and the average score is recorded.
Higher scores indicate better dynamic balance and stability.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
|
1-Minute Sit-to-Stand Test (1STST)
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test assesses lower extremity muscle endurance and functional capacity.
Participants sit on a standard-height chair with their arms crossed over their chest.
Upon the "start" command, they perform as many full sit-to-stand repetitions as possible within 1 minute.
The number of correctly completed repetitions is recorded.
Higher repetition counts indicate superior lower extremity muscular endurance.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
|
Lateral reach test
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test evaluates dynamic balance.
The patricipants leaning against the wall with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline.
For the test, they reach as far sideways as possible without trunk rotation.
The distance between the initial and final positions is measured in centimeters (cm).
The test is repeated three times, and the average score is recorded.
Higher scores indicate better dynamic balance and stability.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Biering-Sorensen Test for Trunk Extensor Endurance
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test evaluates the isometric endurance of the trunk extensor muscles.
Participants lie prone on an examination table with their pelvis, hips, and lower extremities secured.
The upper trunk is positioned horizontally off the edge of the table, and participants are instructed to maintain this unsupported horizontal position for as long as possible.
The duration for which the position is maintained is recorded in seconds.
Longer duration indicates better back extensor muscle endurance.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
|
Sit-and-Reach Test
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test measures the flexibility of the hamstring muscles and the lumbar spine.
Participants sit in a long-sitting position with knees fully extended and bare feet placed flat against the testing box.
They reach forward with both hands as far as possible without bending the knees.
The maximum distance reached by the fingertips is recorded in centimeters (cm).
The best trial out of three attempts is used for evaluation.
Higher values represent better hamstring and lower back flexibility.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
|
Curl-Up Test for Abdominal Endurance
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test is utilized to assess abdominal muscle endurance.
Participants lie in a supine position with knees flexed and feet secured.
They are instructed to perform as many correct curl-ups as possible within a specified standard time or cadence.
The total number of correctly executed repetitions within the time frame is recorded.
A higher number of repetitions indicates greater abdominal muscle endurance.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
|
Push-Up Test for Upper Body Endurance
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This test evaluates upper extremity and shoulder girdle muscular endurance.
Participants start in a prone plank position with hands shoulder-width apart and a straight trunk.
They perform consecutive push-ups using proper elbow flexion-extension technique.
Modified push-ups (e.g., knee push-ups) may be applied depending on the child's age and physical capacity.
The total number of correctly completed repetitions is recorded.
Higher counts reflect better upper body muscular endurance.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
|
Physical Activity Questionnaire for Children (PAQ-C) Score
기간: Baseline (Week 0) and Post-intervention (Week 8)
|
This self-reported questionnaire evaluates the general physical activity levels of children over the past 7 days.
It assesses the frequency of participation in physical activities during school hours, after school, and on weekends.
Items are scored on a 5-point scale, and a total composite score is calculated (ranging from 1 to 5).
Higher total scores indicate a higher level of habitual physical activity.
|
Baseline (Week 0) and Post-intervention (Week 8)
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (추정된)
연구 시작
2026년 7월 15일
기본 완료 (추정된)
기본 완료
2026년 9월 15일
연구 완료 (추정된)
연구 완료
2026년 10월 15일
연구 등록 날짜
최초 제출
최초 제출
2026년 6월 10일
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
2026년 6월 18일
처음 게시됨 (실제)
처음 게시됨
2026년 6월 22일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
2026년 6월 22일
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
2026년 6월 18일
마지막으로 확인됨
마지막으로 확인됨
2026년 6월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
기타 연구 ID 번호
- 2025YG
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
아니
미국 FDA 규제 기기 제품 연구
아니
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .