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YOGA FOR CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS (JIA)

2026年6月18日 更新者：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.

研究概览

地位

地位

指示当前招聘状态或扩展访问状态。
尚未招聘

条件

条件

正在研究的疾病、紊乱、综合征、疾病或损伤。在 ClinicalTrials.gov 上，条件还可能包括其他与健康相关的问题，例如寿命、生活质量和健康风险。

干预/治疗

干预/治疗

作为临床研究重点的过程或行动。干预措施包括药物、医疗设备、程序、疫苗和其他处于研究阶段或已经可用的产品。干预措施还可以包括非侵入性方法，例如教育或调整饮食和锻炼。

详细说明

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.

研究类型

研究类型

描述临床研究的性质。研究类型包括介入性研究（也称为临床试验）、观察性研究（包括患者登记）和扩展访问。
介入性

注册 (估计的)

注册

临床研究的参与者人数。 “预期”入组人数是研究人员进行研究所需的目标参与者人数。
32

阶段

阶段

根据美国食品和药物管理局 (FDA) 制定的定义，研究药物或生物制品的临床试验阶段。阶段基于研究的目标、参与者的数量和其他特征。有五个阶段：早期第 1 阶段（以前列为第 0 阶段）、第 1 阶段、第 2 阶段、第 3 阶段和第 4 阶段。不适用用于描述没有 FDA 定义的阶段的试验，包括设备试验或行为干预。
  • 不适用

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

资格标准

想要参加临床研究的人必须满足的关键要求或他们必须具备的特征。资格标准包括纳入标准（一个人参与研究所必需的）和排除标准（阻止一个人参与）。资格标准的类型包括一项研究是否接受健康志愿者、是否有年龄或年龄组要求，或是否受性别限制。

适合学习的年龄

  • 孩子

接受健康志愿者

不

描述

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.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂

参与者组/臂

根据试验方案，接受特定干预/治疗或不接受干预的临床试验参与者组或亚组。
干预/治疗

干预/治疗

作为临床研究重点的过程或行动。干预措施包括药物、医疗设备、程序、疫苗和其他处于研究阶段或已经可用的产品。干预措施还可以包括非侵入性方法，例如教育或调整饮食和锻炼。
实验性的：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.
行为的：Telerehabilitation-Based Yoga Group

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:

  1. Breathing Phase: Starting with diaphragmatic breathing.
  2. Active Phase: Progression of 17 distinct pediatric yoga poses (e.g., Mountain, Tree, Warrior, Butterfly, Cat-Cow, and Plank). Each pose is held for 2-3 breaths initially, progressing up to 10 breaths as tolerated.
  3. Meditation Phase: Concluding with guided relaxation and meditation.

Difficulty and repetitions are adapted weekly based on the individual child's physical capacity and comfort.
有源比较器：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.
行为的：Standard Home-Based Physical Exercise Program
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.

研究衡量的是什么？

主要结果指标

主要结果指标

在临床研究的方案中，对于评估干预/治疗的效果最重要的计划结果测量。大多数临床研究有一项主要结果指标，但有些研究有不止一项。
结果测量
措施说明
大体时间
Functional Reach Test (FRT)
大体时间：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)
大体时间：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
大体时间：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)

次要结果测量

次要结果测量

在临床研究的方案中，计划的结果测量值在评估干预效果时不如主要结果测量值重要，但仍然值得关注。大多数临床研究有不止一项次要结果指标。
结果测量
措施说明
大体时间
Biering-Sorensen Test for Trunk Extensor Endurance
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

赞助

发起研究并有权和控制研究的组织或个人。
Akdeniz University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

学习开始

第一位参与者参加临床研究的实际日期。 “预期”研究开始日期是研究人员认为将成为研究开始日期的日期。
2026年7月15日

初级完成 (估计的)

初级完成

临床研究的最后一名参与者接受检查或接受干预以收集主要结果测量的最终数据的日期。临床研究是否根据方案结束或被终止不影响该日期。对于具有多个不同完成日期的主要结果测量的临床研究，该术语是指完成所有主要结果测量的数据收集的日期。 “预期”主要完成日期是研究人员认为将成为研究主要完成日期的日期。
2026年9月15日

研究完成 (估计的)

研究完成

临床研究中最后一位参与者接受检查或接受干预/治疗以收集主要结局指标、次要结局指标和不良事件（即最后一位参与者的最后一次就诊）的最终数据的日期。 “预期”研究完成日期是研究人员认为将成为研究完成日期的日期。
2026年10月15日

研究注册日期

首次提交

首次提交

研究发起人或研究者首次向 ClinicalTrials.gov 提交研究记录的日期。在首次提交日期和记录在 ClinicalTrials.gov 上的可用性（首次发布日期）之间通常会有几天的延迟。
2026年6月10日

首先提交符合 QC 标准的

首先提交符合 QC 标准的

研究发起人或研究者首次提交符合国家医学图书馆 (NLM) 质量控制 (QC) 审查标准的研究记录的日期。在满足 NLM 的 QC 审查标准之前，发起人或研究者可能需要修改和提交研究记录一次或多次。申办者或研究者有责任确保研究记录符合 NLM QC 审查标准。
2026年6月18日

首次发布 (实际的)

首次发布

在国家医学图书馆 (NLM) 质量控制 (QC) 审查结束后，研究记录首次在 ClinicalTrials.gov 上可用的日期。研究发起人或研究者提交研究记录的日期与首次发布日期之间通常会有几天的延迟。
2026年6月22日

研究记录更新

最后更新发布 (实际的)

最后更新发布

在 ClinicalTrials.gov 上提供研究记录更改的最近日期。研究发起人或研究者向 ClinicalTrials.gov 提交变更的时间（最后更新提交日期）和最后更新发布日期之间可能会有延迟。
2026年6月22日

上次提交的符合 QC 标准的更新

上次提交的符合 QC 标准的更新

研究发起人或研究者提交符合国家医学图书馆 (NLM) 质量控制 (QC) 审查标准的研究记录更改的最近日期。申办者或研究者有责任确保研究记录符合 NLM QC 审查标准。
2026年6月18日

最后验证

最后验证

研究发起人或研究者确认 ClinicalTrials.gov 上的临床研究信息准确且最新的最近日期。如果一项研究的招募状态为招募；尚未招聘；或活跃，未在过去 2 年内确认招募，该研究的招募状态显示为未知。
2026年6月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

其他研究编号

由研究的发起人、资助者或其他人分配给临床研究的标识符或 ID 号，而不是 NCT 号。这些编号可能包括来自其他试验登记处的唯一标识符和美国国立卫生研究院的资助编号。
  • 2025YG

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

Telerehabilitation-Based Yoga Group的临床试验

搜索类似试验

赞助者和合作者

医疗条件

药物干预

条件

罕见疾病

药物干预

膳食补充剂

赞助者/合作者

地点

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