Multimodal Circuit Exercises for Chronic Musculoskeletal Pain in Older Adults

NCT04719130 | Completed

• 1 other identifier: UNB11121
• Study Type: interventional
• Target: 113
• Locations: 1 country
• Sites: 1

Brief Summary

Analyze the effectiveness of a multimodal circuit exercise program on chronic musculoskeletal pain and disability in older adults.

Conditions

Musculoskeletal Pain; Chronic Pain

Keywords

Exercise Therapy; Multimodal exercise

Outcome Measures

Primary Outcomes (3)

• Change on pain intensity.

  Will be used the Brief Pain Inventory (BPI). The Brief Pain Inventory (BPI) \[32, 33\]- a multidimensional, easily used questionnaire, aiming to diagnose a patient's chronic pain during the last 24 hours, categorized into 11 questions, scaled from 0 to 10, in which 10 indicates "worst pain imaginable".

  Change from Baseline at immediately post-intervention

• Change on disability.

  Will be used the Independence Index in Activities of Daily Living (Katz Index - KI). The total KI score is in the range 0 to 6, whose score 6 represents an independent patient and 0 indicates a highly dependent patient.

  Change from Baseline at immediately post-intervention

• Change on pain intensity.

  Will be used the Numeric Rating Scale. It is a subjective procedure, widely used due to its reliability, as the patients classify their pain at the moment within a scale from 0 (no pain at all) to 10 (worst pain imaginable).

  Change from Baseline at immediately post-intervention

Secondary Outcomes (2)

• Change on cardiorespiratory capacity.

  Change from Baseline at immediately post-intervention

• Change on functional mobility

  Change from Baseline at immediately post-intervention

Study Arms (2)

Experimental Group

EXPERIMENTAL

Will received multimodal circuit exercise group.

Other: Multimodal circuit exercise

Control Group

ACTIVE COMPARATOR

Will received multidisciplinary lectures on pain and usual care provided by the Basic Health Units.

Other: Multidisciplinary lectures

Interventions

Multimodal circuit exercise OTHER

A structured and supervised multimodal exercise circuit twice a week, under 12 weeks program. The circuit workout program consists of 8 exercises, divided into motor coordination, balance, strength, and aerobic exercises. The exercises will be employed in a reserved room inside of the Basic Health Units. The sessions of exercises will last approximately 50 minutes,

Experimental Group

Multidisciplinary lectures OTHER

Multidisciplinary lectures on pain and usual care provided by the Basic Health Units. A cycle of multidisciplinary lectures on pain will be offered by professionals in physical education, nursing, physiotherapy, medicine, psychology and social work that will take place in the Basic Health Units every 15 days.

Control Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjects from both sexes;
• Aged 60 or higher;
• Had a history of chronic pain in at least one synovial joint for more than three months.

You may not qualify if:

• Participants with some types of co-morbidities that may interfere with the research parameters, such as a history of stroke, stenosis of the spinal canal, severe heart disease, fibromyalgia, rheumatoid arthritis;
• Participants who presented a level of pain between 7 and 10 points on the Numeric Rate Scale (NRS) in any body location;
• Participants being under psychiatric treatment with sensory deficits (visual, auditory and intellectual)
• Participants performing any supervised and structured exercise at the moment of study enrollment or six months before.

Sponsors & Collaborators

• University of Brasilia: lead
• Federal University of Minas Gerais: collaborator
• Federal University of Tocantins: collaborator
• Universidade Federal de Goias: collaborator

Study Sites (1)

University of Brasilia

Brasília, Federal District, 72220-900, Brazil

Location

Related Publications (5)

• Blyth FM, Noguchi N. Chronic musculoskeletal pain and its impact on older people. Best Pract Res Clin Rheumatol. 2017 Apr;31(2):160-168. doi: 10.1016/j.berh.2017.10.004. Epub 2017 Nov 4.

  PMID: 29224694 BACKGROUND

• Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD011279. doi: 10.1002/14651858.CD011279.pub3.

  PMID: 28436583 BACKGROUND

• Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015 Feb 18;350:h444. doi: 10.1136/bmj.h444.

  PMID: 25694111 BACKGROUND

• Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, Macera CA, Castaneda-Sceppa C; American College of Sports Medicine; American Heart Association. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007 Aug 28;116(9):1094-105. doi: 10.1161/CIRCULATIONAHA.107.185650. Epub 2007 Aug 1.

  PMID: 17671236 BACKGROUND

• Ribeiro DBG, Gentil PRV, Resende RA, Carregaro RL, Fonseca STD, Martins WR. Effectiveness of multimodal circuit exercises for chronic musculoskeletal pain in older adults: A randomized controlled trial protocol. J Frailty Sarcopenia Falls. 2022 Sep 1;7(3):175-182. doi: 10.22540/JFSF-07-175. eCollection 2022 Sep.

  PMID: 36119552 DERIVED

MeSH Terms

Conditions

Musculoskeletal Pain; Chronic Pain

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Another researcher collaborator (blinded) will be carried out the outcomes investigated.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: This is a randomized parallel study (two arms) with blinded outcome assessments.

Study Record Dates

• First Submitted: January 12, 2021
• First Posted: January 22, 2021
• Study Start: August 30, 2021
• Primary Completion: February 1, 2022
• Study Completion: April 25, 2022
• Last Updated: August 15, 2023

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: The excel data-base will be shared with all data when the manuscript were submitted to a peer-review process. If published, the paper will be provided all data base by supplementary material.

Locations

BR (1)