Comparison of Tele-rehabilitation or Video-Based Core Exercises in Individuals With Axial Spondyloarthritis

NCT06000072 | Completed

• 1 other identifier: ATADEK 2023 - 10/341
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 2

Brief Summary

Exercise is a core treatment method in the management of Axial Spondyloarthritis. Clinical guidelines recommend a combination of pharmacologic and non-pharmacologic approaches to reduce disease activity and symptoms and improve physical function. The COVID-19 pandemic has accelerated the provision of healthcare services remotely and the digitalization of rehabilitation services. Telerehabilitation methods provide advantages in terms of transportation, prevention of infections that may occur due to suppression of immunity with drugs, and continuity of treatment in patients with axial spondyloarthritis. In this context, it is important to evaluate the effects of remote physiotherapy and rehabilitation delivery in chronic inflammatory rheumatic diseases. This study, which will examine the effects of telerehabilitation in the disease management processes of individuals with axial spondyloarthritis, is thought to shed light on future studies. The aim of this study was to compare the effectiveness of telerehabilitation or pre-recorded video-based core exercise program on core endurance, disease activity and physical function in subjects with axial spondyloarthritis.

Conditions

Axial Spondyloarthritis; Telerehabilitation; Exercise

Outcome Measures

Primary Outcomes (4)

• Core Endurance Tests : Trunk Flexion Test

  The patient will be asked to cross his/her hands over his/her chest and positioned with the trunk in 60° flexion and knees in 90° flexion. The time in this position will be measured and recorded with a stopwatch. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.

  8 weeks

• Core Endurance Tests : Side Plank (Side Bridge Test):

  The patient will be asked to lie on his/her side on the dominant side and cross his/her foot over the other foot. The non-dominant arm will be crossed over the chest and placed over the dominant shoulder. The patient will be asked to stand on the dominant forearm and elbow. The time in this position will be measured with a cronometer and recorded. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.

  8 weeks

• Core Endurance Tests : Modified Plank

  The patient will be asked to position on his/her knees and elbows with his/her face to the floor. He/she will be fixed over his/her knees with the help of a belt and the duration of his/her stay in this position will be measured and recorded with a cornometer. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.

  8 weeks

• Core Endurance Tests : Biering-Sorenson Test

  Patients will be positioned in a prone position with their spina iliaca anterior superior to the edge of the bed. Participants will be asked to extend their upper body straight forward from the edge of the table. They will be immobilized over their knees with the help of a belt and the time they stay in this position will be measured and recorded with a cornometer. If there is any deterioration in the patient's position, the stopwatch will be stopped and the test will be terminated.

  8 weeks

Secondary Outcomes (8)

• Bath Ankylosing Spondylitis Functional Index (BASFI)

  8 weeks

• Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)

  8 weeks

• Bath Ankylosing Spondylitis Metrology Index (BASMI)

  8 weeks

• Global Rating of Change (GROC)

  8 weeks

• Pain intensity (Numeric Rating Scale/NRS)

  8 weeks

Study Arms (2)

Telerehabilitation

EXPERIMENTAL

Telerehabilitation sessions including core exercises

Other: Core Exercise Program

Video-based

ACTIVE COMPARATOR

Core exercises by watching pre-recorded videos

Other: Core Exercise Program

Interventions

Core Exercise Program OTHER

Core exercises

Telerehabilitation; Video-based

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• years old,
• Axial Spondyloarthritis diagnosed by a rheumatologist,
• Not having any orthopedic, neurological, or mental illness that would affect exercise,
• Not using any assistive device for ambulation
• People who volunteer to participate

You may not qualify if:

• Pregnancy, malignancy, and recent surgery
• Presence of cardiopulmonary disease
• Patients with endoprosthesis and prosthesis
• Attending a regular exercise program (Pilates, core, or yoga etc.)

Sponsors & Collaborators

• Acibadem University: lead
• Haydarpasa Numune Training and Research Hospital: collaborator

Study Sites (2)

Haydarpasa Numune Research and Training Hospital

Istanbul, 34752, Turkey (Türkiye)

Location

Acıbadem Mehmet Ali Aydınlar University

Istanbul, Turkey (Türkiye)

Location

Related Publications (1)

• Sen EN, Saritas F, Ozturk O. Synchronous and asynchronous remote core stability exercises in patients with axial spondyloarthritis: a randomized-controlled clinical trial. Ir J Med Sci. 2025 Feb;194(1):137-146. doi: 10.1007/s11845-024-03846-8. Epub 2024 Nov 26.

  PMID: 39589722 DERIVED

MeSH Terms

Conditions

Axial Spondyloarthritis; Motor Activity

Condition Hierarchy (Ancestors)

Spondylarthropathies; Spondylarthritis; Spondylitis; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Ankylosis; Joint Diseases; Arthritis; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: August 11, 2023
• First Posted: August 21, 2023
• Study Start: August 11, 2023
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2024
• Last Updated: July 30, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)