Mat Pilates Exercise Program in Patients With Axial Psoriatic Arthritis

NCT06176586 | Enrolling By Invitation

• 1 other identifier: PSApilex
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effectiveness of mat Pilates exercises on spinal mobility, spinal muscle endurance, disease activity, fatigue, emotional well-being, physical performance, and overall quality of life in Psoriatic Arthritis (PsA) patients with axial involvement.

Conditions

Psoriatic Arthritis

Keywords

Pilates Exercise; Arthritis; Spine Mobility

Outcome Measures

Primary Outcomes (1)

• Change in Physical Performance

  The Ankylosing Spondylitis Performance Index (ASPI) will be used. The ASPI consists of three physical performance tasks: (a) bending forward to pick up six pencils from the floor; (b) putting on socks (average of three repetitions); and (c) getting up from the floor (average of three repetitions). Time to complete a task will be recorded in seconds for each test.

  At baseline and 12 weeks later

Secondary Outcomes (7)

• Change in Functional Status

  At baseline and 12 weeks later

• Change in Trunk Muscle Endurance

  At baseline and 12 weeks later

• Change in Spinal Mobility

  At baseline and 12 weeks later

• Chance in Disease Activity

  At baseline and 12 weeks later

• Change in Fatigue

  At baseline and 12 weeks later

Study Arms (2)

Exercise Group

EXPERIMENTAL

Progressive mat Pilates exercises will be administered to by a physiotherapist in addition to the routine medical treatment.

Other: Mat Pilates Exercises

Control Group

NO INTERVENTION

Patients in control group will not receive any exercise intervention. They will continue to their routine medical treatment.

Interventions

Mat Pilates Exercises OTHER

The intervention will consist of mat Pilates exercises performed twice a week over a duration of 12 weeks, as an adjunct to the routine medical treatment for the patients, under the guidance of a qualified physiotherapist. Each exercise session will last for approximately 60 minutes. The treatment protocol will encompass targeted mobility exercises for the thoracic and lumbar regions, along with strengthening exercises focusing on core activation. The exercise program will be progressed in every four weeks.

Exercise Group

Eligibility Criteria

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

You may qualify if:

• Being classified as PsA according to CASPAR Classification Criteria
• Being between the ages of 18-65
• Volunteering to participate in the study

You may not qualify if:

• Any additional systemic disease other than PsA
• Any other condition that may prevent participation/continuation of the exercise program or completion of the assessments
• Regular exercise habits (following a structured exercise program at least 3 days a week)
• Being included in a physiotherapy and rehabilitation program within the last 6 months

Sponsors & Collaborators

• Izmir Katip Celebi University: lead

Study Sites (1)

Izmir Katip Celebi University

Izmir, Turkey (Türkiye)

Location

Related Publications (8)

• Parisi R, Symmons DP, Griffiths CE, Ashcroft DM; Identification and Management of Psoriasis and Associated ComorbidiTy (IMPACT) project team. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol. 2013 Feb;133(2):377-85. doi: 10.1038/jid.2012.339. Epub 2012 Sep 27.

  PMID: 23014338 BACKGROUND

• Ogdie A, Weiss P. The Epidemiology of Psoriatic Arthritis. Rheum Dis Clin North Am. 2015 Nov;41(4):545-68. doi: 10.1016/j.rdc.2015.07.001. Epub 2015 Sep 11.

  PMID: 26476218 BACKGROUND

• Gladman DD, Antoni C, Mease P, Clegg DO, Nash P. Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis. 2005 Mar;64 Suppl 2(Suppl 2):ii14-7. doi: 10.1136/ard.2004.032482.

  PMID: 15708927 BACKGROUND

• Chimenti MS, Triggianese P, Conigliaro P, Santoro M, Lucchetti R, Perricone R. Self-reported adherence to a home-based exercise program among patients affected by psoriatic arthritis with minimal disease activity. Drug Dev Res. 2014 Nov;75 Suppl 1:S57-9. doi: 10.1002/ddr.21197.

  PMID: 25381979 BACKGROUND

• Altan L, Korkmaz N, Dizdar M, Yurtkuran M. Effect of Pilates training on people with ankylosing spondylitis. Rheumatol Int. 2012 Jul;32(7):2093-9. doi: 10.1007/s00296-011-1932-9. Epub 2011 Apr 17.

  PMID: 21499876 BACKGROUND

• Caglayan BC, Keskin A, Gur Kabul E, Basakci Calik B, Bas Aslan U, Karasu U. Effects of clinical Pilates exercises in individuals with fibromyalgia: A randomized controlled trial. Eur J Rheumatol. 2021 Jul;8(3):150-155. doi: 10.5152/eurjrheum.2020.20037.

  PMID: 33372888 BACKGROUND

• Acar Y, Ilcin N, Gurpinar B, Can G. The effects of clinical pilates training on disease-specific indices, core stability, and balance in patients with ankylosing spondylitis. J Bodyw Mov Ther. 2023 Jan;33:69-75. doi: 10.1016/j.jbmt.2022.09.010. Epub 2022 Sep 23.

  PMID: 36775528 BACKGROUND

• Oksuz S, Unal E. Comparison of the effects of aerobic training alone versus aerobic training combined with clinical Pilates exercises on the functional and psychosocial status of patients with ankylosing spondylitis: A randomized controlled trial. Physiother Theory Pract. 2023 Jan;39(1):61-71. doi: 10.1080/09593985.2021.2005199. Epub 2021 Nov 18.

  PMID: 34791973 BACKGROUND

MeSH Terms

Conditions

Arthritis, Psoriatic; Arthritis

Condition Hierarchy (Ancestors)

Spondylarthropathies; Spondylarthritis; Spondylitis; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Joint Diseases; Psoriasis; Skin Diseases, Papulosquamous; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Deniz Bayraktar, PhD

  Izmir Katip Celebi University

  PRINCIPAL INVESTIGATOR

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: December 7, 2023
• First Posted: December 19, 2023
• Study Start: January 8, 2024
• Primary Completion: March 11, 2024
• Study Completion: June 10, 2024
• Last Updated: April 10, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)