Core Stabilization Training in Juvenile Spondyloarthropathy

Istanbul University - Cerrahpasa (IUC)

Status: Enrolling

Conditions: Spondylarthropathies; Spondylarthritis; Juvenile Idiopathic Arthritis

Treatments: Other: daily physical activity program; Other: core stabilization exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06546293

IUC_SpA_core

Details and patient eligibility

About

Core stabilization exercises developed by McGill have been shown to be one of the physiotherapy techniques aimed at reducing pain, increasing aerobic capacity, enhancing muscle strength, and thereby improving bone health in children with JIA. However, there is no study that has investigated core stabilization training for different types of JIA. In our study, we aim to compare the effectiveness of core stabilization training and a daily physical activity program in children with spondyloarthropathy, to help identify the most effective strategy for clinical practice. Additionally, highlighting the specific effects of core stabilization training on the treatment of juvenile spondyloarthropathy (pain, functional status, fatigue, and quality of life) will make a significant contribution to the literature.

Taking into account the gaps in the literature, our study will investigate the effect of core stabilization training on pain, functional status, fatigue, and quality of life in patients with juvenile spondyloarthropathy.

Full description

Core stabilization exercises are one of the physiotherapy techniques aimed at reducing pain, increasing aerobic capacity, enhancing muscle strength, and thereby improving bone health in children with JIA (1). Spondyloarthropathy typically begins as asymmetric oligoarthritis in children, and enthesitis and axial skeleton involvement may develop over the course of the disease (4). Since juvenile spondyloarthropathies can lead to severe functional impairments and long-term sequelae, the primary goal in treatment should be to suppress inflammation as early as possible and to prevent sequelae (5). Physiotherapy is recommended for children and adolescents with enthesitis or sacroiliitis, or those with functional limitations (6). Yoga exercises focusing on the core region have shown significant effects on lower extremity functional status, pain levels, and quality of life in patients with enthesitis-related conditions (2). Studies have supported that core stabilization exercises, combined with traditional physical therapy aimed at improving bone health status and functional capacity, serve as an effective combination therapy for children with JIA involving multiple joint involvement (3).

Therefore, this study aims to fill the knowledge gap regarding core stabilization training in children with spondyloarthropathy.

Enrollment: 30 estimated patients

Sex: All

Ages: 10 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• "According to the International League of Associations for Rheumatology criteria, individuals aged 10-18 diagnosed with spondyloarthritis within the JIA subgroup will be included.
• Only cases with stable disease activity and without additional neurological or orthopedic conditions will be considered.
• Participants must also possess the cognitive ability to engage in active rehabilitation.

Exclusion criteria

• Individuals with a cardiovascular disease that impedes exercise
• those who have participated in a rehabilitation program within the last 6 months
• cases with variable medical treatment will be excluded.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Core stabilization group

Experimental group

Description:

lumbo-pelvic/core strength and stability exercises group

Treatment:

Other: core stabilization exercises

Control group

Active Comparator group

Description:

the group that will have a daily physical activity program established and monitored for participation through weekly exercise tracking chart

Treatment:

Other: daily physical activity program