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Anorexia nervosa (AN) is a psychiatric pathology with several somatics consequences that increase the vital risk. The prevalence in AN is between 0.9-3% and AN has the most elevated mortality in the psychiatric pathologies (10% in the hospitalized patients).
The collateral effects by several undernourishment has been studied but the autonomy and muscle strength research is insufficient.
Physiotherapy research study body image, basic body awareness therapy, relaxation and quality of life.
OBJETIVE: Develop a physiotherapy program to increase muscle strength and quality of life in anorexia nervosa hospitalized patients.
METHOD: 4 weeks of adapted exercises (3 days/week) in anorexia nervosa patients with body max index under 16 in interventional group.
And evaluation program once a week in interventional group and control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Mobilizations and exercises training Respiratory exercises Body image exercises |
|
| Control | Active Comparator | Muscle strength evaluation and Eating behavior evaluation and Quality of life |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physiotherapy Adapted Program | Other | 3 days / week mobilisations and respiratory exercises and body image exercises |
|
| Measure | Description | Time Frame |
|---|---|---|
| Strength | Muscle strength with Manual Muscle Test MRC Scale (0 no articular motion/no muscle contraction. 5 complete articular motion/normal muscle resistance) and hand strength in kilogrammes and Peak Expiratory Flow level in litres/minute | 4 weeks |
| Resistance | Cardiopulmonary function with six minute walking test. Calculate the distance walked in 6 minutes in metres. | 4 weeks |
| Life | The Short Form Health Survey test (SF-36) is a patient-reported survey of patient health. Spanish version with 36 questions. Eating Disorders Quality of Life test (EDQOL) is a simple questionnaire with 25 questions (9 psychological, 6 physical/cognitive, 5 financial, 5 work/school). | 4 weeks |
| Behavior | Eating disorders inventory (EDI-3). This test is a self-report questionnaire used to assess the presence of eating disorders. The test has 12 items: 3 items specific of eating disorders (thinness obsession, bulimia, body dissatisfaction) and 9 psychological items (self esteem, personal alignment, interpersonal insecurity, interpersonal distrust, deficit introspective, emotional disturbance, perfectionism, asceticism, fear of maturity) | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Others | Biological data (potassium, transaminases), weight in kilogrammes and body mass index (kg/m2) | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Reina SofÃa | Murcia | 30003 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40325688 | Derived | Minano-Garrido E, Catalan-Matamoros D, Acosta GP, Gomez-Conesa A. The effect of anorexia nervosa inpatient physiotherapy adapted program (ANIPAP): A clinical trial. J Bodyw Mov Ther. 2025 Jun;42:337-343. doi: 10.1016/j.jbmt.2024.12.043. Epub 2024 Dec 27. |
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| ID | Term |
|---|---|
| D000856 | Anorexia Nervosa |
| ID | Term |
|---|---|
| D001068 | Feeding and Eating Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D010808 | Physical Examination |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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Quasi experimental prospective study
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Randomized group
| Evaluation and Control | Diagnostic Test | Manual muscle test MRC score, peak-expiratory-flow test, hand strength test, 6 minutes walking test, SF-36, EDI-3 and EDQOL |
|