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This study is a single-blinded, randomized, parallel controlled trial.The purpose of this experiment is to confirm how "Yijinjing" treatment affects hand function, handgrip strength, pain, morning stiffness, and mood disorder in RA patients compared to routine care.
To compare the efficacy of Traditional Chinese Exercise Yijinjing and routine care on hand dysfunction,which is the clinical challenge in rheumatoid arthritis (RA), a single- centre,single-blinded, randomized controlled trial will be conducted. Sixty-six RA patients will be randomly allocated (1:1) to treatment with Yijinjing exercise or routine care. The primary outcome is a 10% improvement in the Michigan Hand Outcomes Questionnaire (MHQ) at week 12.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Yi Jin Jing exercise | Experimental | Yi Jin Jing exercise three times per week for 12 weeks. Each exercise lasts an hour and consists of three fundamental Yijinjing exercises. |
|
| Routine care | No Intervention | routine joint rehabilitation guidance, such as joint energy conservation and joint protection, basic daily activities without additional exercise. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Yi Jin Jing exercise | Behavioral | Yi Jin Jing of The General Administration of Sport of China, which consists of twelve operational processes as the standard intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Michigan Hand Outcomes Questionnaire (MHQ) | The Michigan Hand Outcomes Questionnaire(MHQ) consists of 37 questions about six categories:(1) overall hand function; (2) activities of daily living; (3) work performance; (4) pain; (5) aesthetics; and (6) patient satisfaction with hand function, measured individually for the left and right hands. Each item is given a value between 0 and 100, with higher scores indicating superior function and higher pain ratings denoting more intense pain. | week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Visual Analogue Scale | 0 signifying "no pain" and 10 signifying "the worst intolerable agony" | week 12 |
| The number of swollen joints, painful joints, and deformed joints | Number of the following 28 joints: elbows, shoulders, elbow, wrists, metacarpal- phalangeal I-V, proximal interphalangeal I-V and knees which are swollen, painful or deformed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JIANG Quan, M.D | Contact | +8613901081632 | 0 | doctorjq@126.com |
| Name | Affiliation | Role |
|---|---|---|
| JIANG Quan, M.D | Guang'anmen Hospital of China Academy of Chinese Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guang'anmen Hospital, China Academy of Chinese Medical Sciences | Recruiting | Beijing | 100053 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39588189 | Derived | Chang T, Ma X, Gong X, Xia C, Jiang Q, Zhang R. Effect of traditional Chinese Yijinjing exercise on hand dysfunction in rheumatoid arthritis patients: a randomized controlled trial. Front Med (Lausanne). 2024 Nov 11;11:1454982. doi: 10.3389/fmed.2024.1454982. eCollection 2024. |
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| week 12 |
| Morning stiffness duration | The time (minutes) of the patient's self-reported morning stiffness | week 12 |
| Handgrip strength | An electronic gripper will be used to assess handgrip strength (kg). Be carried out three times, the final result set by the average value. | week 12 |
| Range of motion(ROM) | Use a protractor to calculate the wrist flexion, dorsiflexion, ulnar deviation, radial deviation, MCP flexion, PIP flexion, and finger dorsiflexion angles(°). | week 12 |
| Health Assessment Questionnaire Disability Index(HAQ) | Health Assessment Questionnaire Disability Index(HAQ) contains 20 questions about daily activities such as dressing, brushing, getting up, eating, strolling, maintaining personal hygiene, touching, and holding. For each question, there is a four level that is scored from 0 (without any difficulty) to 3 (unable to do). | week 12 |
| The Self-rating anxiety scale (SAS) | The Self-rating Anxiety Scale (SAS) mainly consists of 20 items rated on a 4-point scale that from 0(no or little time) to 3(most or all of time). | week 12 |
| The self-rating depression scale (SDS) | The Self-rating Anxiety Scale (SAS) mainly consists of 20 items rated on a 4-point scale that from 0(no or little time) to 3(most or all of time). | week 12 |
| Wrist joint ultrasonography Outcome Measures in Rheumatology (OMERACT) score | Using the EULAR-OMERACT to classify rheumatoid arthritis synovitis and tenosynovitis. | week 12 |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |