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The Juvenile Idiopathic Arthritis (JIA) affects joints mobility and leads pain, impacting the practice of physical activities. Adapted Physical Activities are rehabilitation methods increasingly used, but additional studies are needed to define the nature of the physical activity for patients with JIA. The ATHLETIQUE project aims to evaluate the impact of a program integrating APA sessions together with the wearing of a pedometer watch on disease activity of patients with JIA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adaptated Physical Activity + pedometer watch | Experimental | Follow an Adapted Physical Activity program during 12 weeks and wear a pedometer watch during 1 year |
|
| Control group | No Intervention | Usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adaptated Physical Activity (APA) + pedometer watch | Other | Adapted physical activities program : 12 weeks, 2 40-minutes sessions per week ( one broadcast live via online video conferencing and other one in autonomy according to a sequence of different personalized exercises defined by the APA's professional). Children are divided into 6 groups. Each session will be broken down into three parts: the warm-up (10mins), the session's corps alternating between five to eight of muscle strengthening, proprioception, and endurance exercises (20mins) and a cool-down with stretching (10mins). The physical activity performed during the sessions will be quantified with a heart rate monitor and the range of 60-70% of the maximum theoretical heart rate for each child will be respected. A pedometer watch will wear during 1 year and will provide the number of steps. |
| Measure | Description | Time Frame |
|---|---|---|
| Juvenile Arthritis Disease Activity-27 Score Assesment | JADAS-27 score includes 4 components :
| Week 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Juvenile Arthritis Disease Activity-27 Score Assesment | JADAS-27 score includes 4 components :
|
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Inclusion criteria:
Non-inclusion criteria:
Exclusion criteria :
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Claire BALLOT-SCHMIT, MD | Contact | 0381219139 | cballotschmit@chu-besancon.fr | |
| Stéphanie PY, PhD | Contact | 0381218993 | s1py@chu-besancon.fr |
| Name | Affiliation | Role |
|---|---|---|
| Claire BALLOT-SCHMIT, MD | CHU de Besançon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Besançon | Recruiting | Besançon | 25000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37441067 | Derived | Py S, Maylie F, Parmentier AL, Vidal C, Cuinet B, Mauny F, Lohse A, Toussirot E, Yoshimasa S Jr, Tordi N, Binda D, Ballot-Schmit C. ATHLETIQUE: interest of an adapted physical activity program in patients with juvenile idiopathic arthritis: a feasibility and preliminary effectiveness study. Front Immunol. 2023 Jun 27;14:1213799. doi: 10.3389/fimmu.2023.1213799. eCollection 2023. |
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|
| Weeks 26 and 50 |
| Evaluation of the physical activity level | The difference of the medium physical activity level is assessed by the continue measures (for 7 days) of the time spent in the MVPA (Moderate to Vigorous Physical Activity) via actimetry (counts/min). Actimetric measurements will be performed before the start of the intervention to determine a value for V0, at 13 weeks (for V1), at 25 weeks (for V2), and at 49 weeks (for V3) | Weeks 13, 25 and 49 |
| Evaluation of the physical activity level | The difference of the medium physical activity level is assessed by the number of steps estimated by the pedometer watch (only for the experimental group). Pedometric measurements will be performed throughout the study but collected one week per month to determine a monthly value. | Each day during 50 weeks |
| Quantification of the difference in muscle strength | By dynamometry (Newton) | Weeks 14, 26 and 50 |
| Evolution of quality of life | Difference of the score obtained in the Pediatric Quality of Life (PedsQL) tool. Score out of 100 for children assess and 100 for parents assess. A high score means a reduced quality of life. | Weeks 14, 26 and 50 |
| Evolution of functional capacities | Assessment by the questionnaire of the ChildHood Assessment Questionnaire (CHAQ-38) tool. Questionaire's score out of 3, it's a medium of 8 items. A high score means reduced functional capacities. | Weeks 14, 26 and 50 |
| Evolution of pain | Assessment by the Visual Analogic Scale (VAS) of the CHAQ-38 tool. VAS are out of 10. A high score means an increased pain. | Weeks 14, 26 and 50 |
| Evolution of fatigue | Difference of the score obtained in the PedsQL-Multidimensional Fatigue Scale questionnaire. Score out of 100 for children assess and 100 for parents assess. A high score means a increased fatigue. | Weeks 14, 26 and 50 |
| Assessment of the feasibility of the program | Assessment of program participation. Participation is the proportion of subjects who agree to participate in the study among eligible patients. | week 2 to 13 |
| Assessment of the feasibility of the program | Assessment of program completion. Completion is the proportion of subjects who complete the program and proportion of subjects who complete the exercise sessions. | week 2 to 13 |
| Assessment of the feasibility of the program | Assessment of program adherence. Adherence is the proportion of sessions attended by subjects. | week 2 to 13 |
| Assessment of the feasibility of the program | Assessment of program compliance. Compliance is the proportion of prescribed exercise during the session actually performed. | week 2 to 13 |
| Assessment of the feasibility of the program | Assessment of pedometer watch wearing time over the duration of the study. | week 1 to 50 |
| Hospices Civils de Lyon | Recruiting | Lyon | 69000 | France |
|
| Hôpital Nord Franche-Comté | Recruiting | Trévenans | France |
|
| ID | Term |
|---|---|
| D001171 | Arthritis, Juvenile |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D043384 | Glutamyl Aminopeptidase |
| ID | Term |
|---|---|
| D000626 | Aminopeptidases |
| D020689 | Exopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045727 | Metalloexopeptidases |
| D045726 | Metalloproteases |
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