Anorexia Nervosa Inpatient Physiotherapy Adapted Program

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Efficacy of Adapted Program of Physiotherapy in Hospitalized Person by Anorexia Nervosa With Several Undernutrition

Conditions
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Anorexia Nervosa

Intervention / Treatment
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* Other: Physiotherapy Adapted Program
* Diagnostic Test: Evaluation and Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women Hospitalized Anorexia nervosa Body mass index (kg/m2) < 16 Exclusion Criteria: Men

Ages Eligible for Study
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Minimum Age: 12 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Quasi experimental prospective study
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Mobilizations and exercises training Respiratory exercises Body image exercises | Other: Physiotherapy Adapted Program<br>* 3 days / week mobilisations and respiratory exercises and body image exercises<br>* Other names: Adapted exercises;Diagnostic Test: Evaluation and Control<br>* Manual muscle test MRC score, peak-expiratory-flow test, hand strength test, 6 minutes walking test, SF-36, EDI-3 and EDQOL<br>|
| Active Comparator: Control<br>Muscle strength evaluation and Eating behavior evaluation and Quality of life | Diagnostic Test: Evaluation and Control<br>* Manual muscle test MRC score, peak-expiratory-flow test, hand strength test, 6 minutes walking test, SF-36, EDI-3 and EDQOL<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Others | Biological data (potassium, transaminases), weight in kilogrammes and body mass index (kg/m2) | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Anorexia nervosa, Muscle strength, Peak-expiratory-flow, Quality of life