Video-Based Task Oriented Activity Training in Patients With Juvenile Idiopathic Arthritis

Study Overview
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Brief Summary
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Juvenile idiopathic arthritis (JIA) is most common chronic rheumatic disease in childhood. The upper extremity involvement in JIA causes muscle imbalance, joint destruction, pain, stiffness and limitations on daily living activities (DLA) in varying degrees. However, the information about prevalence of symptoms, disorders, DLA limitations, participation restriction and options of treatments for upper extremity involvement in JIA are limited. It has been reported that improvements of upper extremity functions were achieved by video-based games (VBG) in various disease groups. However, in the literature, no study has been found about effectiveness of WBG in children with arthritis. The aim of the study was to investigate effects of task-oriented activity training (TOAT) with VBG versus activity training in real life on activity performance and participation in children with arthritis. Participants with upper limb involvement in JIA were randomly assigned to the activity training in real life group (group I) and TOAT with VBG in real life group (group II). The actual materials and rehabilitation kits will be used for activity training in group 1, the DLA that expected to gain independence will be trained with VBG in group 2. Upper extremity muscle strength and grip, range of motion, upper limb functions, activity, participation and quality of life will be evaluated. The hypothesis of this study is that TOAT with VBG improves the activity performance and physical functions and increases the participation, via being stimulative and interactive in order to provide feedback and to increase interest and motivation.

Official Title
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Effects of Video-Based Task Oriented Activity Training on Activity Performance and Participation in Patients With Juvenile Idiopathic Arthritis

Conditions
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Video-based Task Oriented Activity Training

Intervention / Treatment
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* Other: activity training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed as JIA according to ILAR classification Aged between 6-18 At least one affected joint in upper extremity (shoulder, elbow, wrist, and hand joints) Adequate cognitive function in the compliance of exercise program Exclusion Criteria: • Surgery or arthroscopic operation in the last year

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>patient-centered task oriented activity training in real life | Other: activity training<br> <br> * Other names: exercise training;|
| Experimental: 2<br>patient-centered video-based task oriented activity training | Other: activity training<br> <br> * Other names: exercise training;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Childhood Health Assessment Questionaire (CHAQ) |  | 8 weeks | 
| Canadian Occupational Performance Measure (COPM) |  | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duruoz Hand Index |  | 8 weeks | 
| Jebsen-Taylor Hand Function Test (JTHFT) |  | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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activity performance, juvenile idiopathic arthritis, virtual reality