Effects of Online Aerobic Exercise Training and Physical Activity Counseling in Juvenile Familial Mediterranean Fever

Study Overview
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Brief Summary
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The aim of the study is to investigate comparison the effectiveness of online aerobic dance exercises versus physical activity counselling in patients with Juvenile Familial Mediterranean Fever.

Official Title
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Comparison the Effectiveness of Online Aerobic Dance Exercises Versus Physical Activity Counseling in Patients With Juvenile Familial Mediterranean Fever

Conditions
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Familial Mediterranean Fever, Exercise, Physical Activity

Intervention / Treatment
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* Other: Online Aerobic Dance Exercises
* Other: Physical Activity Counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be under colchicine treatment for at least 3 months Being in an attack-free period Exclusion Criteria: Attack in the last 2 weeks Having any systemic chronic disease except Familial Mediterranean Fever Presence of amyloidosis Having arthritis that may prevent participation in exercise

Ages Eligible for Study
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Minimum Age: 8 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: Online Aerobic Dance Exercises<br>In this group, aerobic dance exercises will be applied online under the supervision of a physiotherapist. And participants will record their physical activities on the Physical Activity Tracking Chart. | Other: Online Aerobic Dance Exercises<br>* Online aerobic dance exercises will be performed with observance of physiotherapist. They will record their daily physical activity.<br>|
| Experimental: Physical Activity Counseling<br>In this group, participants will be informed online about physical activity and exercise. And they will record their physical activities on the Physical Activity Tracking Chart too. | Other: Physical Activity Counseling<br>* Physical activity and exercise will ve explained to the participants.And they will record their daily physical activity.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Six Minute Walk Test | The 6-minute walk test is a well tolerated, easy-to-apply and a simple test that shows the submaximal level of functional capacity. This test measures the distance that patients can walk quickly on a hard and flat surface within 6 minutes. Patients will be rested in a chair near by the starting position for at least 10 minutes before the test begins. Heart rate, blood plessure, saturation and fatigue levels will be determined by a physiotherapist before and after the test. At the end of the test, the distance walked by the patients within 6 minutes will be recorded in meters. | Change from baseline to 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Progressive Aerobic Cardiovascular Endurance Run (PACER) | PACER is an adaptation of the 20-meter shuttle running test and it is a field test consisting of multiple stages. Participants will run forward and backward in an area of 20 meters, accompanied by music from a tape recorder. The test will start at slow speeds and the speed will gradually increase every minute. The test will be ended when participants cannot continue to run at the level they have reached. The number of laps completed as a result of the test will be recorded. | Change from baseline to 8 weeks | 
| Skinfold Thickness Measurement and Bioelectrical Impedance Analysis | FitnessGram uses the triceps and calf areas to measure skinfold thickness, as it is easy to measure and is not too invasive. Measurements will be made with a caliper. And participants' body composition will be evaluated with the Tanita Body Analyzer. | Change from baseline to 8 weeks | 
| Curl Up Test | Abdominal muscle strength and endurance will be evaluated with curl up test. The goal of this test is to do many curl-ups at a specific rhythm as possible. Maximum 75 curl-ups will be counted. At the end of the test, the number of curl-ups will be recorded. | Change from baseline to 8 weeks | 
| Trunk Lift Test | Trunk extensor muscle strength and flexibility will be evaluated with trunk lift test. Participants will start the test in the prone position. A mark will be placed on the floor at the participants' eye level. During the test, participants raise their torsos slowly and in a controlled manner to a maximum height of 12 inches. At the end of the test, the distance between the floor and the jaws of the participants will be measured and the score will be recorded in cm. | Change from baseline to 8 weeks | 
| Push Up Test | Upper extremity muscle strength and endurance will be evaluated with push up test.During the test, participants move their torsos towards the ground, when their elbows are bent at 90º, they raise themselves again. The movement is repeated as much as possible. The rhythm is set to 20 push-ups per minute or 1 push-up per 3 seconds. The number of push-ups performed at the end of the test will be recorded. | Change from baseline to 8 weeks | 
| Back saver Sit and Reach Test | Hamstring muscles' flexibility will be evaluated with back saver sit and reach test. A box is needed for the test. This box is 35 cm long, 45 cm wide, 32 cm high. A 55 cm long and 45 cm wide top plate is placed on the box. One leg of the participants' is completely straight while the other is bent at the knee. Participants reach forward four times by placing their hands on top of each other, holding the fourth access position for 1 second. The distance will be recorded at the end of the test. | Change from baseline to 8 weeks | 
| Physical Activity Questionnaire for Older Children (PAQ-C) | This scale, developed by Kowalski et al. in 1997, is a 9-item seven-day recall measurement tool designed to evaluate the general physical activity levels of children and adolescents throughout the school year. | Change from baseline to 8 weeks | 
| Physical Activity Questionnaire for Adolescents (PAQ-A) | This scale, developed by Kowalski et al. in 1997, evaluates the general physical activity level of high school students aged 14-19. It is a measurement tool consisting of 8 items and based on remembering for seven days. | Change from baseline to 8 weeks | 
| PedsQL™ Multidimensional Fatigue Scale | The PedsQL Multidimensional Fatigue Scale is an 18-question scale developed to assess fatigue in pediatric patients. It evaluates general fatigue, fatigue during sleep/rest, and cognitive fatigue. | Change from baseline to 8 weeks | 
| Familial Mediterranean Fever Quality of Life Scale (FMF-QoL) | This scale, developed by Ulutatar and Duruoz, is specific to Familial Mediterranean Fever patients and consists of 20 questions that evaluate the quality of life. | Change from baseline to 8 weeks | 
| Visual Analogue Scale for Fatigue | A 100 mm VAS will be used to evaluate the fatigue of the participants. Scores <20 mm according to VAS mean low fatigue, scores between 20-49 mm mean clinically significant fatigue and scores with ≥50 mm mean severe fatigue. | Change from baseline to 8 weeks | 
| Visual Analogue Scale | It will be used to assess the pain levels of the participants. It is applied by marking with a pencil on a 100 mm horizontal or vertical line. There is no pain at the 0 mm point of this line, and the most severe pain at the 100 mm point. | Change from baseline to 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Familial Mediterranean Fever, Online Exercise, Physical Activity Counseling, Aerobic Dance