Inflammatory Arthritis and Tango

Study Overview
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Brief Summary
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The hypothesis is that pleasure brought by argentine tango practice would increase total physical activity of patients with chronic inflammatory arthritis.

Detailed Description
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Selection and inclusion of patients will be done by principal investigator of Rheumatology Department. After verification of inclusion and non-inclusion criteria by principal investigator and signature of consent, patients will be randomized by 1: 1 randomization (centralized randomization by statistician into 2 groups at M0). They will participate in sessions in a deferred manner due to two per week for each group: Interventional A group: 48 sessions (on average 2/week) performed from M0 to M6 in 30 patients. Control B group: 24 sessions (on average 2/week) performed from M3 to M6 in 30 patients. Patients of B group will be not performing sessions with A group patients. Sessions lasting about 60 minutes will be proposed from Monday to Friday in a room planned from this activity within the CHU. They will be adapted and personalized according to each one. Evaluations will be carried out for group 1 (interventional) before the first session of tango at M0, before the session at M3 and at the end of the protocol at M6. The same evaluations will be carried out for group B (control) at M0, before first session of tango at M3 and at the end of the protocol. Assessment of pain and stress will be done before and after each session. Final assessment will be done at 6 months after randomization. Fitness assessment and tango sessions will be conducted by an argentine tango teacher

Official Title
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Effect of Argentine Tango Protocol on Total Physical Activity in Patients With Chronic Inflammatory Arthritis

Conditions
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Rheumatoid Arthritis (RA), Spondyloarthritis (SA)

Intervention / Treatment
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* Other: Argentine tango


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient age > 18 years old with RA (ACR/EULAR criteria) in remission (CDAI ≤2.8) or with low disease activity (CDAI ≤10), or with SA (ASAS criteria) with activity deemed stable by rheumatologist. Patient able to walk without help Patient able to complete a questionnaire Patient giving informed consent. Patient covered by social security Exclusion Criteria: Patient with disorder of higher mental function or psychiatric disorders. Patient practicing argentine tango. Patient with an absolute contraindication to physical activity. Protected populations: pregnant women, breastfeeding women, tutorship, trusteeship, deprived of liberty, safeguard of justice.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: interventional group A<br>2 tango session per week during 6 month (M0 to M6) | Other: Argentine tango<br>* Argentine tango sessions will consist of: Body perception and body control: sitting, standing then moving around four axes : space, time, energy, gravity. Awareness of oneself, of other and music: listening, communication, touch, empathy, kinesthesia, letting go, feeling<br>|
| Placebo Comparator: Control group B<br>2 tango session per week during 3 month (M3 to M6) | Other: Argentine tango<br>* Argentine tango sessions will consist of: Body perception and body control: sitting, standing then moving around four axes : space, time, energy, gravity. Awareness of oneself, of other and music: listening, communication, touch, empathy, kinesthesia, letting go, feeling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in total physical activity time | Total physical activity measured by Modified Global Physical Activity Questionnaire (GPAQ) between M0 and M3. Modified Global Physical Activity Questionnaire (GPAQ) questionnaire provides information on the time spent on different activities: work activity, utilitarian travel, hobbies and home-based activities. A specific energy expenditure is associated with each physical activity, which makes it possible to estimate the overall energy expenditure of the patients. It also provides information on sedentary time. | between month 0 and month3 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in total physical activity time | Recording of total physical activity over a week by an accelerometer worn at the waist | at 3 months and 6 months | 
| Physical activity time of light intensity | measured by an accelerometer and measured by the modified GPAQ questionnaire (Global Physical Activity Questionnaire).Global Physical Activity Questionnaire (GPAQ) provides information on the time spent on different activities: work activity, utilitarian travel, hobbies and home-based activities. | at 3 months and 6 months | 
| Physical activity time of moderate intensit | measured by an accelerometer and measured by the modified GPAQ questionnaire (Global Physical Activity Questionnaire). Global Physical Activity Questionnaire (GPAQ) provides information on the time spent on different activities: work activity, utilitarian travel, hobbies and home-based activities. | at 3 months and 6 months | 
| Physical activity time of high intensity | : measured by an accelerometer and measured by the modified GPAQ. Global Physical Activity Questionnaire (GPAQ) provides information on the time spent on different activities: work activity, utilitarian travel, hobbies and home-based activities. questionnaire (Global Physical Activity Questionnaire) | at 3 months and 6 months | 
| Sedentary time by the modified GPAQ questionnaire (Global Physical Activity)Questionnaire) | Recording sedentary time over a week by an accelerometer worn at the waist | at 3 months and 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic inflammatory arthritis, argentine tango, physical activity