Clinical trial NCT02954718: Video-Based Task Oriented Activity Training in Patients With Juvenile Idiopathic Arthritis
Official title: Effects of Video-Based Task Oriented Activity Training on Activity Performance and Participation in Patients With Juvenile Idiopathic Arthritis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Video-based Task Oriented Activity Training
Keywords: activity performance
juvenile idiopathic arthritis
virtual reality
Lead sponsor: Istanbul University
Sponsor class: OTHER
First posted: 2016-11-03
Enrollment: 50
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Childhood Health Assessment Questionaire (CHAQ)
timeFrame: 8 weeks
measure: Canadian Occupational Performance Measure (COPM)
timeFrame: 8 weeks
Secondary outcomes:
measure: Duruoz Hand Index
timeFrame: 8 weeks
measure: Jebsen-Taylor Hand Function Test (JTHFT)
timeFrame: 8 weeks
Other outcomes:
Locations:
Study officials:
References:
citation: Arman N, Tarakci E, Tarakci D, Kasapcopur O. Effects of Video Games-Based Task-Oriented Activity Training (Xbox 360 Kinect) on Activity Performance and Participation in Patients With Juvenile Idiopathic Arthritis: A Randomized Clinical Trial. Am J Phys Med Rehabil. 2019 Mar;98(3):174-181. doi: 10.1097/PHM.0000000000001001.