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Cystic FibrosisNCT05147285

The Effect of Telerehabilitation on Functional Capacity, Oxidative Stress and Respiratory Parameters in Cystic Fibrosis

A study testing stabilization exercises, combined exercises and Physical activity recommendations in people with Cystic Fibrosis and Telerehabilitation, run by Hacettepe University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to examine the effects of different exercise modalities applied with tele-rehabilitation on functional capacity, oxidative stress and respiratory parameters in children with cystic fibrosis Read more about this study

Who is it for?
Ages 8 to 18 years
Conditions the study is for
Cystic Fibrosis, Telerehabilitation
What is being tested?
stabilization exercises, combined exercises and Physical activity recommendations
Could I receive a placebo?
No, everyone receives an active treatment
How many people
39 participants
Where
1 siteTurkey (Türkiye)
Study dates
22 Oct 2020to 20 May 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Patients aged 8-18 years with a diagnosis of cystic fibrosis (CF)
  • Access to online exercise training
  • Percent predicted of forced expiratory volume at one second (FEV1) > 40% in pulmonary function test

Who cannot join

  • Being diagnosed with acute pulmonary exacerbation at the time of study and / or within the last month.
  • Being physically or perceptually competent to exercise
  • Patients with allergic bronchopulmonary aspergillosis (ABPA) who were treated with systemic steroid therapy
  • Having FEV1 %< 40% at pulmonary function test.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Hacettepe University

    Ankara

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Different Exercise Modalities Applied by Tele Rehabilitation on Functional Capacity, Oxidative Stress and Respiratory Parameters in Cystic Fibrosis Children

The aim of this study is to examine the effects of different exercise modalities applied with tele-rehabilitation on functional capacity, oxidative stress and respiratory parameters in children with cystic fibrosis

Read the detailed description

Cystic fibrosis (CF) is the most common life-shortening autosomal recessive disease among populations of caucasians with a frequency of 1 in 2000 to 3000 live births. The most common problems in these patients are increased bronchial secretion, decreased exercise capacity, and shortness of breath. In addition to progressive respiratory disease, peripheral and respiratory muscle function impairments, inflammation, and contribute to the decrease in exercise capacity in CF patients. Recent studies show that increased oxidative stress and impaired oxidant / antioxidant capacity have an important role in disease progression in CF patients. CF childrens may be more physically inactive. Cystic fibrosis transmembrane regulator (CFTR) modulators, airway clearance therapies, chest physiotherapy and exercise trainings are treatment options in these populations. Regular exercise which is the component of pulmonary rehabilitation (PR), is recommended for patients with CF. Aerobic exercise may help to mobilize secretions, in addition to providing the other known benefits of exercise in healthy individuals. Despite the benefits of PR programmes, low participant uptake, high drop-out rates, financial and transportation difficulties reduced the attendance in these programs. Different telemedicine treatments have been developed to overcome these difficulties and reduce healthcare costs. In recent studies, shows that tele-exercise is a promising new approach to promote exercise in children with CF. Although different exercise modalities such as aerobic exercise training and strength training have been investigated in CF patients, there is no study to examine stabilization exercises in this populations. Also there is no study to evaluate the effect of exercise training on irisin. In addition, although it is known that acute exercise has positive effects on both oxidant and antioxidant markers in the pediatric population, the effect of long-term exercise on oxidative stress has not been adequately studied. The aim of this study is to examine the effect of different exercise training modalities applied with telerehabilitation method on functional capacity, oxidative stress and respiratory parameters in CF patients. . In the study, after measuring respiratory functions, exercise capacity, oxidative stress parameters, peripheral muscle functions, balance, posture, quality of life and physical activity questionnaire, 39 people will be divided into three groups. First group will be applied only online supervised stabilization exercises, Second group will be applied online supervised aerobic exercise training and stabilization exercises. And the third group, the physical activity importance will be explained and appropriate physical activity recommendations will be made. All outcome measures will be repeated after exercise training.

Being tested
stabilization exercises, combined exercises, Physical activity recommendations
Keywords
exercise, oxidative stress, respiratory muscles
Medical subject headings
Cystic Fibrosis, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • stabilization exercisesOther

    Patients will be applied only online supervised stabilization exercises three times a week for 8 weeks.

  • combined exercisesOther

    Patients will be applied online supervised aerobic exercise training and stabilization exercises.Aerobic exercises will be performed for 8 weeks, for 30-45 minutes, at 65-75% of the maximum heart rate, 3 days a week, on the days when stabilization exercises are not performed.

  • Physical activity recommendationsOther

    The importance of physical activity will be explained to the patients and appropriate physical activity recommendations will be made.

Study groups in NCT05147285
Study groupRoleWhat they receive
Stabilization groupExperimentalOnly stabilization exercises in patients with cystic fibrosis
Receives: Other: stabilization exercises
combined groupExperimentalstabilization exercise and aerobic exercise training in patients with cystic fibrosis
Receives: Other: combined exercises
control groupExperimentalphysical activity recommendations in patients with cystic fibrosis
Receives: Other: Physical activity recommendations

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. six minute walk test distance

    Six-minute walk test distance is recorded

    Measured: before the exercise training

  2. six minute walk test distance

    Six-minute walk test distance is recorded

    Measured: eight week

  3. shuttle walk test distance

    shuttle walk test distance is recorded

    Measured: before exercise training

  4. shuttle walk test distance

    shuttle walk test distance is recorded

    Measured: eight week

Secondary outcomes (60)
  1. Respiratory muscle strength

    Respiratory muscle strength will be evaluated using mouth pressure device

    Measured: before exercise training

  2. Respiratory muscle strength

    Respiratory muscle strength will be evaluated using mouth pressure device

    Measured: eight week

  3. Respiratory muscle endurance

    Respiratory muscle endurance will be evaluated using constant load test

    Measured: before exercise training

  4. Respiratory muscle endurance

    Respiratory muscle endurance will be evaluated using constant load test

    Measured: eight week

  5. Pulmonary functions-FVC

    Forced vital capacity (FVC)

    Measured: before exercise training

  6. Pulmonary functions-FVC

    Forced vital capacity (FVC)

    Measured: eight week

  7. Pulmonary functions-FEV1

    Forced expiratory volume in the first second (FEV1)

    Measured: before exercise training

  8. Pulmonary functions-FEV1

    Forced expiratory volume in the first second (FEV1)

    Measured: eight week

  9. Pulmonary functions-FEV1/FVC

    FEV1/ FVC

    Measured: before exercise training

  10. Pulmonary functions-FEV1/FVC

    FEV1/ FVC

    Measured: eight week

  11. Pulmonary functions-PEF

    Peak Expiratory Flow (PEF)

    Measured: before exercise training

  12. Pulmonary functions-PEF

    Peak Expiratory Flow (PEF)

    Measured: eight week

  13. Pulmonary functions-FEF25-75

    Forced mid-expiratory flow (FEF25-75)

    Measured: before exercise training

  14. Pulmonary functions-FEF25-75

    Forced mid-expiratory flow (FEF25-75)

    Measured: eight week

  15. Oxidative stress-MDA

    Malondialdehyde (MDA) will be determined in the blood samples.

    Measured: before exercise training

  16. Oxidative stress-MDA

    Malondialdehyde (MDA) will be determined in the blood samples.

    Measured: eight week

  17. Oxidative stress-SOD

    Superoxide dismutase (SOD) will be determined in the blood samples.

    Measured: before exercise training

  18. Oxidative stress-SOD

    Superoxide dismutase (SOD) will be determined in the blood samples.

    Measured: eight week

  19. Oxidative stress-CAT

    Catalase (CAT) will be determined in the blood samples.

    Measured: before exercise training

  20. Oxidative stress-CAT

    Catalase (CAT) will be determined in the blood samples.

    Measured: eight week

  21. Oxidative stress-PC

    Protein carbonyl (PC) will be determined in the blood samples.

    Measured: before exercise training

  22. Oxidative stress-PC

    Protein carbonyl (PC) will be determined in the blood samples.

    Measured: eight week

  23. Oxidative stress-TOS

    Total oxidant status (TOS) will be determined in the blood samples.

    Measured: before exercise training

  24. Oxidative stress-TOS

    Total oxidant status (TOS) will be determined in the blood samples.

    Measured: eight week

  25. Oxidative stress-TAS

    Total antioxidant status(TAS) will be determined in the blood samples.

    Measured: before exercise training

  26. Oxidative stress-TAS

    Total antioxidant status (TAS) will be determined in the blood samples.

    Measured: eight week

  27. Oxidative stress-oxidative stress index

    Oxidative stress index (TOS/TAS)

    Measured: before exercise training

  28. Oxidative stress-oxidative stress index

    Oxidative stress index (TOS/TAS)

    Measured: eight week

  29. Peripheral muscle strength

    Peripheral muscle strength will be evaluated using dynamometer

    Measured: before exercise training

  30. Peripheral muscle strength

    Peripheral muscle strength will be evaluated using dynamometer

    Measured: eight week

  31. crunch repetitions

    number of crunch completed is recorded

    Measured: before exercise training

  32. crunch repetitions

    number of crunch completed is recorded

    Measured: eight week

  33. squat repetitions

    number of squats completed is recorded

    Measured: before exercise training

  34. squat repetitions

    number of squats completed is recorded

    Measured: eight week

  35. push-up repetitions

    number of push-ups completed is recorded

    Measured: before exercise training

  36. push-up repetitions

    number of push-ups completed is recorded

    Measured: eight week

  37. plank duration

    duration of keeping plank position is recorded

    Measured: before exercise training

  38. plank duration

    duration of keeping plank position is recorded

    Measured: eight week

  39. 1 minute sit to stand test (STS) repetitions

    number of sit to stand for one minute is recorded

    Measured: before exercise training

  40. 1 minute sit to stand test (STS) repetitions

    number of sit to stand for one minute is recorded

    Measured: eight week

  41. myokine assessment

    irisin levels will be determined in the blood sample

    Measured: before exercise training

  42. myokine assessment

    irisin levels will be determined in the blood sample

    Measured: eight week

  43. posture-Corbin

    Posture will be evaluated using Corbin Postural Assessment scale. Lateral and posterior views will be assessed (0 = absent, 1 = mild, 2 = moderate, 3 = severe) and posture score will be determined as excellent (0-2), very good (3-4), good (5-7), fair (8-11) and poor (>12).

    Measured: before exercise training

  44. posture-Corbin

    Posture will be evaluated using Corbin Postural Assessment scale. Lateral and posterior views will be assessed (0 = absent, 1 = mild, 2 = moderate, 3 = severe) and posture score will be determined as excellent (0-2), very good (3-4), good (5-7), fair (8-11) and poor (>12).

    Measured: eight week

  45. posture

    Thoracic kyphosis and lumbar lordosis angles will be evaluated in the sagittal plane with spinal mouse device.

    Measured: before exercise training

  46. posture

    Thoracic kyphosis and lumbar lordosis angles will be evaluated in the sagittal plane with spinal mouse device.

    Measured: eight week

  47. balance

    Pediatric berg balance scale will be used. The scale consists of 14 parts. Each section is scored between 0-4. The highest score that can be obtained from the scale is 56.Higher score means a better outcome.

    Measured: before exercise training

  48. balance

    Pediatric berg balance scale will be used. The scale consists of 14 parts. Each section is scored between 0-4. The highest score that can be obtained from the scale is 56.Higher score means a better outcome.

    Measured: eight week

  49. static balance

    static balance will be evaluated functional reach test

    Measured: before exercise training

  50. static balance

    static balance will be evaluated functional reach test

    Measured: eight week

  51. dynamic balance

    Balance will be evaluated using one-legged standing test

    Measured: before exercise training

  52. dynamic balance

    Balance will be evaluated using one-legged standing test

    Measured: eight week

  53. functional mobility

    functional mobility will be evaluated time-up go test

    Measured: before exercise training

  54. functional mobility

    functional mobility will be evaluated time-up go test

    Measured: eight week

  55. Mcgill core endurance test

    Endurance of trunk muscles will be evaluated trunk flexor, trunk extensor and side plank test

    Measured: before exercise training

  56. Mcgill core endurance test

    Endurance of trunk muscles will be evaluated trunk flexor, trunk extensor and side plank test

    Measured: eight week

  57. Quality of life assessment

    Quality of life will be evaluated using the Cystic Fibrosis Questionnaire-Revised (CFQ-R).The Cystic Fibrosis Questionnaire-Revised (CFQ-R) is a disease-specific health-related quality of life (HRQOL) measure for children, adolescents with cystic fibrosis (CF). The questionnaire assess physical functioning, emotional functioning, social functioning, body image, eating disorders, treatment, respiratory symptoms and digestive symptoms.Score range is 0-100. Higher scores indicating higher health-related quality of life.

    Measured: before exercise training

  58. Quality of life assessment

    Quality of life will be evaluated using the Cystic Fibrosis Questionnaire-Revised (CFQ-R).The Cystic Fibrosis Questionnaire-Revised (CFQ-R) is a disease-specific health-related quality of life (HRQOL) measure for children, adolescents with cystic fibrosis (CF). The questionnaire assess physical functioning, emotional functioning, social functioning, body image, eating disorders, treatment, respiratory symptoms and digestive symptoms.Score range is 0-100. Higher scores indicating higher health-related quality of life.

    Measured: eight week

  59. Physical activity assessment

    Physical activity levels will be assessed by The Physical Activity Questionnaire. Score range is 1-5. Higher scores indicating higher physical activity

    Measured: before exercise training

  60. Physical activity assessment

    Physical activity levels will be assessed by The Physical Activity Questionnaire. Score range is 1-5. Higher scores indicating higher physical activity

    Measured: eight week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Dec 2021
  2. Study start22 Oct 2020
  3. Primary completion20 May 2022
  4. Study completion20 May 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05147285
Sponsor's protocol ID
KA-20069
Status last verified
Apr 2024
First submitted
31 Oct 2021
Last updated
25 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Kilic K, Vardar-Yagli N, Nayir-Buyuksahin H, Guzelkas I, Dogru D, Saglam M, Calik-Kutukcu E, Inal-Ince D, Emiralioglu N, Yalcin E, Ozcelik U, Kiper N. Exercise intolerance, oxidative stress, and irisin in pediatric cystic fibrosis: Can telehealth-based exercise training make a difference? Heart Lung. 2024 Nov-Dec;68:145-153. doi: 10.1016/j.hrtlng.2024.06.016. Epub 2024 Jul 8.

    PubMed 38981171

Questions about this trial

What is this clinical trial studying?

A study testing stabilization exercises, combined exercises and Physical activity recommendations in people with Cystic Fibrosis and Telerehabilitation, run by Hacettepe University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

six minute walk test distance (time frame: before the exercise training). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05147285, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Apr 2024.

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