Juvenile Idiopathic Arthritis (JIA)JIANCT07661069
YOGA FOR CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS
A study testing Telerehabilitation-Based Yoga Group and Standard Home-Based Physical Exercise Program in people with Juvenile Idiopathic Arthritis (JIA), run by Akdeniz University at 1 site in Turkey (Türkiye).
Trial summary
Juvenile Idiopathic Arthritis (JIA) is a chronic autoimmune condition starting before age 16, often leading to fatigue, joint stiffness, and decreased physical activity. While exercise is widely recommended to improve functional capacity in children with JIA, the effectiveness of specialized mind-body exercises like… Read more about this study
- Who is it for?
- Ages 8 to 12 years
- Conditions the study is for
- Juvenile Idiopathic Arthritis (JIA)
- What is being tested?
- Telerehabilitation-Based Yoga Group and Standard Home-Based Physical Exercise Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 32 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Jul 2026to 28 Sep 2026
- 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 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Being between 8 and 12 years of age.
- Diagnosed with Juvenile Idiopathic Arthritis (JIA) by a pediatric rheumatologist.
- Having no major changes in pharmacological treatment within the last 3 months.
- Having reliable internet access and the necessary technological equipment to participate in online video sessions.
- Voluntary participation in the study.
- Providing written parental informed consent and child assent.
Who cannot join
- Being in an acute disease flare-up/attack period.
- Having undergone orthopedic surgery within the last 6 months.
- Presence of severe cardiopulmonary or neurological conditions that contraindicate participating in yoga exercises.
- Cognitive level or impairment that prevents the child from following instructions and verbal cues.
- Regular participation in another structured exercise or physical rehabilitation program.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Antalya Training and Research Hospital
Antalya, Muratpaşa, 07070
About this study
Official title: INVESTIGATING THE EFFECTIVENESS OF TELEREHABILITATION-BASED YOGA EXERCISES IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS
Juvenile Idiopathic Arthritis (JIA) is a chronic autoimmune condition starting before age 16, often leading to fatigue, joint stiffness, and decreased physical activity. While exercise is widely recommended to improve functional capacity in children with JIA, the effectiveness of specialized mind-body exercises like yoga is still being explored. This study aims to investigate the impact of an 8-week, telerehabilitation-based yoga program on children with JIA. Participants will engage in 45-minute individual yoga sessions twice a week via Zoom, led by certified physiotherapists. The sessions will progress in difficulty and focus on breathing techniques, physical postures, and meditation to improve the overall physical and mental well-being of the children.
Read the detailed description
Juvenile Idiopathic Arthritis (JIA) is characterized by chronic inflammation that manifests in symptoms such as pain, swelling, movement restriction, and growth retardation. Clinical evidence suggests that exercise interventions, including aerobic and strengthening programs, provide significant benefits for pain management, range of motion (ROM), and quality of life in this population.
Yoga is a traditional exercise discipline that integrates breathing techniques (Pranayama), physical postures (Asanas), and meditation (Dhyana). Due to its adaptable nature and minimal equipment requirements, it has gained popularity as a therapeutic intervention. This study utilizes a telerehabilitation-based approach to deliver yoga to children with JIA, ensuring accessibility and professional guidance at home.
The Intervention Protocol:
Participants will undergo a specialized yoga program twice a week for 8 weeks. Each session will last 45 minutes and will be conducted one-on-one by two physiotherapists certified in "Yoga for Children" via the Zoom platform. The protocol is based on established literature.
Each session follows a structured sequence:
Introduction: Diaphragmatic breathing exercises. Main Phase: Progressive yoga postures (moving from simple to complex). Postures will be held for 2-3 breaths initially, progressing up to 10 breaths as the child's tolerance increases.
Closing: Relaxation and meditation.
List of Yoga Postures to be Utilized:
Mountain Pose, Crescent Pose (Starting positions) Star Pose, Tree Pose, Eagle Pose Bumblebee and Camel Pose Warrior I, II, and III Poses Triangle Pose, Horse Pose Lunge Pose, Butterfly Pose Frog, Pigeon, Turtle, and Basket Poses Diamond and Candle Poses Tiger Pose, Boat Pose Cat-Cow Pose, Reversed Hedgehog Pose Bridge, Rabbit, Child's Pose, and Plank. During transitions, children will be allowed rest periods as needed. The focus will remain on the synchronization of breath and movement throughout the intervention.
- Conditions
- Juvenile Idiopathic Arthritis (JIA)
- Being tested
- Telerehabilitation-Based Yoga Group, Standard Home-Based Physical Exercise Program
- Medical subject headings
- Arthritis, Juvenile
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Telerehabilitation-Based Yoga GroupBehavioural
An 8-week, home-based virtual yoga program designed specifically for pediatric populations with chronic conditions. Sessions are conducted 2 days per week for 45 minutes each. The intervention is delivered live, face-to-face, and one-on-one via the Zoom platform by two physiotherapists certified in "Yoga for Children." Each session follows a standardized sequence:
- Breathing Phase: Starting with diaphragmatic breathing.
- Active Phase: Progression of 17 distinct pediatric yoga poses (e.g., Mountain, Tree, Warrior, Butterfly, Cat-Cow, and Plank). Each pose is held for 2-3 breaths initially, progressing up to 10 breaths as tolerated.
- Meditation Phase: Concluding with guided relaxation and meditation.
Difficulty and repetitions are adapted weekly based on the individual child's physical capacity and comfort.
Standard Home-Based Physical Exercise ProgramBehavioural
An 8-week structured home exercise program consisting of standard physical therapy exercises conventionally recommended for children with juvenile idiopathic arthritis. The protocol includes gentle stretching to maintain joint range of motion, low-impact strengthening exercises for major muscle groups, and basic posture/balance training. Participants perform these exercises independently at home, under parental supervision, to match the 8-week timeline of the intervention group.
| Study group | Role | What they receive |
|---|---|---|
| Telerehabilitation-Based Yoga Group | Experimental | Participants will be allocated to this group using block randomization based on age and body mass index (BMI). This group will participate in a telerehabilitation-based yoga program for 8 weeks, 2 days per week, with each session lasting 45 minutes. The sessions will be conducted one-on-one, in real-time, via the Zoom platform, led by certified physiotherapists. The structured program includes diaphragmatic breathing techniques, progressive pediatric-focused yoga postures (asanas), and relaxation/meditation phases. Receives: Behavioral: Telerehabilitation-Based Yoga Group |
| Home-Based Exercise Control Group | Active comparator | Participants will be allocated to this group using block randomization based on age and body mass index (BMI). This control group will follow a standard, home-based physical exercise program. The exercises will be performed independently at home by the children, with family supervision, during the 8-week study period. Receives: Behavioral: Standard Home-Based Physical Exercise Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Functional Reach Test (FRT)
This test evaluates dynamic balance and limits of stability. Participants stand barefoot or with flat-molded shoes parallel to a wall, with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline. For the forward reach, participants reach as far forward as possible without taking a step. The distance between the initial and final positions is measured in centimeters (cm). The test is repeated three times, and the average score is recorded. Higher scores indicate better dynamic balance and stability.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
1-Minute Sit-to-Stand Test (1STST)
This test assesses lower extremity muscle endurance and functional capacity. Participants sit on a standard-height chair with their arms crossed over their chest. Upon the "start" command, they perform as many full sit-to-stand repetitions as possible within 1 minute. The number of correctly completed repetitions is recorded. Higher repetition counts indicate superior lower extremity muscular endurance.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Lateral reach test
This test evaluates dynamic balance. The patricipants leaning against the wall with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline. For the test, they reach as far sideways as possible without trunk rotation. The distance between the initial and final positions is measured in centimeters (cm). The test is repeated three times, and the average score is recorded. Higher scores indicate better dynamic balance and stability.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Sit and Reach Test
This test measures the flexibility of the hamstring muscles and the lumbar spine. Participants sit in a long-sitting position with knees fully extended and bare feet placed flat against the testing box. They reach forward with both hands as far as possible without bending the knees. The maximum distance reached by the fingertips is recorded in centimeters (cm). The best trial out of three attempts is used for evaluation. Higher values represent better hamstring and lower back flexibility.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Secondary outcomes (4)
Biering-Sorensen Test for Trunk Extensor Endurance
This test evaluates the isometric endurance of the trunk extensor muscles. Participants lie prone on an examination table with their pelvis, hips, and lower extremities secured. The upper trunk is positioned horizontally off the edge of the table, and participants are instructed to maintain this unsupported horizontal position for as long as possible. The duration for which the position is maintained is recorded in seconds. Longer duration indicates better back extensor muscle endurance.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Curl-Up Test for Abdominal Endurance
This test is utilized to assess abdominal muscle endurance. Participants lie in a supine position with knees flexed and feet secured. They are instructed to perform as many correct curl-ups as possible within a specified standard time or cadence. The total number of correctly executed repetitions within the time frame is recorded. A higher number of repetitions indicates greater abdominal muscle endurance.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Push-Up Test for Upper Body Endurance
This test evaluates upper extremity and shoulder girdle muscular endurance. Participants start in a prone plank position with hands shoulder-width apart and a straight trunk. They perform consecutive push-ups using proper elbow flexion-extension technique. Modified push-ups (e.g., knee push-ups) may be applied depending on the child's age and physical capacity. The total number of correctly completed repetitions is recorded. Higher counts reflect better upper body muscular endurance.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Physical Activity Questionnaire for Children (PAQ-C) Score
This self-reported questionnaire evaluates the general physical activity levels of children over the past 7 days. It assesses the frequency of participation in physical activities during school hours, after school, and on weekends. Items are scored on a 5-point scale, and a total composite score is calculated (ranging from 1 to 5). Higher total scores indicate a higher level of habitual physical activity.
Measured: Baseline (Week 0) and Post-intervention (Week 8)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2026
- Study start15 Jul 2026
- Primary completion28 Sep 2026
- Study completion28 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Juvenile Idiopathic Arthritis (JIA)Studies of the same condition, open and under way.
- More trials run by Akdeniz UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Participant
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- Akdeniz University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sebahat Yaprak Cetin, PT, Akdeniz University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07661069
- Sponsor's protocol ID
- 2025YG
- Acronym
- JIA
- Status last verified
- Oct 2026
- First submitted
- 10 Jun 2026
- Last updated
- 5 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- INVESTIGATING THE EFFECTIVENESS OF TELEREHABILITATION-BASED YOGA EXERCISES IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS
- ClinicalTrials.gov ID
- NCT07661069
- Acronym / sponsor ID
- JIA / 2025YG
- Conditions
- Juvenile Idiopathic Arthritis (JIA)
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- Akdeniz UniversityUniversity, hospital or other
- Study start
- 15 Jul 2026 (actual)
- Primary completion
- 28 Sep 2026 (actual)
- Study completion
- 28 Sep 2026 (actual)
- First posted
- 22 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Juvenile Idiopathic Arthritis (JIA) is a chronic autoimmune condition starting before age 16, often leading to fatigue, joint stiffness, and decreased physical activity. While exercise is widely recommended to improve functional capacity in children with JIA, the effectiveness of specialized mind-body exercises like yoga is still being explored. This study aims to investigate the impact of an 8-week, telerehabilitation-based yoga program on children with JIA. Participants will engage in 45-minute individual yoga sessions twice a week via Zoom, led by certified physiotherapists. The sessions will progress in difficulty and focus on breathing techniques, physical postures, and meditation to improve the overall physical and mental well-being of the children.
Detailed description
Juvenile Idiopathic Arthritis (JIA) is characterized by chronic inflammation that manifests in symptoms such as pain, swelling, movement restriction, and growth retardation. Clinical evidence suggests that exercise interventions, including aerobic and strengthening programs, provide significant benefits for pain management, range of motion (ROM), and quality of life in this population.
Yoga is a traditional exercise discipline that integrates breathing techniques (Pranayama), physical postures (Asanas), and meditation (Dhyana). Due to its adaptable nature and minimal equipment requirements, it has gained popularity as a therapeutic intervention. This study utilizes a telerehabilitation-based approach to deliver yoga to children with JIA, ensuring accessibility and professional guidance at home.
The Intervention Protocol:
Participants will undergo a specialized yoga program twice a week for 8 weeks. Each session will last 45 minutes and will be conducted one-on-one by two physiotherapists certified in "Yoga for Children" via the Zoom platform. The protocol is based on established literature.
Each session follows a structured sequence:
Introduction: Diaphragmatic breathing exercises. Main Phase: Progressive yoga postures (moving from simple to complex). Postures will be held for 2-3 breaths initially, progressing up to 10 breaths as the child's tolerance increases.
Closing: Relaxation and meditation.
List of Yoga Postures to be Utilized:
Mountain Pose, Crescent Pose (Starting positions) Star Pose, Tree Pose, Eagle Pose Bumblebee and Camel Pose Warrior I, II, and III Poses Triangle Pose, Horse Pose Lunge Pose, Butterfly Pose Frog, Pigeon, Turtle, and Basket Poses Diamond and Candle Poses Tiger Pose, Boat Pose Cat-Cow Pose, Reversed Hedgehog Pose Bridge, Rabbit, Child's Pose, and Plank. During transitions, children will be allowed rest periods as needed. The focus will remain on the synchronization of breath and movement throughout the intervention.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Telerehabilitation-Based Yoga Group | Experimental | Behavioral: Telerehabilitation-Based Yoga GroupParticipants will be allocated to this group using block randomization based on age and body mass index (BMI). This group will participate in a telerehabilitation-based yoga program for 8 weeks, 2 days per week, with each session lasting 45 minutes. The sessions will be conducted one-on-one, in real-time, via the Zoom platform, led by certified physiotherapists. The structured program includes diaphragmatic breathing techniques, progressive pediatric-focused yoga postures (asanas), and relaxation/meditation phases. |
| Home-Based Exercise Control Group | Active comparator | Behavioral: Standard Home-Based Physical Exercise ProgramParticipants will be allocated to this group using block randomization based on age and body mass index (BMI). This control group will follow a standard, home-based physical exercise program. The exercises will be performed independently at home by the children, with family supervision, during the 8-week study period. |
Who may qualify
- Ages
- 8 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Being between 8 and 12 years of age.
- Diagnosed with Juvenile Idiopathic Arthritis (JIA) by a pediatric rheumatologist.
- Having no major changes in pharmacological treatment within the last 3 months.
- Having reliable internet access and the necessary technological equipment to participate in online video sessions.
- Voluntary participation in the study.
Key exclusion criteria (5 listed)
- Being in an acute disease flare-up/attack period.
- Having undergone orthopedic surgery within the last 6 months.
- Presence of severe cardiopulmonary or neurological conditions that contraindicate participating in yoga exercises.
- Cognitive level or impairment that prevents the child from following instructions and verbal cues.
- Regular participation in another structured exercise or physical rehabilitation program.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Telerehabilitation-Based Yoga GroupAn 8-week, home-based virtual yoga program designed specifically for pediatric populations with chronic conditions. Sessions are conducted 2 days per week for 45 minutes each. The intervention is delivered live, face-to-face, and one-on-one via the Zoom platform by two physiotherapists certified in "Yoga for Children." Each session follows a standardized sequence: 1. Breathing Phase: Starting with diaphragmatic breathing. 2. Active Phase: Progression of 17 distinct pediatric yoga poses (e.g., Mountain, Tree, Warrior, Butterfly, Cat-Cow, and Plank). Each pose is held for 2-3 breaths initially, progressing up to 10 breaths as tolerated. 3. Meditation Phase: Concluding with guided relaxation and meditation. Difficulty and repetitions are adapted weekly based on the individual child's physical capacity and comfort. | Behavioural | Telerehabilitation-Based Yoga Group |
| Standard Home-Based Physical Exercise ProgramAn 8-week structured home exercise program consisting of standard physical therapy exercises conventionally recommended for children with juvenile idiopathic arthritis. The protocol includes gentle stretching to maintain joint range of motion, low-impact strengthening exercises for major muscle groups, and basic posture/balance training. Participants perform these exercises independently at home, under parental supervision, to match the 8-week timeline of the intervention group. | Behavioural | Home-Based Exercise Control Group |
Primary outcome
Functional Reach Test (FRT)
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
This test evaluates dynamic balance and limits of stability. Participants stand barefoot or with flat-molded shoes parallel to a wall, with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline. For the forward reach, participants reach as far forward as possible without taking a step. The distance between the initial and final positions is measured in centimeters (cm). The test is repeated three times, and the average score is recorded. Higher scores indicate better dynamic balance and stability.
1-Minute Sit-to-Stand Test (1STST)
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
This test assesses lower extremity muscle endurance and functional capacity. Participants sit on a standard-height chair with their arms crossed over their chest. Upon the "start" command, they perform as many full sit-to-stand repetitions as possible within 1 minute. The number of correctly completed repetitions is recorded. Higher repetition counts indicate superior lower extremity muscular endurance.
Lateral reach test
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
This test evaluates dynamic balance. The patricipants leaning against the wall with the shoulder flexed at 90 degrees and the arm extended forward to establish a baseline. For the test, they reach as far sideways as possible without trunk rotation. The distance between the initial and final positions is measured in centimeters (cm). The test is repeated three times, and the average score is recorded. Higher scores indicate better dynamic balance and stability.
Sit and Reach Test
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
This test measures the flexibility of the hamstring muscles and the lumbar spine. Participants sit in a long-sitting position with knees fully extended and bare feet placed flat against the testing box. They reach forward with both hands as far as possible without bending the knees. The maximum distance reached by the fingertips is recorded in centimeters (cm). The best trial out of three attempts is used for evaluation. Higher values represent better hamstring and lower back flexibility.
4 secondary outcomes
Biering-Sorensen Test for Trunk Extensor Endurance
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
Curl-Up Test for Abdominal Endurance
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
Push-Up Test for Upper Body Endurance
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
Physical Activity Questionnaire for Children (PAQ-C) Score
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Oct 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Telerehabilitation-Based Yoga Group and Standard Home-Based Physical Exercise Program in people with Juvenile Idiopathic Arthritis (JIA), run by Akdeniz 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 6 inclusion and 5 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 5 Oct 2026. 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?
Functional Reach Test (FRT) (time frame: Baseline (Week 0) and Post-intervention (Week 8)). 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?
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 5 Oct 2026.