PEAK Study (Physical Exercise and Activity in Kids)
The objectives of this study are to study the effect of formal exercise training on motor function and overall physical fitness in children with arthritis. A 12-week comprehensive exercise program will be used. Formal exercise training will be compared to Qi gong.
Juvenile Idiopathic Arthritis
Behavioral: Aerobic and Qi gong Exercise
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Treatment
|Official Title:||The Effect of Vigorous Exercise on Motor Function and Functional Fitness in Juvenile Arthritis|
- walking economy at completion of the exercise program
- PEAK power, muscular endurance, and subjective function at completion of the exercise program
- Peak aerobic capacity (VO2 peak) measured post-exercise program
- Anaerobic Power as measured by a Modified Wingate test at completion of the exercise program
- Anthropometry as measured by Body Mass Index (BMI) and skinfold at completion of the exercise program
- Improved physical function measured post treatment
- Improved daily activity measured post treatment
- Improved quality of life measure post treatment
- Decreased arthritis activity measured post treatment
- Improved range of motion measure post treatment
|Study Start Date:||August 2002|
|Estimated Study Completion Date:||November 2005|
Childhood arthritis is a common and often debilitating disease. Children with arthritis are less active than their peers, and consequently they often have poor physical fitness. This study follows up our pilot study, in which we showed that exercise training can be safely carried out in children who have arthritis.
We plan to randomly assign 80 children with arthritis to one of two groups. The experimental group undergoes a vigorous exercise training program consisting of twelve weekly supervised sessions as well as twice weekly at home sessions using an exercise video. The control group also has twelve supervised sessions and two home sessions. However, their exercises are non-strenuous, based on Qi gong. All children have comprehensive fitness testing before and after the training at the exercise lab at the Hospital for Sick Children.
If we show that fitness exercise leads to improved motor function and improved ability to carry out activities of daily living, then we will change the way in which we provide therapy for childhood arthritis. We hope that this study will lead to an improved quality of life for children with arthritis.
|The Hospital for Sick Children|
|Toronto, Ontario, Canada, M5G 1X8|
|Principal Investigator:||Brian M. Feldman, MD||The Hospital for Sick Children|