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Ankylosing SpondylitisNCT04435860

Muscle Strength Evaluations in Ankylosing Spondylitis

An observational study of Ankylosing Spondylitis, run by Bezmialem Vakif 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

This study evaluates how the trunk and proximal girdle muscles are affected in male patients with ankylosing spondylitis, compared to healthy controls. Read more about this study

Who is it for?
Ages 18 years and older, men onlyHealthy volunteers can take part
Conditions the study is for
Ankylosing Spondylitis
What is being tested?
Truncal flexion-extension muscle power, Truncal extension muscle power and Cervical flexion muscle power
How many people
100 participants
Where
1 siteTurkey (Türkiye)
Study dates
18 Jun 2020to 4 Sep 2020
Phase
Observational
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 18 years and older
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Controls: Healthy volunteers meeting inclusion criteria accepting to participate Ankylosing spondylitis group: Ankylosing spondylitis patients meeting inclusion criteria accepting to participate

Who may be able to join

  • Having a diagnosis of ankylosing spondylitis according to Modified NewYork criteria
  • Being male
  • Aged ≥18

Who cannot join

  • Severe cardiac or pulmonary or renal disease
  • Accompanying fibromyalgia
  • Severe psychiatric disorder
  • Other disease limiting spinal, shoulder or hip range of motion
  • Myopathy, neuropathy or radiculopathy that may cause muscle weakness
  • Using high dose steroids
Show all 9Show fewer
  • Endocrinological disorders
  • Malignancy
  • Pregnancy

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Bezmialem University

    Istanbul

Other trials in Turkey (Türkiye)

About this study

Official title: Evaluation of Relationship Between Trunk, Proximal Girdle Muscles' Strength, and Functionality and Disease Activity in Male Patients With Ankylosing Spondylitis

This study evaluates how the trunk and proximal girdle muscles are affected in male patients with ankylosing spondylitis, compared to healthy controls.

Read the detailed description

Ankylosing spondylitis is a chronic, inflammatory rheumatic disease with an unclear etiology which causes back pain and affects the functionality of axial skeleton. Besides the effect upon axial skeleton, the disease also affects the peripheral joints. In most patients, tenuous affection of peripheral joints occurs however, in some others the disease causes impaired spinal mobility and articular instability. This causes proximal girdle muscles and trunk muscles of the patients to be exposed to excessively stress and in conclusion deformities develop. Maximum force generated by a muscle or muscle group directly effects the physical ability of an individual, and manual muscle dynamometers are used to directly evaluate the muscle strength. In this manner the investigators aim to evaluate trunk and proximal girdle muscles' powers in male patients with ankylosing spondylitis and analyze the correlation between muscle powers, and functionality and disease activity.

Being tested
Truncal flexion-extension muscle power, Truncal extension muscle power, Cervical flexion muscle power, Cervical extension muscle power, Cervical lateral flexion muscle powers
Keywords
Muscle Powers, Functionality, Disease Activity
Medical subject headings
Spondylitis, Ankylosing

What participants receive

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

  • Truncal flexion-extension muscle powerOther

    Patient performs a maximum truncal flexion laying supine on the bed with cap of muscle tester placed on sternum,

  • Truncal extension muscle powerOther

    Patient performs a maximum truncal extension laying prone on the bed while the cap of manual muscle tester placed on vertebrae at the level of midline between superior angles of scapulae.

  • Cervical flexion muscle powerOther

    Patient performs a maximum cervical flexion sitting while the cap of manual muscle tester placed on the middle of the forehead.

  • Cervical extension muscle powerOther

    Patient performs a maximum cervical extension sitting while the cap of manual muscle tester placed on protuberantia occipitalis.

  • Cervical lateral flexion muscle powersOther

    Patient performs a maximum cervical lateral flexions on right and left sitting while the cap of manual muscle tester placed on relevant pterion.

  • Shoulder flexion muscle powerOther

    Patient performs a maximum shoulder flexion of the dominant side on upright while the cap of manual muscle tester placed on midpoint of the line between anterior aspect of acromion and anterior elbow.

  • Shoulder extension muscle powerOther

    Patient performs a maximum shoulder flexion of the dominant side on upright while the cap of manual muscle tester placed on midpoint of the line between posterior aspect of acromion and posterior elbow.

  • Shoulder internal rotation muscle powerOther

    Patient performs a maximum shoulder internal rotation of the dominant side on upright while the cap of manual muscle tester placed on midpoint of the line between anterior elbow and wrist.

  • Shoulder external rotation muscle powerOther

    Patient performs a maximum shoulder external rotation of the dominant side on upright while the cap of manual muscle tester placed on midpoint of the line between posterior elbow and wrist.

  • Shoulder abduction muscle powerOther

    Patient performs a maximum shoulder abduction of the dominant side on upright while the cap of manual muscle tester placed on midpoint of the line lateral aspect of acromion and lateral epicondyle.

  • Hip flexion muscle powerOther

    Patient performs a maximum hip flexion laying supine on the bed while the cap of manual muscle tester placed on middle of the anterior thigh.

  • Hip extension muscle powerOther

    Patient performs a maximum hip extension laying prone on the bed while the cap of manual muscle tester placed on middle of the posterior thigh.

  • Hip abduction muscle powerOther

    Patient performs a maximum hip abduction laying supine on the bed while the cap of manual muscle tester placed on middle of the lateral thigh.

  • Hip internal rotation muscle powerOther

    Patient performs a maximum hip internal rotation laying supine on the bed while the cap of manual muscle tester placed on the midline between lateral condyle of femur and lateral malleolus.

  • Hip external rotation muscle powerOther

    Patient performs a maximum hip external rotation laying supine on the bed while the cap of manual muscle tester placed on the midline between medial condyle of femur and medial malleolus.

  • Bath Ankylosing Spondylitis Functional Index (BASFI)Other

    This questionnaire evaluates the functionality in patients with AS. The ten questions that comprise the BASFI were chosen with input from patients with AS. The first 8 questions evaluate activities related to functional anatomical limitations due to the course of this inflammatory disease. The final 2 questions evaluate the patients' ability to cope with everyday life. A visual analogue scale (with 0 being "easy" and 10 "impossible) is used to answer the questions on the test. The final score varies between 0 and 10.

  • Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)Other

    This questionnaire evaluates the disease activity level in patients with AS. The BASDAI consists of a 0 - 10 scale measuring discomfort, pain, and fatigue (0 being no problem and 10 being the worst problem) in response to six questions asked of the patient pertaining to the five major symptoms of AS. The final score varies between 0 and 10.

  • The Health assessment questionnaire (HAQ)Other

    The Health assessment questionnaire (HAQ) is a questionnaire for the assessment of disability in an individual. The patients report the amount of difficulty they have in performing eight daily living activities. Each question asks on a scale ranging from 0 to 3 if the categories can be performed without any difficulty (scale 0) up to cannot be done at all (scale 3). The final score varies between 0 and 3.

  • Bath Ankylosing Spondylitis Metrology Index (BASMI)Other

    Bath Ankylosing Spondylitis Metrology Index, a combined index to assess the spinal mobility. It evaluates the patients regarding cervical rotation, tragus-to-wall distance, lumbar flexion, lumbar lateral flexion and intermalleolar distance. The total score varies between 5 to 15 in patients with ankylosing spondylitis

Study groups in NCT04435860
Study groupRoleWhat they receive
Ankylosing SpondylitisPatients with ankylosing spondylitis meeting the inclusion and exclusion criteria
Receives: Other: Truncal flexion-extension muscle power; Other: Truncal extension muscle power; Other: Cervical flexion muscle power; Other: Cervical extension muscle power; Other: Cervical lateral flexion muscle powers; Other: Shoulder flexion muscle power; Other: Shoulder extension muscle power; Other: Shoulder internal rotation muscle power; Other: Shoulder external rotation muscle power; Other: Shoulder abduction muscle power; Other: Hip flexion muscle power; Other: Hip extension muscle power; Other: Hip abduction muscle power; Other: Hip internal rotation muscle power; Other: Hip external rotation muscle power; Other: Bath Ankylosing Spondylitis Functional Index (BASFI); Other: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI); Other: The Health assessment questionnaire (HAQ); Other: Bath Ankylosing Spondylitis Metrology Index (BASMI)
Healthy ControlsHealthy individuals meeting the exclusion criteria
Receives: Other: Truncal flexion-extension muscle power; Other: Truncal extension muscle power; Other: Cervical flexion muscle power; Other: Cervical extension muscle power; Other: Cervical lateral flexion muscle powers; Other: Shoulder flexion muscle power; Other: Shoulder extension muscle power; Other: Shoulder internal rotation muscle power; Other: Shoulder external rotation muscle power; Other: Shoulder abduction muscle power; Other: Hip flexion muscle power; Other: Hip extension muscle power; Other: Hip abduction muscle power; Other: Hip internal rotation muscle power; Other: Hip external rotation muscle power

What is being measured

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

  1. Cervical muscle powers

    Cervical flexion, extension, and lateral flexion muscle powers in kilograms as assessed with handheld dynamometer.

    Measured: 1 day

  2. Truncal muscle powers

    Truncal flexion and extension muscle powers in kilograms as assessed with handheld dynamometer.

    Measured: 1 day

  3. Shoulder girdle muscle powers

    Shoulder flexion, extension, abduction, internal rotation, and external rotation muscle powers in kilograms as assessed with handheld dynamometer.

    Measured: 1 day

  4. Hip girdle muscle powers

    Hip flexion, extension, abduction, internal rotation, and external rotation muscle powers in kilograms as assessed with handheld dynamometer.

    Measured: 1 day

Timeline

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

  1. First posted17 Jun 2020
  2. Study start18 Jun 2020
  3. Primary completion4 Sep 2020
  4. Study completion4 Sep 2020

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04435860
Sponsor's protocol ID
2019-08/115
Status last verified
Sep 2020
First submitted
15 Jun 2020
Last updated
9 Sep 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kim SC, Lee YG, Park SB, Kim TH, Lee KH. Muscle Mass, Strength, Mobility, Quality of Life, and Disease Severity in Ankylosing Spondylitis Patients: A Preliminary Study. Ann Rehabil Med. 2017 Dec;41(6):990-997. doi: 10.5535/arm.2017.41.6.990. Epub 2017 Dec 28.

    PubMed 29354575
  • Daloia LMT, Leonardi-Figueiredo MM, Martinez EZ, Mattiello-Sverzut AC. Isometric muscle strength in children and adolescents using Handheld dynamometry: reliability and normative data for the Brazilian population. Braz J Phys Ther. 2018 Nov-Dec;22(6):474-483. doi: 10.1016/j.bjpt.2018.04.006. Epub 2018 May 4.

    PubMed 29802034
  • De Blaiser C, De Ridder R, Willems T, Danneels L, Roosen P. Reliability and validity of trunk flexor and trunk extensor strength measurements using handheld dynamometry in a healthy athletic population. Phys Ther Sport. 2018 Nov;34:180-186. doi: 10.1016/j.ptsp.2018.10.005. Epub 2018 Oct 12.

    PubMed 30366246
  • Yurdakul OV, Ince OE, Bagcier F, Kara M, Kultur E, Aydin T. Evaluating the strength of spinal and proximal girdle muscles in patients with axial spondyloarthritis: Correlation with activity, disability, and functionality. Int J Rheum Dis. 2021 May;24(5):701-710. doi: 10.1111/1756-185X.14102. Epub 2021 Mar 22.

    PubMed 33750032

Questions about this trial

What is this clinical trial studying?

An observational study of Ankylosing Spondylitis, run by Bezmialem Vakif 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 9 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 9 Sep 2020. 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?

Cervical muscle powers (time frame: 1 day). 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 NCT04435860, which also lists 4 linked publications.

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 9 Sep 2020.

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