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Juvenile Idiopathic ArthritisJiaFiT-XRNCT06176846

Immersive Virtual Reality Exergaming Program in Adolescents Diagnosed With Juvenile Idiopathic Arthritis

A study testing Immersive Virtual Reality Exergaming Program and Home-Based Exercise Program in people with Juvenile Idiopathic Arthritis, run by Istanbul University - Cerrahpasa at 4 sites in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of the study is to investigate the effect of home-based exercise program versus personalized IVR exergame (Fit-XR) program on physical fitness, functional capacity and physical activity in adolescents with Juvenile idiopathic arthritis. Read more about this study

Who is it for?
Ages 13 to 18 yearsHealthy volunteers can take part
Conditions the study is for
Juvenile Idiopathic Arthritis
What is being tested?
Immersive Virtual Reality Exergaming Program and Home-Based Exercise Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
4 sitesTurkey (Türkiye)
Study dates
1 Dec 2023to 1 Jul 2024
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 13 to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Having a definitive diagnosis of JIA according to the ILAR classification at least 6 months ago
  • Being between the ages of 13-18

Who cannot join

  • JIA diagnosis was made less than a month ago
  • Having had a surgical or arthroscopic operation within the last year
  • Presence of active synovitis or arthritis
  • Have a disease that may limit the ability to exercise or increase the cardiovascular risk of exercise, including cardiovascular, pulmonary, musculoskeletal, or metabolic disorders
  • Having active vestibular disease
  • Having a neurological disease that prevents walking and exercising
Show all 10Show fewer
  • Having been exercising regularly for the last 6 months
  • Having severe vision and hearing problems
  • Use of any medication or supplement known to increase anabolic responses
  • Having mental inability to understand the exercises

Trial locations and contacts

4 sites in 1 country.

Nilay Arman, Assoc.Prof. contact

905534558707

nilayarman@iuc.edu.tr

Turkey (Türkiye)4 sites, 4 recruiting
  • Istanbul University Medical Faculty Hospital

    Istanbul, 34093

    Nuray AKTAY AYAZ, Prof.

    Recruiting
  • Cam and Sakura City Hospital

    Istanbul

    Figen Cakmak, MD

    Recruiting
  • Istanbul University-Cerrahpasa, Faculty of Health Science, Department of Physiotherapy and Rehabilitation

    Istanbul

    Nilay Arman, Assoc. Prof.

    Recruiting
  • Umraniye Research and Training Hospital

    Istanbul

    Betul Sozeri, Prof.Dr.

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Effect of Immersive Virtual Reality Exergaming Program on Physical Fitness, Functional Capacity and Physical Activity In Adolescents Diagnosed With Juvenile Idiopathic Arthritis: A Randomized Controlled Study

The aim of the study is to investigate the effect of home-based exercise program versus personalized IVR exergame (Fit-XR) program on physical fitness, functional capacity and physical activity in adolescents with Juvenile idiopathic arthritis. Patients followed up by four tertiary pediatric rheumatology centers will be included in the project. Two different exercise programs will be applied to the patients by experienced physiotherapists. Fit-XR program will be 25-30 minutes a day and will be applied 2 days a week for 8 weeks under the supervision of a physiotherapist in the clinic. The total points obtained by the participants during the FiT-XR games will be recorded after each training session. In the second group, a personalized multicomponent (balance, strength, agility, endurance) home- based exercise program will be applied according to the physical fitness level of the children.

Being tested
Immersive Virtual Reality Exergaming Program, Home-Based Exercise Program
Keywords
Exercise, Exergaming, Physical Fitness
Medical subject headings
Arthritis, Juvenile, Motor Activity

What participants receive

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

  • Immersive Virtual Reality Exergaming ProgramBehavioural

    Oculus Quest 3 glasses will be used as hardware for the IVR exergame program, and "Boxing", "HIIT", "Combat", "Sculpt" and Dance, among the Fit-XR games that offer virtual reality experience for fitness, will be selected according to the physical fitness level of the subjects and personalized multicomponent ( balance, strength, agility, endurance) IVR exergame program will be created. The exercise program is limited to 25-30 minutes a day and will be applied 2 days a week for 8 weeks in the clinic under the supervision of a physiotherapist. The exergaming program will be progressed according to the difficulty level, duration and technical characteristics of the games.

  • Home-Based Exercise ProgramBehavioural

    In the home-based exercise program, a personalized multicomponent (balance, strength, agility, endurance) exercise program will be applied according to the physical fitness level of the subjects. The exercises will progress by increasing the difficulty level and number of repetitions of the exercises. An e-brochure will be given to the subjects for the exercises, the exercises will be shown to the subjects on the 1st day, and exercise control will be carried out in the 1st week and the 4th week.

Study groups in NCT06176846
Study groupRoleWhat they receive
Immersive Virtual Reality Exergaming GroupExperimentalPatients in this group will be included in an exergaming program using Oculus Quest 3 glasses.
Receives: Behavioral: Immersive Virtual Reality Exergaming Program
Home-Based Exercise GroupExperimentalPatients in this group will be included in a home-based exercise program.
Receives: Behavioral: Home-Based Exercise Program

What is being measured

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

  1. FitnessGram Physical Activity Test Battery-Progressive Aerobic Cardiovascular Endurance Running (PACER)

    PACER is an adapted version of the 20 meter shuttle run test and is a field test consisting of multiple stages. The participant will run back and forth in a 20 meter area accompanied by the music coming from the voice recorder. The beep indicates when the participant should finish a lap. The test will start at slow speeds and will gradually increase each minute. The test will be terminated when the participant cannot continue to run at the level he has reached. The number of laps completed at the end of the test will be recorded. PACER is a more fun alternative to other distance running tests. It is recommended for use in children, adolescents and young adults. PACER will be used to assess the aerobic capacity of adolescents.

    Measured: Change from Baseline FitnessGram Physical Activity Test Battery-Progressive Aerobic Cardiovascular Endurance Running (PACER) at 8 weeks

  2. 6 Minute Walk Test (6 MWT)

    The 6-minute walk test is a well-tolerated, easy-to-apply and simple test that shows the submaximal level of functional capacity. This test measures the distance that participants can walk quickly on a hard and flat surface in 6 minutes. Participants rest in a chair near the starting position for at least 10 minutes before the start of the test. Before and after the test, heart rate, blood pressure, saturation are measured, and fatigue level is determined with the Modified Borg scale. Participants are told how to perform the test. At the end of the test, the distance walked by the participants in 6 minutes will be recorded in meters. The 6 Minute Walk Test will be used to evaluate the functional capacities of adolescents.

    Measured: Change from Baseline 6 Minute Walk Test (6 MWT) at 8 weeks

  3. 30 second sit to stand test (30SST)

    30 second sit to stand test is commonly used for assessing lower limb's functional capacity. Participants are asked to rise from a seated position and sit as quickly and safely as possible in 30 s. The completed number of chair stands within 30 s is counted and recorded for this test. Arms are crossed at the wrists and held against the chest. Feet place on the floor at an angle slightly back from the knees. The participant starts with "go" word and rose to a full stand and then returned to the initial seated position. The participants are encouraged to complete as many full stands as possible within a 30-second time limit. 30 second sit to stand test will be used to evaluate tower limb's functional capacity of the adolescents.

    Measured: Change from Baseline 30 second sit to stand test (30SST) at 8 weeks

Secondary outcomes (9)
  1. FitnessGram Physical Activity Test Battery-Bioelectrical Impedance Analysis

    BIA is based on the principle of measuring resistance to the flow of a low-level electric current through the body. In our study, body composition parameters such as muscle, fat and water ratio will be evaluated with the Tanita SC240 device.

    Measured: Change from Baseline FitnessGram Physical Activity Test Battery-Bioelectrical Impedance Analysis at 8 weeks

  2. FitnessGram Physical Activity Test Battery-Curl-up Test

    The participant will begin the test in the supine position, knees flexed approximately 140 degrees, feet flat on the floor, and legs slightly apart. The participant's arms will be parallel to the floor and torso. The palm will be positioned on the floor with the fingers stretched out. The purpose of this test is to do as many sit-ups as possible at a given speed. A maximum of 75 shuttles counts. The number of shuttles performed at the end of the test will be recorded. The curl-up test will be used to evaluate the abdominal muscle strength and endurance of adolescents.

    Measured: Change from Baseline FitnessGram Physical Activity Test Battery-Curl-up Test at 8 weeks]

  3. FitnessGram Physical Activity Test Battery-Trunk Lift Test

    The participant will begin the test in the prone position with their hands placed under the thigh. A sign will be placed on the floor at the participant's eye level. During the movement, the participant will focus on this sign. During the test, the participant slowly and in a controlled manner raises their torso to a maximum height of 12 inches. The head is kept in neutral alignment with the spine. At the end of the test, the distance between the floor and the participant's chin will be measured with a ruler and the score will be recorded in centimeters (cm). Trunk lift test will be used to evaluate trunk extensor muscle strength and flexibility of adolescents

    Measured: Change from Baseline FitnessGram Physical Activity Test Battery-Trunk Lift Test at 8 weeks

  4. FitnessGram Physical Activity Test Battery-Push-up Test

    The participant will begin the test in the prone position, with their hands shoulder-width or wider than shoulder-width apart, fingers stretched, palms on the floor, and legs slightly apart. During the test, the participant lowers his torso towards the ground and raises himself up again when his elbows are bent 90º. The movement is repeated as much as possible. The rhythm is set to 20 push-ups per minute or 1 push-up per 3 seconds. The test is terminated when the participant makes a mistake twice. The number of push-ups performed at the end of the test will be recorded. The push-up test will be used to evaluate the upper extremity muscle strength and endurance of adolescents.

    Measured: Change from Baseline FitnessGram Physical Activity Test Battery-Push-up Test at 8 weeks

  5. Physical Activity Test Battery-Back Saver Sit and Reach Test

    During the test, the participant takes off his shoes and sits in front of the test apparatus. A box is needed for the test. This box is 35 cm long, 45 cm wide, 32 cm high. A top plate 55 cm long and 45 cm wide is put on top of the box. One leg of the participant is completely straight while the other is bent at the knee. The participant reaches forward four times with their hands on top of each other, holding the fourth reach position for 1 second. At the end of the test, the distance traveled will be recorded. The Back Saver Sit and Reach Test will be used to evaluate the hamstring flexibility of adolescents.

    Measured: Change from Baseline FitnessGram Physical Activity Test Battery-Back Saver Sit and Reach Test at 8 weeks

  6. Physical Activity-Heart rate for daily living activities

    The adolescents included in the study will be given a smart watch and will be asked to use the watches for 8 weeks. The data obtained on physical activity behaviors of adolescents for 2 months through smart watches will be transferred to the cloud and web platform with the mobile application. With wearable activity tracker watches, data on the person's heart rates during the daily living activities will be recorded and transferred to the cloud.

    Measured: Change from Baseline heart rate during daily living activities at 8 weeks

  7. Physical Activity-The number of steps taken per day

    The adolescents included in the study will be given a smart watch and will be asked to use the watches for 8 weeks. The data obtained on physical activity behaviors of adolescents for 2 months through smart watches will be transferred to the cloud and web platform with the mobile application. With wearable activity tracker watches, data on the person's number of steps taken per day will be recorded and transferred to the cloud.

    Measured: Change from the number of steps taken per day at 8 weeks

  8. Physical Activity-daily calories burned

    The adolescents included in the study will be given a smart watch and will be asked to use the watches for 8 weeks. The data obtained on physical activity behaviors of adolescents for 2 months through smart watches will be transferred to the cloud and web platform with the mobile application. With wearable activity tracker watches, data on the person's daily calories burned will be recorded and transferred to the cloud.

    Measured: Change from the daily calories burned at 8 weeks

  9. Physical Activity-daily oxygen consumption

    The adolescents included in the study will be given a smart watch and will be asked to use the watches for 8 weeks. The data obtained on physical activity behaviors of adolescents for 2 months through smart watches will be transferred to the cloud and web platform with the mobile application. With wearable activity tracker watches, data on the person's daily oxygen consumption will be recorded and transferred to the cloud.

    Measured: Change from the daily oxygen consumption at 8 weeks

Timeline

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

  1. First posted20 Dec 2023
  2. Study start1 Dec 2023
  3. Primary completion31 Jan 2024 (estimated)
  4. Study completion1 Jul 2024 (estimated)

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
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06176846
Sponsor's protocol ID
1795570
Acronym
JiaFiT-XR
Status last verified
Dec 2023
First submitted
1 Dec 2023
Last updated
20 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Arman N, Albayrak A, Donmez I, Acikgoz Y, Yekdaneh A, Cakmak F, Sozeri B, Aktay Ayaz N. Personalized, physiotherapist-guided exercise programs in JIA: home-based vs. immersive virtual reality (JiaFitXR). Rheumatology (Oxford). 2026 Jun 30;65(7):keag355. doi: 10.1093/rheumatology/keag355.

    PubMed 42384950

Questions about this trial

What is this clinical trial studying?

A study testing Immersive Virtual Reality Exergaming Program and Home-Based Exercise Program in people with Juvenile Idiopathic Arthritis, run by Istanbul University - Cerrahpasa at 4 sites 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 2 inclusion and 10 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: status not confirmed, as of the sponsor's last update on 20 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites 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?

Results are not available in the source record.

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

Contact Nilay Arman, Assoc.Prof. (905534558707, nilayarman@iuc.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

FitnessGram Physical Activity Test Battery-Progressive Aerobic Cardiovascular Endurance Running (PACER) (time frame: Change from Baseline FitnessGram Physical Activity Test Battery-Progressive Aerobic Cardiovascular Endurance Running (PACER) at 8 weeks). The study lists 3 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 NCT06176846, 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 20 Dec 2023.

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