AzTrials
AzTrials

Polymyalgia Rheumatica (PMR)NCT07749547

Using Personalized Rehabilitation to Reduce Disease and Increase Activity of Patients With Polymyalgia Rheumatica

A study testing Movement Pattern Training (MoveTrain) in people with Polymyalgia Rheumatica (PMR), run by Washington University School of Medicine at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Polymyalgia rheumatica (PMR) is a condition that causes joint pain and stiffness, making it hard for people to do everyday tasks. Movement pattern training is a special, personalized rehabilitation program that aims to reduce pain by improving how people move during their daily activities. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Polymyalgia Rheumatica (PMR)
What is being tested?
Movement Pattern Training (MoveTrain)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
15 Aug 2026to 31 Mar 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient reports pain > 3 (0-10, 0 = no pain; 10 = worst pain imaginable)
  • Diagnosis or flare of PMR according to the European League against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria as follows (must satisfy all criteria)10:
  • Age ≥50 years at time of diagnosis
  • Presence of bilateral shoulder pain
  • Elevated acute phase reactants C-reactive protein (CRP) >10 milligram/Liter and/or Erythrocyte Sedimentation Rate (ESR) >30 millimeters/hour*
  • A score ≥4 at the time of diagnosis based on the following (without ultrasound):
Show all 12Show fewer
  • Duration of morning stiffness >45 minutes: 2 points
  • Hip pain or limited range of motion: 1 point
  • Seronegative for rheumatoid factor and anti-cyclic citrullinated peptide: 2 points
  • Absence of other joint involvement: 1 point
  • Able to give informed consent
  • Physician's clearance to participate in physical activity

Who cannot join

  • Diagnosis of fibromyalgia, neuropathic muscular disease, complex regional pain syndrome, or small fiber neuropathy
  • planned major surgical procedure during the study
  • Current active uncontrolled infection

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Marcie Harris-Hayes, DPT, MSCI contact

314-286-1435

harrisma@wustl.edu

United States1 site, 1 recruiting
  • Washington University School of Medicine, Program in Physical Therapy

    St Louis, Missouri, 63110

    Marcie Harris-Hayes, PT, DPT, MSCI, 314-286-1435, harrisma@wustl.edu

    Marcie Harris-Hayes, PT, DPT, MSCI

    Recruiting

Other trials in United States

About this study

Official title: Using Personalized Rehabilitation to Reduce Disease and Increase Activity of Patients With Polymyalgia Rheumatica: a Feasibility Randomized Clinical Trial

Polymyalgia rheumatica (PMR) is a condition that causes joint pain and stiffness, making it hard for people to do everyday tasks. Movement pattern training is a special, personalized rehabilitation program that aims to reduce pain by improving how people move during their daily activities. The investigators plan to test if it's possible to conduct a detailed study to find out how effective Movement pattern training is for people with PMR. The investigators will look at whether it helps them perform activities they want to do, reduce their use of certain medications, and strengthen their muscles. The investigators will also gather feedback from patients about their experience with Movement pattern training. This study will help us understand if carrying out a larger study on Movement pattern training's effectiveness is practical.

Being tested
Movement Pattern Training (MoveTrain), Usual Care
Keywords
rehabilitation, physical therapy
Medical subject headings
Polymyalgia Rheumatica

What participants receive

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

  • Movement Pattern Training (MoveTrain)Behavioural

    6 individualized treatment sessions over 10 weeks

    • Motivational interviewing to determine personal goals and strengthen motivation and commitment to change
    • Activity-specific training to practice modified motion during patient-specific tasks, defined as activities reported by each patient as pain-provoking
    • Home exercise program 3 times/week consisting of activities or exercises assigned in the supervised sessions
    • Patient's independence and adherence in performing home exercise program will be documented
    • Patients are encouraged to use modified motion during daily and physical activities
    • Based on patient performance, activity difficulty is progressed by increasing repetitions performed or increasing load or speed
  • Usual CareOther

    • Basic education about polymyalgia rheumatica, benefits of physical activity
    • Patients will be encouraged to participate in physical activity as tolerated
    • Medication as prescribed by their physician
Study groups in NCT07749547
Study groupRoleWhat they receive
Usual CareActive comparatorPatients will be encouraged to complete their treatment as described by their physician.
Receives: Other: Usual Care
Movement Pattern Training (MoveTrain)ExperimentalMovement pattern Training (MoveTrain) is progressive activity-specific training to improve altered joint motion during patient-specific tasks. At baseline, each patient identifies specific activities (e.g., getting out of bed), work (e.g., reaching overhead), and physical activities (e.g., cycling) that are difficult due to their pain. A movement examination is performed to identify the altered joint motion on associated with movement-evoked pain and the motion modification that reduces their pain. The treatment provider then instructs the patient in activity-specific training, which includes practicing multiple repetitions of the modified activity as their home exercise program. Patients also are instructed to use the trained modified motion during their daily activities to maximize their use in daily routines. This encourages frequent practice and potentially greater program sustainability.
Receives: Behavioral: Movement Pattern Training (MoveTrain)

What is being measured

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

  1. Number of potential participants accessed.

    The total number of people with Polymyalgia rheumatica (PMR) who were recruited each week

    Measured: 7 months

  2. Percent of eligible participants who were willing to be randomized

    Percent of eligible participants are willing to be randomized during the study

    Measured: 7 months

Secondary outcomes (4)
  1. Preliminary estimates of change in polymyalgia rheumatica impact scale (PMR-IS)

    The change in polymyalgia rheumatica impact scale (PMR-IS), a self-report questionnaire specific to polymyalgia rheumatica, that represents the patients symptoms and functional ability.

    Measured: From enrollment to the end of treatment at 10 weeks

  2. Preliminary estimates of change in physical activity

    The change in physical activity as represented by the Stanford 7-DAy Physical Activity Recall survey

    Measured: From enrollment to the end of treatment at 10 weeks

  3. Preliminary estimates of change in cumulative glucocorticoid dose

    Change in cumulative glucocorticoid dose assessed by patient's self-report logs

    Measured: From enrollment to the end of treatment at 10 weeks

  4. Preliminary estimates of change in muscle strength

    change in muscle strength of the hips and shoulders, assessed using a hand dynamometer

    Measured: From enrollment to the end of treatment at 10 weeks

Timeline

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

  1. First posted6 Aug 2026
  2. Study start15 Aug 2026
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion31 Mar 2027 (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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study design is a feasibility randomized clinical trial to assess our ability to complete a larger clinical trial to compare movement pattern training (personalized rehabilitation) compared to usual care.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07749547
Sponsor's protocol ID
202602100
Status last verified
Nov 2026
First submitted
24 Jul 2026
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: This is a feasibility study with only 20 planned participants with limited budget. There is insufficient support for personnel required to prepare the data for sharing purposes.

Publications

  • Harris-Hayes M, Steger-May K, Bove AM, Foster SN, Mueller MJ, Clohisy JC, Fitzgerald GK. Movement pattern training compared with standard strengthening and flexibility among patients with hip-related groin pain: results of a pilot multicentre randomised clinical trial. BMJ Open Sport Exerc Med. 2020 Mar 23;6(1):e000707. doi: 10.1136/bmjsem-2019-000707. eCollection 2020.

    PubMed 32518674
  • Mackie SL, Twohig H, Neill LM, Harrison E, Shea B, Black RJ, Kermani TA, Merkel PA, Mallen CD, Buttgereit F, Mukhtyar C, Simon LS, Hill CL; OMERACT PMR Working Group. The OMERACT Core Domain Set for Outcome Measures for Clinical Trials in Polymyalgia Rheumatica. J Rheumatol. 2017 Oct;44(10):1515-1521. doi: 10.3899/jrheum.161109. Epub 2017 Aug 1.

    PubMed 28765246
  • O'Brien AV, Muller S, Liddle J, Thomas MJ, Mallen CD. Physiotherapy for the Management of Polymyalgia Rheumatica: Results From a UK Cross-Sectional Survey. Musculoskeletal Care. 2025 Sep;23(3):e70155. doi: 10.1002/msc.70155.

    PubMed 40619692
  • Harris-Hayes M, Czuppon S, Van Dillen LR, Steger-May K, Sahrmann S, Schootman M, Salsich GB, Clohisy JC, Mueller MJ. Movement-Pattern Training to Improve Function in People With Chronic Hip Joint Pain: A Feasibility Randomized Clinical Trial. J Orthop Sports Phys Ther. 2016 Jun;46(6):452-61. doi: 10.2519/jospt.2016.6279. Epub 2016 Apr 26.

    PubMed 27117727
  • Twohig H, Mitchell C, Mallen CD, Muller S. Development and psychometric evaluation of the PMR-Impact Scale: a new patient reported outcome measure for polymyalgia rheumatica. Rheumatology (Oxford). 2023 Feb 1;62(2):758-765. doi: 10.1093/rheumatology/keac317.

    PubMed 35639659
  • Twohig H, Mitchell C, Mallen C, Adebajo A, Mathers N. "I suddenly felt I'd aged": a qualitative study of patient experiences of polymyalgia rheumatica (PMR). Patient Educ Couns. 2015 May;98(5):645-50. doi: 10.1016/j.pec.2014.12.013. Epub 2015 Jan 15.

    PubMed 25638304
  • Taylor CB, Coffey T, Berra K, Iaffaldano R, Casey K, Haskell WL. Seven-day activity and self-report compared to a direct measure of physical activity. Am J Epidemiol. 1984 Dec;120(6):818-24. doi: 10.1093/oxfordjournals.aje.a113954.

    PubMed 6507425
  • Slade SC, Dionne CE, Underwood M, Buchbinder R. Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement. Br J Sports Med. 2016 Dec;50(23):1428-1437. doi: 10.1136/bjsports-2016-096651. Epub 2016 Oct 5.

    PubMed 27707738
  • Hutchings A, Hollywood J, Lamping DL, Pease CT, Chakravarty K, Silverman B, Choy EH, Scott DG, Hazleman BL, Bourke B, Gendi N, Dasgupta B. Clinical outcomes, quality of life, and diagnostic uncertainty in the first year of polymyalgia rheumatica. Arthritis Rheum. 2007 Jun 15;57(5):803-9. doi: 10.1002/art.22777.

    PubMed 17530680
  • Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour V, Macdonald H, Johnston M, Lamb SE, Dixon-Woods M, McCulloch P, Wyatt JC, Chan AW, Michie S. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014 Mar 7;348:g1687. doi: 10.1136/bmj.g1687.

    PubMed 24609605
  • Freedland KE, King AC, Ambrosius WT, Mayo-Wilson E, Mohr DC, Czajkowski SM, Thabane L, Collins LM, Rebok GW, Treweek SP, Cook TD, Edinger JD, Stoney CM, Campo RA, Young-Hyman D, Riley WT; National Institutes of Health Office of Behavioral and Social Sciences Research Expert Panel on Comparator Selection in Behavioral and Social Science Clinical Trials. The selection of comparators for randomized controlled trials of health-related behavioral interventions: recommendations of an NIH expert panel. J Clin Epidemiol. 2019 Jun;110:74-81. doi: 10.1016/j.jclinepi.2019.02.011. Epub 2019 Feb 28.

    PubMed 30826377
  • Dishman RK, Steinhardt M. Reliability and concurrent validity for a 7-d re-call of physical activity in college students. Med Sci Sports Exerc. 1988 Feb;20(1):14-25. doi: 10.1249/00005768-198802000-00003.

    PubMed 3343912

Questions about this trial

What is this clinical trial studying?

A study testing Movement Pattern Training (MoveTrain) in people with Polymyalgia Rheumatica (PMR), run by Washington University School of Medicine at 1 site in United States.

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 12 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 5 Nov 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 United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Marcie Harris-Hayes, DPT, MSCI (314-286-1435, harrisma@wustl.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of potential participants accessed. (time frame: 7 months). The study lists 2 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 NCT07749547, which also lists 12 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 5 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in