Telerehabilitation for Ankylosing Spondylitis: live video versus pre-recorded exercise
Investigation of the Effectiveness of Different Telerehabilitation Applications in Patients With Ankylosing Spondylitis
This program will see if live video or pre-recorded exercise helps adults with ankylosing spondylitis reduce pain and improve mobility, fatigue, and quality of life compared with a brochure-based program.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 66 (estimated) |
| Ages | 16 Years to 65 Years |
| Sex | All |
| Sponsor | Inonu University Academic / other |
| Locations | 1 site (Elâzığ) |
| Trial ID | NCT07503327 on ClinicalTrials.gov |
What this trial studies
This randomized controlled trial in Elâzığ, Turkey, assigns adults with ankylosing spondylitis to synchronous telerehabilitation (live video sessions three times weekly for eight weeks), asynchronous telerehabilitation (pre-recorded videos three times weekly for eight weeks), or a control group receiving an exercise brochure. Outcomes include disease activity, physical function, mobility (BASMI), fatigue, kinesiophobia, pain, and quality of life measured at baseline and after the intervention. Eligible participants are 18–65 years old, diagnosed with AS at least one year prior, able to use a smartphone, and medically stable with specific exclusions for recent surgery, uncontrolled comorbidities, or other conditions that affect exercise. Exercise delivery is remote but baseline and outcome assessments are conducted at the recruiting university clinic.
Who should consider this trial
Good fit: Adults aged 18–65 with a confirmed diagnosis of ankylosing spondylitis for at least one year, who can use a smartphone and are medically stable, are the ideal candidates.
Not a fit: Patients with recent surgery, uncontrolled hypertension or diabetes, recent exacerbations, severe mobility limitations requiring assistive devices, or inability to use a smartphone are unlikely to benefit or would be excluded.
Why it matters
Potential benefit: If effective, telerehabilitation could make supervised exercise more accessible and improve pain, function, and overall quality of life for people with AS.
How similar studies have performed: Exercise is a proven therapy for AS and prior telerehabilitation work in musculoskeletal conditions has shown benefit, but head-to-head comparisons of synchronous versus asynchronous formats in AS are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Being between the ages of 18-65 * Having been diagnosed with Ankylosing Spondylitis by a specialist at least one year ago, * Agreeing to participate in the study voluntarily, * Owning and being able to use a smartphone, * Being able to read and write. Exclusion Criteria: * Having a history of pregnancy, malignancy, or recent surgery (within the last six months) * Having a history of hypertension and diabetes that cannot be controlled with medication * Having a history of exacerbations in the last three weeks and having received treatment for exacerbations * Having instable medical treatment within the last three months * Having any orthopedic, neurological, or mental illness that would affect exercise * Having any assistive device for ambulation * Having participated in any exercise-based intervention program within the last month Exclusion Criteria * Failure to attend three consecutive treatment sessions, * Failure to complete the tests and questionnaires, * Voluntarily withdrawing from the study.
Where this trial is running
Elâzığ
- Fırat University Faculty of Medicine, Department of Internal Medicine - Division of Rheumatology. — Elâzığ, Turkey (Türkiye) (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.