6 minutes step test and bicycle ergometer: Evaluation
Study summary
Although joint involvement is predominant, RA is a systemic disease that can affect many organs. RA is a disease that includes changes such as inflammation, joint pain, fatigue, increased risk of coronary and heart disease. In patients with RA, exercises should be planned for decreased muscle strength, endurance, aerobic capacity and affected normal joint movements. Aerobic exercise capacity should be measured for individualized exercise planning in rehabilitation. Bicycle ergometer, one of the aerobic capacity tests, has been used in rehabilitation for a long time. Although it is frequently used in rehabilitation, it has some disadvantages. Therefore, other tests such as the step test can be used to eliminate these disadvantages of the bicycle ergometer and to assess functional capacity. The 6-minute step test (6MST), which requires less time and space, can be used as an alternative to assess exercise capacity. Patients will be evaluated at Firat University Hospital. Patients diagnosed with RA, older than 18 years of age and with a body weight of 100 kg or less (maximum weight supported by the stepper) will be included in the study.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* RA patient
* Over 18 years of age
* 100 kilos or less
* Patients who can walk independently without an assistive device
Exclusion Criteria:
* History of serious heart and lung disease
* Presence of severe musculoskeletal and joint disorders that may interfere with the conduct of the test
* Arthroplasty or major operations on knee and hip joints
* Uncontrolled hypertension
* Inability to participate in physical tests involving walking and cycling
Primary outcome measure(s)
Modified Borg Scale — up to 30 minutes The modified Borg scale is a validated scale for the subjective perception of dyspnea, used to verify the degree of respiratory distress. Exercise intensity is determined by individualized measurement. The 2002 guidelines of the American Thoracic Society recommend the modified Borg scale as an aid. This is a vertical scale measured from 0 to 10. Here 0 represents no symptoms and 10 represents maximum symptoms. In this study the modified Borg scale will be used to rate dyspnea and leg fatigue. The Borg scale will be printed out and this printout will be used for patient enumeration. The patient will be told what the numbers from 0 to 10 on the Borg scale mean. Instructions to the patient: "On the paper in your hand you see the numbers from 0 to 10. 0 means none, 10 means very severe. What the other numbers in between mean is written next to them. Now I want you to describe your breathing difficulty and leg fatigue with a number". After these instructions, the patient will be asked to n
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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