关键词: BMI Exergames Gout Ice therapy Randomized controlled trial

Mesh : Humans Gout / complications therapy Exercise Therapy / methods Obesity / complications therapy diagnosis physiopathology Randomized Controlled Trials as Topic Video Games Treatment Outcome Quality of Life Cryotherapy / methods Malaysia Male Middle Aged Combined Modality Therapy Female Adult Uric Acid / blood Weight Loss

来  源:   DOI:10.1186/s13063-024-08237-z   PDF(Pubmed)

Abstract:
BACKGROUND: Gout remains a leading cause of inflammatory arthritis worldwide, and the main risk factor for gout is persistent hyperuricemia. The clinical management of gout is mostly drug-based, and other treatment options are often ignored. This research proposal will explore whether exergames combined with ice therapy can help patients with gout to lose weight, relieve pain, improve the range of movement, improve quality of life, decrease uric acid level, decrease kinesiophobia and improve mental health of patients with gout.
METHODS: This experiment will use a two-arm randomized controlled design. The study setting is at the Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia (USM). Obese patients with gout (N = 30) will be randomly assigned to the control group (receive an exergames intervention) and intervention group (receive an exergames intervention combined with ice therapy). The outcomes measurement will be conducted before (baseline) and after intervention (4 weeks). Then, it will be followed up at 12 weeks.
CONCLUSIONS: To our knowledge, no study has investigated the effect of exergames and ice therapy among gout patients. This study is expected to demonstrate that exercise rehabilitation facilitated by exergames with ice therapy is more effective in gout management compared to a conventional rehabilitation intervention.
BACKGROUND: Chinese Clinical Trial Registry (ChiCTR2300070029). Registered on 31 March 2023.
摘要:
背景:痛风仍然是全球炎症性关节炎的主要原因,痛风的主要危险因素是持续性高尿酸血症。痛风的临床管理大多以药物为主,和其他治疗方案往往被忽视。这项研究提案将探讨exergames结合冰疗法是否可以帮助痛风患者减肥,缓解疼痛,提高运动范围,提高生活质量,降低尿酸水平,减少运动恐惧症,改善痛风患者的心理健康。
方法:本实验将采用双臂随机对照设计。研究设置在高级医学和牙科研究所(AMDI),马来西亚大学(USM)。患有痛风的肥胖患者(N=30)将被随机分配到对照组(接受运动干预)和干预组(接受运动干预结合冰疗法)。结果测量将在干预之前(基线)和之后(4周)进行。然后,将在12周进行随访。
结论:据我们所知,尚无研究调查痛风患者中运动和冰治疗的效果。这项研究有望证明,与传统的康复干预措施相比,通过冰疗法进行运动游戏促进的运动康复在痛风管理中更有效。
背景:中国临床试验注册中心(ChiCTR2300070029)。2023年3月31日注册。
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