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A Remote Physical Activity Program in the Population Suffering From Type 1 Myotonic Dystrophy

Primary Purpose

Myotonic Dystrophy Type 1 (DM1)

Status
Recruiting
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Remote activity program
Sponsored by
Université du Québec à Chicoutimi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Myotonic Dystrophy Type 1 (DM1) focused on measuring Myotonic dystrophy type 1, Physical activity, function, balance, mobility

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • DM1 diagnosis must be confirmed by genetic analysis (juvenile, adults or late-onset phenotypes);
  • Aged between 18 and 60 years old;
  • Be able to do exercise;
  • Subjects must be able to give their consent freely and voluntarily.

Exclusion Criteria:

  • Patients who already train (>3 times per week or >150min/week);
  • Don't speak french or english;
  • Are not able to do exercise (even in sitting position);

Sites / Locations

  • Groupe de recherche interdisciplinaire Groupe de recherche interdisciplinaire sur les maladies neuromusculairesRecruiting
  • Université du Québec à ChicoutimiRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Remote activity program

Arm Description

Activity program based on objective evaluation. Possibility of 35 different programs primarily targeting impairments (lower limb, upper limb or balanced)

Outcomes

Primary Outcome Measures

Change in Functional capacity from baseline to week 12
Short physical performance battery Functional reach test
Change in the Level of physical activity from baseline to week 12
Rapid Assessment of physical Activity & International Physical Activity Questionnaires
Feasability/acceptability of the program and Satisfaction
Number of sessions completed/planned Likert System Usability Scale.

Secondary Outcome Measures

Changes in the score of the Fatigue and Daytime Sleepiness Scale from baseline to week 12
Changes in the score of the Fatigue and Daytime Sleepiness Scale (FDSS). The FDSS is a 12-item questionnaire where all questions are scored from 0 to 2. A higher score means more daytime sleepiness and fatigue.
Changes in the Marin apathy scale from baseline to week 12
Changes in the Marin apathy scale. The Marin apathy scale is scored by the clinician where he interviews the subject and then scores an 18-item list on a scale of 1 to 4. A high score means more apathy.

Full Information

First Posted
August 10, 2021
Last Updated
October 31, 2022
Sponsor
Université du Québec à Chicoutimi
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1. Study Identification

Unique Protocol Identification Number
NCT05072288
Brief Title
A Remote Physical Activity Program in the Population Suffering From Type 1 Myotonic Dystrophy
Official Title
A Remote Physical Activity Program Via the PACE Tool to Counter the Physical Impairments, Accentuated by the Pandemic, in the Population Suffering From Type 1 Myotonic Dystrophy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 11, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
January 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Université du Québec à Chicoutimi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The COVID-19 pandemic exacerbates health problems by reducing access to adapted and advanced physical rehabilitation for several people who need rehabilitation services, including the population with myotonic dystrophy type 1 (DM1). The PACE tool, an innovative web tool integrating pragmatic physical activity programs, seems to be an interesting and innovative intervention to counter physical deficiencies of people with DM1, which are unfortunately accentuated by the pandemic, while reducing the risk of COVID-19 exposure. Objectives: 1) Evaluate the feasibility, usability and acceptability of the PACE tool in the DM1 population; 2) Evaluate the effects of the intervention on their physical and cognitive health; and 3) Estimate the cost-effectiveness ratio of this intervention. Method: Sixty people (experimental group = 40 and control group = 20) will participate in this randomized intervention study. Participants in the experimental group will be assigned to one of the 35 physical activity programs adapted to their condition of the PACE tool. The program must be performed on a daily basis for a period of 12 weeks. Physical and cognitive health will be assessed before and after the remote intervention via ZOOM, for all participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myotonic Dystrophy Type 1 (DM1)
Keywords
Myotonic dystrophy type 1, Physical activity, function, balance, mobility

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
All participants will receive an adapted remote physical program. Half of the participants will do a 12 weeks control prior to intervention.
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Remote activity program
Arm Type
Experimental
Arm Description
Activity program based on objective evaluation. Possibility of 35 different programs primarily targeting impairments (lower limb, upper limb or balanced)
Intervention Type
Other
Intervention Name(s)
Remote activity program
Intervention Description
Participant will have to do exercise at home everyday (15min/day)
Primary Outcome Measure Information:
Title
Change in Functional capacity from baseline to week 12
Description
Short physical performance battery Functional reach test
Time Frame
Week 12
Title
Change in the Level of physical activity from baseline to week 12
Description
Rapid Assessment of physical Activity & International Physical Activity Questionnaires
Time Frame
Week 12
Title
Feasability/acceptability of the program and Satisfaction
Description
Number of sessions completed/planned Likert System Usability Scale.
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Changes in the score of the Fatigue and Daytime Sleepiness Scale from baseline to week 12
Description
Changes in the score of the Fatigue and Daytime Sleepiness Scale (FDSS). The FDSS is a 12-item questionnaire where all questions are scored from 0 to 2. A higher score means more daytime sleepiness and fatigue.
Time Frame
Week 12
Title
Changes in the Marin apathy scale from baseline to week 12
Description
Changes in the Marin apathy scale. The Marin apathy scale is scored by the clinician where he interviews the subject and then scores an 18-item list on a scale of 1 to 4. A high score means more apathy.
Time Frame
Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: DM1 diagnosis must be confirmed by genetic analysis (juvenile, adults or late-onset phenotypes); Aged between 18 and 60 years old; Be able to do exercise; Subjects must be able to give their consent freely and voluntarily. Exclusion Criteria: Patients who already train (>3 times per week or >150min/week); Don't speak french or english; Are not able to do exercise (even in sitting position);
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Anne-Marie Fortin
Phone
418-590-0993
Email
anne-marie3_fortin@uqac.ca
First Name & Middle Initial & Last Name or Official Title & Degree
Elise Duchesne
Phone
418-590-3552
Email
elise1_duchesne@uqac.ca
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elise Duchesne
Organizational Affiliation
Université du Québec à Chicoutimi
Official's Role
Principal Investigator
Facility Information:
Facility Name
Groupe de recherche interdisciplinaire Groupe de recherche interdisciplinaire sur les maladies neuromusculaires
City
Jonquière
State/Province
Quebec
ZIP/Postal Code
G7X 4H7
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cynthia Gagnon
Facility Name
Université du Québec à Chicoutimi
City
Saguenay
State/Province
Quebec
ZIP/Postal Code
G7H 2B1
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Anne-Marie Fortin
Phone
418-590-0993
Email
anne-marie3_fortin@uqac.ca
First Name & Middle Initial & Last Name & Degree
Elise Duchesne
Phone
418-590-3552
Email
elise1_duchesne@uqac.ca

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
2924205
Citation
Bouchard G, Roy R, Declos M, Mathieu J, Kouladjian K. Origin and diffusion of the myotonic dystrophy gene in the Saguenay region (Quebec). Can J Neurol Sci. 1989 Feb;16(1):119-22. doi: 10.1017/s0317167100028651.
Results Reference
background
PubMed Identifier
26217220
Citation
Mateos-Aierdi AJ, Goicoechea M, Aiastui A, Fernandez-Torron R, Garcia-Puga M, Matheu A, Lopez de Munain A. Muscle wasting in myotonic dystrophies: a model of premature aging. Front Aging Neurosci. 2015 Jul 9;7:125. doi: 10.3389/fnagi.2015.00125. eCollection 2015.
Results Reference
background
PubMed Identifier
29785524
Citation
Gagnon C, Petitclerc E, Kierkegaard M, Mathieu J, Duchesne E, Hebert LJ. A 9-year follow-up study of quantitative muscle strength changes in myotonic dystrophy type 1. J Neurol. 2018 Jul;265(7):1698-1705. doi: 10.1007/s00415-018-8898-4. Epub 2018 May 21.
Results Reference
background
PubMed Identifier
27784130
Citation
Petitclerc E, Hebert LJ, Mathieu J, Desrosiers J, Gagnon C. Lower limb muscle strength impairment in late-onset and adult myotonic dystrophy type 1 phenotypes. Muscle Nerve. 2017 Jul;56(1):57-63. doi: 10.1002/mus.25451. Epub 2016 Nov 25.
Results Reference
background
PubMed Identifier
29865087
Citation
Petitclerc E, Hebert LJ, Mathieu J, Desrosiers J, Gagnon C. Relationships between Lower Limb Muscle Strength Impairments and Physical Limitations in DM1. J Neuromuscul Dis. 2018;5(2):215-224. doi: 10.3233/JND-170291.
Results Reference
background
PubMed Identifier
25475393
Citation
Hammaren E, Kjellby-Wendt G, Lindberg C. Muscle force, balance and falls in muscular impaired individuals with myotonic dystrophy type 1: a five-year prospective cohort study. Neuromuscul Disord. 2015 Feb;25(2):141-8. doi: 10.1016/j.nmd.2014.11.004. Epub 2014 Nov 13.
Results Reference
background
PubMed Identifier
16199443
Citation
Wiles CM, Busse ME, Sampson CM, Rogers MT, Fenton-May J, van Deursen R. Falls and stumbles in myotonic dystrophy. J Neurol Neurosurg Psychiatry. 2006 Mar;77(3):393-6. doi: 10.1136/jnnp.2005.066258. Epub 2005 Sep 30.
Results Reference
background
PubMed Identifier
26296336
Citation
Gallais B, Montreuil M, Gargiulo M, Eymard B, Gagnon C, Laberge L. Prevalence and correlates of apathy in myotonic dystrophy type 1. BMC Neurol. 2015 Aug 22;15:148. doi: 10.1186/s12883-015-0401-6.
Results Reference
background
PubMed Identifier
18586127
Citation
Gagnon C, Mathieu J, Jean S, Laberge L, Perron M, Veillette S, Richer L, Noreau L. Predictors of disrupted social participation in myotonic dystrophy type 1. Arch Phys Med Rehabil. 2008 Jul;89(7):1246-55. doi: 10.1016/j.apmr.2007.10.049.
Results Reference
background
PubMed Identifier
33329336
Citation
Bertran Recasens B, Rubio MA. Neuromuscular Diseases Care in the Era of COVID-19. Front Neurol. 2020 Nov 26;11:588929. doi: 10.3389/fneur.2020.588929. eCollection 2020.
Results Reference
background
PubMed Identifier
32661716
Citation
Di Stefano V, Battaglia G, Giustino V, Gagliardo A, D'Aleo M, Giannini O, Palma A, Brighina F. Significant reduction of physical activity in patients with neuromuscular disease during COVID-19 pandemic: the long-term consequences of quarantine. J Neurol. 2021 Jan;268(1):20-26. doi: 10.1007/s00415-020-10064-6. Epub 2020 Jul 13.
Results Reference
background
PubMed Identifier
30872083
Citation
Carvalho LP, Kergoat MJ, Bolduc A, Aubertin-Leheudre M. A Systematic Approach for Prescribing Posthospitalization Home-Based Physical Activity for Mobility in Older Adults: The PATH Study. J Am Med Dir Assoc. 2019 Oct;20(10):1287-1293. doi: 10.1016/j.jamda.2019.01.143. Epub 2019 Mar 11.
Results Reference
background
PubMed Identifier
33108761
Citation
Fruteau de Laclos L, Sirois MJ, Blanchette A, Martel D, Blais J, Emond M, Daoust R, Aubertin-Leheudre M. Exercise Interventions for Community-Dwelling Older Adults Following an Emergency Department Consultation for a Minor Injury. J Aging Phys Act. 2021 Apr 1;29(2):267-279. doi: 10.1123/japa.2019-0200. Epub 2020 Oct 27.
Results Reference
background
PubMed Identifier
19362699
Citation
Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, Bakken S, Kaplan CP, Squiers L, Fabrizio C, Fernandez M. How we design feasibility studies. Am J Prev Med. 2009 May;36(5):452-7. doi: 10.1016/j.amepre.2009.02.002.
Results Reference
background
PubMed Identifier
27301273
Citation
Hilgers RD, Roes K, Stallard N; IDeAl, Asterix and InSPiRe project groups. Directions for new developments on statistical design and analysis of small population group trials. Orphanet J Rare Dis. 2016 Jun 14;11(1):78. doi: 10.1186/s13023-016-0464-5.
Results Reference
background
PubMed Identifier
32513558
Citation
Aubertin-Leheudre M, Rolland Y. The Importance of Physical Activity to Care for Frail Older Adults During the COVID-19 Pandemic. J Am Med Dir Assoc. 2020 Jul;21(7):973-976. doi: 10.1016/j.jamda.2020.04.022. Epub 2020 Apr 30. No abstract available.
Results Reference
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A Remote Physical Activity Program in the Population Suffering From Type 1 Myotonic Dystrophy

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