Rehabilitation Exercise Intervention for Rheumatoid Arthritis Patients Using Artificial Intelligence-Based Exercise Prescription System
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: AI Exercise Prescription, education and basic joint mobility exercises, paper-based exercise prescription.
- Who it may be relevant to
- Registry conditions: Rheumatoid Arthritis (RA). Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This is a single-center, randomized, parallel-controlled trial evaluating the efficacy and safety of an artificial intelligence-based exercise prescription system for rehabilitation in rheumatoid arthritis (RA) patients. A total of 147 patients with low-to-moderate disease activity will be randomly assigned to three groups: AI exercise prescription group (personalized AI system guidance), paper exercise prescription group (traditional paper guidance), and routine care group. The intervention will last for 6 weeks with 6-month follow-up assessments evaluating joint function, pain, and quality of life indicators.
Detailed description
This three-arm randomized controlled trial (RCT) uses Redcap system for 1:1:1 randomization. The AI exercise prescription group receives intervention through the "Yidong Health AI Exercise Prescription System" delivered via WeChat mini-program; the paper exercise prescription group receives traditional paper-based guidance; and the routine care group receives standardized health education and basic exercise instructions. The primary outcome measure is knee flexion range of motion (ROM) at 6 months, with secondary outcomes including HSS score, WOMAC index, TUG test, BBS balance scale, and other functional assessment measures.
Interventions
- Other AI Exercise Prescription
Uses "Yidong Health AI Exercise Prescription System" delivered via WeChat mini-program, providing personalized exercise prescriptions (three sets: A/B/C) with AI Q\&A module. Physicians adjust prescriptions weekly based on patient feedback. - Other education and basic joint mobility exercises
Receives standardized RA disease management education and basic joint mobility exercises provided by rheumatology nurses. - Other paper-based exercise prescription
Receives paper-based exercise prescription developed by rehabilitation therapists, including warm-up, formal training (bridging, modified bird-dog exercise, etc.) and cool-down stretching.
Primary outcome measures
- Knee flexion range of motion [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
Secondary outcome measures (12)
- Hospital for Special Surgery (HSS) Score [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Timed Up and Go (TUG) Test [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Berg Balance Scale (BBS) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Isokinetic Muscle Strength Test [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Gait and Plantar Pressure Analysis [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Arthritis Self-Efficacy Scale (ASES-8) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Patient Health Questionnaire-9 (PHQ-9) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Generalized Anxiety Disorder-7 (GAD-7) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Pittsburgh Sleep Quality Index (PSQI) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Health Assessment Questionnaire (HAQ) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
- Laboratory indicators (RF, CRP, complete blood count) [Time frame: Baseline, post-intervention (6 weeks), 3-month follow-up, 6-month follow-up]
Eligibility criteria
Inclusion criteria
- Age ≥18 years Meets 2010 ACR/EULAR classification criteria for RA Low-to-moderate disease activity (assessed by rheumatologist) Knee joint involvement Willing and able to provide informed consent
Exclusion criteria
- Existing joint ankylosis (fibrous or bony) Acute flare or extra-articular soft tissue lesions Comorbid with other rheumatic diseases (e.g., SLE, Sjögren's syndrome) Severe hepatic or renal impairment Knee joint VAS pain score >4 (0-10 scale) Psychiatric disorders
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
China · 1 center
- Department of Rehabilitation Medicine, Peking University People's Hospital — Beijing
Identifiers
NCT: NCT07246811 · 2025-q003