Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus

Objective Many patients with childhood-onset systemic lupus erythematosus (cSLE) suffer from cognitive dysfunction that seriously affects their quality of life, attention, visual and speech memory, motor function, reaction speed and motor perception and physical activity. This study aims to investig...

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Main Authors: Ozgur Kasapcopur, Sezgin Sahin, Ela Tarakci, Eylul Pinar Kisa, Gokce Leblebici, İrem Yagmur Tonyali, Gulcin Balci, Şehri Dilek, Esma Aslan
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:Lupus Science and Medicine
Online Access:https://lupus.bmj.com/content/12/1/e001453.full
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author Ozgur Kasapcopur
Sezgin Sahin
Ela Tarakci
Eylul Pinar Kisa
Gokce Leblebici
İrem Yagmur Tonyali
Gulcin Balci
Şehri Dilek
Esma Aslan
author_facet Ozgur Kasapcopur
Sezgin Sahin
Ela Tarakci
Eylul Pinar Kisa
Gokce Leblebici
İrem Yagmur Tonyali
Gulcin Balci
Şehri Dilek
Esma Aslan
author_sort Ozgur Kasapcopur
collection DOAJ
description Objective Many patients with childhood-onset systemic lupus erythematosus (cSLE) suffer from cognitive dysfunction that seriously affects their quality of life, attention, visual and speech memory, motor function, reaction speed and motor perception and physical activity. This study aims to investigate the effects of dual-task (DT) exercises on cognitive status, disease activity and physical function of children with cSLE.Method 30 children with cSLE were included. During intervention sessions (2 days a week for 16 weeks), DT exercises were applied to all children having cSLE. The mental status of the patients by the Montreal Cognitive Assessment (MoCA), pain status by the McGill-Melzack Pain Questionnaire, disease activity by the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI)-2K, physical activity by the Childhood Activity Assessment Index and International Physical Activity Questionnaire (IPAQ) and steps number recorded.Results McGill-Melzack pain scores and MoCA scores (42.70±16.85 and 20.86±3.89, respectively) were significantly improved after the intervention (36.53±16.55 and 23.73±2.72, respectively) (p<0.05). Additionally, IPAQ median metabolic equivalent scores (3171.73±3185.69) were significantly increased after the intervention (5592.40±6228.61; p=0.01). Lupus disease activity score (SLEDAI-2K) decreased from 2.79±3.20 to 2.18±2.23 with the implementation of DT; however, this was not statistically significant (p>0.05).Conclusions DT exercises can play a crucial role in enhancing cognitive status and physical function of patients with cSLE. There is limited research examining the effects of DT exercises on cognitive status, particularly in patients with cSLE.Trial registration number NCT05984316.
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spelling doaj-art-0e29f3f59307455eb76466e5f2ddb5a32025-08-20T03:27:46ZengBMJ Publishing GroupLupus Science and Medicine2053-87902025-06-0112110.1136/lupus-2024-001453Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosusOzgur Kasapcopur0Sezgin Sahin1Ela Tarakci2Eylul Pinar Kisa3Gokce Leblebici4İrem Yagmur Tonyali5Gulcin Balci6Şehri Dilek7Esma Aslan8Child Health And Diseases, Istanbul University-Cerrahpasa Faculty of Medicine, Istanbul, TurkeyChild Health And Diseases, Istanbul University-Cerrahpasa Faculty of Medicine, Istanbul, TurkeyPhysiotherapy and Rehabilitation, Istanbul University-Cerrahpasa Faculty of Health Science, Istanbul, TurkeyErgotherapy, Istanbul Medipol University Faculty of Health Science, Istanbul, TurkeyPhysiotherapy and Rehabilitation, Istanbul Medeniyet University Faculty of Health Science, Istanbul, TurkeyPhysiotherapy and Rehabilitation, Istanbul University-Cerrahpasa Faculty of Health Science, Istanbul, TurkeyPhysiotherapy and Rehabilitation, Istanbul University-Cerrahpasa Faculty of Health Science, Istanbul, TurkeyPhysiotherapy and Rehabilitation, Istanbul University-Cerrahpasa Faculty of Health Science, Istanbul, TurkeyChild Health And Diseases, Istanbul University-Cerrahpasa Faculty of Medicine, Istanbul, TurkeyObjective Many patients with childhood-onset systemic lupus erythematosus (cSLE) suffer from cognitive dysfunction that seriously affects their quality of life, attention, visual and speech memory, motor function, reaction speed and motor perception and physical activity. This study aims to investigate the effects of dual-task (DT) exercises on cognitive status, disease activity and physical function of children with cSLE.Method 30 children with cSLE were included. During intervention sessions (2 days a week for 16 weeks), DT exercises were applied to all children having cSLE. The mental status of the patients by the Montreal Cognitive Assessment (MoCA), pain status by the McGill-Melzack Pain Questionnaire, disease activity by the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI)-2K, physical activity by the Childhood Activity Assessment Index and International Physical Activity Questionnaire (IPAQ) and steps number recorded.Results McGill-Melzack pain scores and MoCA scores (42.70±16.85 and 20.86±3.89, respectively) were significantly improved after the intervention (36.53±16.55 and 23.73±2.72, respectively) (p<0.05). Additionally, IPAQ median metabolic equivalent scores (3171.73±3185.69) were significantly increased after the intervention (5592.40±6228.61; p=0.01). Lupus disease activity score (SLEDAI-2K) decreased from 2.79±3.20 to 2.18±2.23 with the implementation of DT; however, this was not statistically significant (p>0.05).Conclusions DT exercises can play a crucial role in enhancing cognitive status and physical function of patients with cSLE. There is limited research examining the effects of DT exercises on cognitive status, particularly in patients with cSLE.Trial registration number NCT05984316.https://lupus.bmj.com/content/12/1/e001453.full
spellingShingle Ozgur Kasapcopur
Sezgin Sahin
Ela Tarakci
Eylul Pinar Kisa
Gokce Leblebici
İrem Yagmur Tonyali
Gulcin Balci
Şehri Dilek
Esma Aslan
Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus
Lupus Science and Medicine
title Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus
title_full Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus
title_fullStr Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus
title_full_unstemmed Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus
title_short Effects of dual-task exercises on cognitive status, disease activity and quality of life in childhood-onset systemic lupus erythematosus
title_sort effects of dual task exercises on cognitive status disease activity and quality of life in childhood onset systemic lupus erythematosus
url https://lupus.bmj.com/content/12/1/e001453.full
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