Marfan syndrome (MS) is an autosomal dominant genetic disorder caused by a mutation in the fibrillin-1 gene (FBN1) encoding the protein fibrillin-1. Fibrillin is the main component of microfibrils, elements found in all of the body's tissues, and this pathology is characterized by the multitude of its clinical manifestations. These patients may develop aneurysms in the aortic root and one of the main factors of morbidity in patients with MS is aortic dissection. Prevention mainly involves preventive aortic surgery. However, the repercussions are global and can affect the functioning of other tissues such as skeletal muscle tissue, bone tissue, lung tissue and the eyes. The association of skeletal (scoliosis, hyperlaxity), muscular and ocular disorders is clearly associated with an impairment in the quality of life. These disorders are associated with pain and disability which affect professional activity, leisure and family life. Physical activity could represent a relevant alternative for these patients. A recent animal study suggests that moderate training is beneficial.
The main objective is to show that the quality of life of patients with Marfan syndrome can be improved by personalized training at home. The goal is to be able to offer new non-drug management based on physical activity to these patients. Improved quality of life; Improvement of muscle strength by a muscle strengthening protocol; Improvement of cardiovascular function parameters. Regular coaching throughout the study. 1. / Assessment of muscular capacities 2. / Assessment of cardiovascular and respiratory capacities 3. / Response to psychometric questionnaires 4. / Participation in a training circuit (training protocol)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
72
Aerobic circuit training
Muscle strengthening circuit training
Groupe Hospitalier Bichat - Claude Bernard
Paris, France
Quality of life assessment: questionnaire
Assessed with Medical Outcome Study Short Form 36 questionnaire, a scale scored on a 0 to 100 range so that the lowest is the worth condition and highest is the best condition.
Time frame: 3 months
Pain assessment: Fibromyalgia Rapid Screening Tool
Assessed with Fibromyalgia Rapid Screening Tool
Time frame: 3 months
Self-perception assessment
Assessed with Physical Self Inventory questionnaire, a scale scoring 25 items rated on a 6-point scale ranging from 1 (Not at all) to 6 (Entirely) and assessing 6 dimensions (global self-worth (10-50), physical self-worth (10-50), physical condition (10-50), sport competence (10-40), physical attractiveness (10-30), and physical strength (10-30)) of the physical self-conception.
Time frame: 3 months
Aortic diameter
Evolution of the aortic diameter (in millimeter) in echocardiography, safety cardiovascular parameters
Time frame: 3 months
Blood pressure
Evolution of the systolic and diastolic blood pressures (in Millimeter of mercury) during exercise, monitoring of physiological parameters
Time frame: 3 months
Heart rate
Evolution of heart rate (Beats per minute) during exercise, monitoring of physiological parameters
Time frame: 3 months
oxygen consumption
Evolution of oxygen consumption (in liter) during exercise, monitoring of physiological parameters
Time frame: 3 months
Maximal voluntary contraction
Evolution of maximal voluntary contraction (in Newtons) during exercise, monitoring of physiological parameters
Time frame: 3 months
Left Ventricular Ejection Fraction (LVEF)
Evolution of Left Ventricular Ejection Fraction (in percentage) at rest, monitoring of cardiovascular parameters.
Time frame: 3 months
Global longitudinal strain (GLS)
Evolution of GLS (in percentage) at rest, monitoring of cardiovascular parameters
Time frame: 3 months
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