Effectiveness of an Intervention Combining Adapted Physical Activity and Therapeutic Education in Patients With Chronic Symptoms Attributed to Lyme Borreliosis.

Centre Hospitalier Universitaire de Saint Etienne62 enrolled

Overview

Lyme borreliosis, commonly known as Lyme disease, has been clinically described for more than a century, but has been officially recognized for 40 years, with the detection of the Borrelia bacterium by W. Burgdorfer, in ticks of the Ixodes ricinus complex, identified a few years before.

Apart from the early localized presentation, with a well established treatment, Lyme borreliosis is a complex infection. Indeed, its presentation can be late and very polymorphic, which can evoke functional somatic disorders and make its management difficult. In 2016, the French Ministry of Health decided to launch a national plan to fight Lyme borreliosis. One of the objectives of this national plan was to improve management based on a specific multidisciplinary care pathway.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Lyme Borreliosis Physical Activity Lyme Borreliosis, Nervous System

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient referred to the reference center for tick-borne diseases by his attending physician * Duration of symptoms \>6 months * At the end of the initial assessment, the diagnosis of functional somatic disorders is retained after consensus between the physicians * Patient practicing less than 150 minutes of regular physical activity per week (WHO recommendations) Exclusion Criteria: * Patients with cardiac or respiratory pathologies that contraindicate the practice of physical activity physical activity * Important comorbidities contraindicating the practice of physical activity: associated cardiac pathologies associated cardiac pathologies (severe rhythm disorders such as rapid atrial fibrillation), respiratory pathologies respiratory pathologies (obstructive or severe restrictive respiratory insufficiency), disabling joint pathologies joint pathologies (gonarthrosis or coxarthrosis limiting training on a treadmill or on a high-intensity bicycle). intensity cycling). * Patients under guardianship or curatorship

Outcomes

Primary Outcomes

Average level of moderate to vigorous physical activity (PA) - MET-h/week

MET = metabolic equivalent This is measured with actimetry (Actigraph GT3x, Pensacola, Florida, USA).

Time frame: 1 year after implementation of the PA program

Secondary Outcomes

average level of sedentary lifestyle (h/day)

This is measured with actimetry (Actigraph GT3x, Pensacola, Florida, USA). The average sedentary time measured in industrialized countries is about 4 hours per day (excluding time spent sitting at work and in transport)