ClinicalTrials.gg
RecruitingNCT07749547Updated Nov 5, 2026

Using Personalized Rehabilitation to Reduce Disease and Increase Activity of Patients With Polymyalgia Rheumatica

An interventional study of Movement Pattern Training (MoveTrain) and Usual Care in Polymyalgia Rheumatica (PMR), sponsored by Washington University School of Medicine. Recruiting at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Washington University School of Medicine · Not applicable, Interventional, and Other

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 5, 2026Now RecruitingFirst site in United States+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

Polymyalgia rheumatica (PMR) is a condition that causes joint pain and stiffness, making it hard for people to do everyday tasks. Movement pattern training is a special, personalized rehabilitation program that aims to reduce pain by improving how people move during their daily activities. The investigators plan to test if it's possible to conduct a detailed study to find out how effective Movement pattern training is for people with PMR. The investigators will look at whether it helps them perform activities they want to do, reduce their use of certain medications, and strengthen their muscles. The investigators will also gather feedback from patients about their experience with Movement pattern training. This study will help us understand if carrying out a larger study on Movement pattern training's effectiveness is practical.

02

Conditions studied

  • Polymyalgia Rheumatica (PMR)

Browse trials for

Keywords

  • rehabilitation
  • physical therapy
03

In context

Polymyalgia Rheumatica

68 studies on the registry are indexed under Polymyalgia Rheumatica; 22 are open to participants now.

This study's planned enrollment of 20 is below the median of 66 across 39 interventional studies indexed under Polymyalgia Rheumatica.

Browse Polymyalgia Rheumatica studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,803 studies on the registry; 271 are open to participants now.

Of its 329 completed or terminated interventional studies of FDA-regulated products, 216 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Nov 5, 2026. See what changed

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient reports pain > 3 (0-10, 0 = no pain; 10 = worst pain imaginable)
  • Diagnosis or flare of PMR according to the European League against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria as follows (must satisfy all criteria)10:

    • Age ≥50 years at time of diagnosis
    • Presence of bilateral shoulder pain
    • Elevated acute phase reactants C-reactive protein (CRP) >10 milligram/Liter and/or Erythrocyte Sedimentation Rate (ESR) >30 millimeters/hour*
    • A score ≥4 at the time of diagnosis based on the following (without ultrasound):

      • Duration of morning stiffness >45 minutes: 2 points
      • Hip pain or limited range of motion: 1 point
      • Seronegative for rheumatoid factor and anti-cyclic citrullinated peptide: 2 points
      • Absence of other joint involvement: 1 point
  • Able to give
  • Physician's clearance to participate in physical activity

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of fibromyalgia, neuropathic muscular disease, complex regional pain syndrome, or small fiber neuropathy
  • planned major surgical procedure during the study
  • Current active uncontrolled infection
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Active comparator
    Usual Care

    Patients will be encouraged to complete their treatment as described by their physician.

    Other: Usual Care

  • Experimental
    Movement Pattern Training (MoveTrain)

    Movement pattern Training (MoveTrain) is progressive activity-specific training to improve altered joint motion during patient-specific tasks. At baseline, each patient identifies specific activities (e.g., getting out of bed), work (e.g., reaching overhead), and physical activities (e.g., cycling) that are difficult due to their pain. A movement examination is performed to identify the altered joint motion on associated with movement-evoked pain and the motion modification that reduces their pain. The treatment provider then instructs the patient in activity-specific training, which includes practicing multiple repetitions of the modified activity as their home exercise program. Patients also are instructed to use the trained modified motion during their daily activities to maximize their use in daily routines. This encourages frequent practice and potentially greater program sustainability.

    Behavioral: Movement Pattern Training (MoveTrain)

Interventions

  • BehavioralMovement Pattern Training (MoveTrain)

    6 individualized treatment sessions over 10 weeks * Motivational interviewing to determine personal goals and strengthen motivation and commitment to change * Activity-specific training to practice modified motion during patient-specific tasks, defined as activities reported by each patient as pain-provoking * Home exercise program 3 times/week consisting of activities or exercises assigned in the supervised sessions * Patient's independence and adherence in performing home exercise program will be documented * Patients are encouraged to use modified motion during daily and physical activities * Based on patient performance, activity difficulty is progressed by increasing repetitions performed or increasing load or speed

  • OtherUsual Care

    * Basic education about polymyalgia rheumatica, benefits of physical activity * Patients will be encouraged to participate in physical activity as tolerated * Medication as prescribed by their physician

06

What researchers measure

Primary outcomes

  1. Number of potential participants accessed.

    The total number of people with Polymyalgia rheumatica (PMR) who were recruited each week

    Time frame: 7 months

  2. Percent of eligible participants who were willing to be randomized

    Percent of eligible participants are willing to be randomized during the study

    Time frame: 7 months

Secondary outcomes

  1. Preliminary estimates of change in polymyalgia rheumatica impact scale (PMR-IS)

    The change in polymyalgia rheumatica impact scale (PMR-IS), a self-report questionnaire specific to polymyalgia rheumatica, that represents the patients symptoms and functional ability.

    Time frame: From enrollment to the end of treatment at 10 weeks

  2. Preliminary estimates of change in physical activity

    The change in physical activity as represented by the Stanford 7-DAy Physical Activity Recall survey

    Time frame: From enrollment to the end of treatment at 10 weeks

  3. Preliminary estimates of change in cumulative glucocorticoid dose

    Change in cumulative glucocorticoid dose assessed by patient's self-report logs

    Time frame: From enrollment to the end of treatment at 10 weeks

  4. Preliminary estimates of change in muscle strength

    change in muscle strength of the hips and shoulders, assessed using a hand dynamometer

    Time frame: From enrollment to the end of treatment at 10 weeks

07

Study locations

1 of 1 sites recruiting
  • Washington University School of Medicine, Program in Physical Therapy
    St Louis, Missouri 63110, United States
    Recruiting
    • Marcie Harris-Hayes, PT, DPT, MSCI · Contactharrisma@wustl.edu · 314-286-1435
    • Marcie Harris-Hayes, PT, DPT, MSCI · Principal investigator
08

References and documents

Publications

  • Harris-Hayes M, Steger-May K, Bove AM, Foster SN, Mueller MJ, Clohisy JC, Fitzgerald GK. Movement pattern training compared with standard strengthening and flexibility among patients with hip-related groin pain: results of a pilot multicentre randomised clinical trial. BMJ Open Sport Exerc Med. 2020 Mar 23;6(1):e000707. doi: 10.1136/bmjsem-2019-000707. eCollection 2020. PubMed 32518674 ↗
  • Mackie SL, Twohig H, Neill LM, Harrison E, Shea B, Black RJ, Kermani TA, Merkel PA, Mallen CD, Buttgereit F, Mukhtyar C, Simon LS, Hill CL; OMERACT PMR Working Group. The OMERACT Core Domain Set for Outcome Measures for Clinical Trials in Polymyalgia Rheumatica. J Rheumatol. 2017 Oct;44(10):1515-1521. doi: 10.3899/jrheum.161109. Epub 2017 Aug 1. PubMed 28765246 ↗
  • O'Brien AV, Muller S, Liddle J, Thomas MJ, Mallen CD. Physiotherapy for the Management of Polymyalgia Rheumatica: Results From a UK Cross-Sectional Survey. Musculoskeletal Care. 2025 Sep;23(3):e70155. doi: 10.1002/msc.70155. PubMed 40619692 ↗
  • Harris-Hayes M, Czuppon S, Van Dillen LR, Steger-May K, Sahrmann S, Schootman M, Salsich GB, Clohisy JC, Mueller MJ. Movement-Pattern Training to Improve Function in People With Chronic Hip Joint Pain: A Feasibility Randomized Clinical Trial. J Orthop Sports Phys Ther. 2016 Jun;46(6):452-61. doi: 10.2519/jospt.2016.6279. Epub 2016 Apr 26. PubMed 27117727 ↗
  • Twohig H, Mitchell C, Mallen CD, Muller S. Development and psychometric evaluation of the PMR-Impact Scale: a new patient reported outcome measure for polymyalgia rheumatica. Rheumatology (Oxford). 2023 Feb 1;62(2):758-765. doi: 10.1093/rheumatology/keac317. PubMed 35639659 ↗
  • Twohig H, Mitchell C, Mallen C, Adebajo A, Mathers N. "I suddenly felt I'd aged": a qualitative study of patient experiences of polymyalgia rheumatica (PMR). Patient Educ Couns. 2015 May;98(5):645-50. doi: 10.1016/j.pec.2014.12.013. Epub 2015 Jan 15. PubMed 25638304 ↗
  • Taylor CB, Coffey T, Berra K, Iaffaldano R, Casey K, Haskell WL. Seven-day activity and self-report compared to a direct measure of physical activity. Am J Epidemiol. 1984 Dec;120(6):818-24. doi: 10.1093/oxfordjournals.aje.a113954. PubMed 6507425 ↗
  • Slade SC, Dionne CE, Underwood M, Buchbinder R. Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement. Br J Sports Med. 2016 Dec;50(23):1428-1437. doi: 10.1136/bjsports-2016-096651. Epub 2016 Oct 5. PubMed 27707738 ↗
  • Hutchings A, Hollywood J, Lamping DL, Pease CT, Chakravarty K, Silverman B, Choy EH, Scott DG, Hazleman BL, Bourke B, Gendi N, Dasgupta B. Clinical outcomes, quality of life, and diagnostic uncertainty in the first year of polymyalgia rheumatica. Arthritis Rheum. 2007 Jun 15;57(5):803-9. doi: 10.1002/art.22777. PubMed 17530680 ↗
  • Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour V, Macdonald H, Johnston M, Lamb SE, Dixon-Woods M, McCulloch P, Wyatt JC, Chan AW, Michie S. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014 Mar 7;348:g1687. doi: 10.1136/bmj.g1687. PubMed 24609605 ↗
  • Freedland KE, King AC, Ambrosius WT, Mayo-Wilson E, Mohr DC, Czajkowski SM, Thabane L, Collins LM, Rebok GW, Treweek SP, Cook TD, Edinger JD, Stoney CM, Campo RA, Young-Hyman D, Riley WT; National Institutes of Health Office of Behavioral and Social Sciences Research Expert Panel on Comparator Selection in Behavioral and Social Science Clinical Trials. The selection of comparators for randomized controlled trials of health-related behavioral interventions: recommendations of an NIH expert panel. J Clin Epidemiol. 2019 Jun;110:74-81. doi: 10.1016/j.jclinepi.2019.02.011. Epub 2019 Feb 28. PubMed 30826377 ↗
  • Dishman RK, Steinhardt M. Reliability and concurrent validity for a 7-d re-call of physical activity in college students. Med Sci Sports Exerc. 1988 Feb;20(1):14-25. doi: 10.1249/00005768-198802000-00003. PubMed 3343912 ↗

Individual participant data

Plan to share: No — This is a feasibility study with only 20 planned participants with limited budget. There is insufficient support for personnel required to prepare the data for sharing purposes.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 7, 2026
Sites
1 site added — first site in United States
Show site
  • Washington University School of Medicine, Program in Physical Therapy · St Louis, United States
Oct 7, 2026
Eligibility
1 inclusion criterion added, 2 removed
What changed in the criteria
Inclusion criteria
  • RemovedPatient reports a diagnosis or flare of polymyalgia rheumatica (PMR) < 5 months before the screening contact
  • AddedPatient reports pain > 3 (0-10, 0 = no pain; 10 = worst pain imaginable)
  • RemovedInitiated pharmacological treatment
Nov 5, 2026
Show all 2 updates
  1. Nov 5, 2026
    Eligibility 1 inclusion criterion added, 2 removed
    What changed in the criteria
    Inclusion criteria
    • RemovedPatient reports a diagnosis or flare of polymyalgia rheumatica (PMR) < 5 months before the screening contact
    • AddedPatient reports pain > 3 (0-10, 0 = no pain; 10 = worst pain imaginable)
    • RemovedInitiated pharmacological treatment
    + 1 other change: verification date
  2. Oct 7, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in United States
    Show site
    • Washington University School of Medicine, Program in Physical Therapy · St Louis, United States
    + 2 other changes: verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07749547
Responsible party
Sponsor
First posted
Aug 6, 2026
Start date
Aug 15, 2026
Primary completion
Mar 31, 2027 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Nov 5, 2026

Study contacts

Marcie Harris-Hayes, DPT, MSCI
Contact
harrisma@wustl.edu
314-286-1435

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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