Physical therapy management of patients with juvenile rheumatoid arthritis

V J Rhodes1

  • 1Newington Children's Hospital, CT 06111.

Physical Therapy
|December 1, 1991
PubMed

Insights

Juvenile rheumatoid arthritis (JRA) is a common childhood rheumatic disease causing disability. Physical therapy is vital for managing JRA, requiring understanding of its epidemiology, pathophysiology, and clinical features for effective treatment.

Area of Science:

  • Rheumatology
  • Pediatric Medicine
  • Physical Therapy

Background:

  • Juvenile rheumatoid arthritis (JRA) is the most prevalent rheumatic condition in children.
  • JRA is a significant contributor to childhood disability.
  • Physical therapists are integral to the multidisciplinary JRA treatment team.

Purpose of the Study:

  • To provide a comprehensive overview of JRA.
  • To detail the role of physical therapy in JRA management.
  • To discuss orthopedic manifestations and surgical options for JRA.

Main Methods:

  • Literature review on JRA epidemiology and pathophysiology.
  • Analysis of clinical characteristics of JRA.
  • Examination of physical therapy principles, evaluation, and treatment techniques for JRA.

Main Results:

  • JRA presents diverse clinical and orthopedic challenges.
  • Physical therapy interventions are crucial for functional improvement in JRA.
  • Understanding disease mechanisms informs tailored therapeutic strategies.

Conclusions:

  • A thorough understanding of JRA's multifaceted nature is essential for effective physical therapy.
  • Interdisciplinary collaboration and evidence-based physical therapy are key to managing JRA.
  • This review synthesizes critical information for clinicians managing pediatric rheumatic diseases like JRA.

Related Concept Videos

Myasthenia Gravis: Overview and Treatment01:20

Myasthenia Gravis: Overview and Treatment

Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...