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[Physiotherapy and orthopedic treatment of juvenile chronic arthritis]
H van der Hoeven1, J van der Net, P J Helders
1Afd. Orthopedie, Universiteitsziekenhuis voor kinderen en jeugdigen, Het Wilhelmina Kinderziekenhuis, Utrecht.
Abstract:
The management of juvenile chronic arthritis requires a multidisciplinary approach. Treatment is based on knowledge of the pathogenetic factors playing a role in the disintegration of joints due to the chronic synovitis and consist of non-operative and operative methods. These therapeutic modalities are used in close coherence with each other. Preservation of ambulation and hand function has a priority in the treatment program. Early intervention, in order to prevent joint destruction is one of the cornerstones in the treatment of juvenile chronic arthritis.