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Effectiveness of Early Physical Therapy Rehabilitation in Patient With Juvenile Rheumatoid Arthritis
Sampada Meghe1, Neha Chitale2, Pratik Phansopkar2
1Department of Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Insights
Juvenile idiopathic arthritis (JIA) is an inflammatory condition causing joint pain in children. This case highlights the importance of physiotherapy for a JIA patient awaiting corrective surgery.
Area of Science:
- Pediatrics
- Rheumatology
- Physical Therapy
Background:
- Juvenile idiopathic arthritis (JIA) is a chronic inflammatory condition affecting children under 16, characterized by joint pain, stiffness, and swelling.
- Current treatments include disease-modifying antirheumatic drugs (DMARDs), immunosuppressants, NSAIDs for pain relief, and physical therapy.
- Physical therapy is crucial for managing pain, improving joint function, and enhancing the quality of life for JIA patients.
Observation:
- A 12-year-old boy with a history of juvenile rheumatoid arthritis (JIA) presented with knee pain and gait disturbance after a fall.
- Investigations confirmed the pre-existing diagnosis of JIA.
- The patient was referred for pre-operative physiotherapy.
Findings:
- The case underscores the impact of JIA on mobility and the need for comprehensive care.
- Physiotherapy plays a vital role in preparing patients for surgical interventions.
- Early and targeted rehabilitation can optimize surgical outcomes.
Implications:
- This case emphasizes the integrated approach required for managing pediatric rheumatic diseases.
- Pre-habilitation physiotherapy can significantly benefit JIA patients undergoing surgery.
- Further research into tailored physiotherapy protocols for JIA patients is warranted.
Abstract:
A diverse group of idiopathic inflammatory arthritis that affects children under the age of 16 and lasts six weeks or longer is known as juvenile idiopathic arthritis (JIA) or juvenile rheumatoid arthritis (JRA). It causes joint pain and morning stiffness, and the affected joints swell and become difficult to move. During flares, patients may experience flu-like symptoms such as muscle aches and fatigue. Disease-modifying antirheumatic drugs (DMARDs) are the mainstay of rheumatoid arthritis (RA) treatment. If necessary, immunosuppressive medications can be administered in stages. Nonsteroidal anti-inflammatory drugs (NSAIDs) are pain relievers for joints. Physical therapy treatment aims to reduce pain, improve joint range, correct movement patterns, strengthen weak structures, improve cardiovascular endurance, and improve patients' quality of life. We present a case of a 12-year-old boy who presented to the hospital with knee pain and an inability to walk without assistance after falling on the ground one month prior. Medical history revealed that the patient had juvenile rheumatoid arthritis, which was confirmed on investigations. The consultant physician referred the patient for pre-rehabilitation physiotherapy before corrective surgery.
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