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The benefits of physical therapy in juvenile idiopathic arthritis

Armando Di Ludovico1, Saverio La Bella2, Giulia Di Donato2

  • 1Department of Pediatrics, University of Chieti, Chieti, Italy. armandodl@outlook.com.

Rheumatology International
|June 29, 2023
PubMed

Insights

Physiotherapy (PT) programs are crucial for managing juvenile idiopathic arthritis (JIA) complications in children. Targeted exercises in PT may improve function and reduce pain in JIA patients.

Area of Science:

  • Pediatrics
  • Rheumatology
  • Physical Therapy

Background:

  • Juvenile idiopathic arthritis (JIA) is the most prevalent chronic rheumatic condition in children.
  • JIA can lead to significant short-term and long-term disability.
  • Physiotherapy (PT) is recommended for managing JIA complications like stiffness and deformity, but its impact on prognosis and quality of life (QOL) remains uncertain.

Purpose of the Study:

  • To review the specific effects of various physiotherapy interventions on manifestations of JIA.
  • To evaluate the potential of PT to enhance prognosis and QOL in children with JIA.

Main Methods:

  • A literature review was conducted using PubMed, Scopus, and DOAJ databases (searched June 2023).
  • Initial searches yielded 952 articles from PubMed and 108 from Scopus.
  • After screening, 18 relevant papers on PT for JIA patients were included in the final analysis.

Main Results:

  • Targeted PT exercises demonstrated potential benefits for children with JIA.
  • Improvements were observed in strength, posture, aerobic conditioning, gait, and functional mobility.
  • PT interventions were also associated with a reduction in pain.

Conclusions:

  • Physiotherapy plays a vital role in managing JIA.
  • Targeted PT exercises can positively impact multiple functional domains and alleviate pain in pediatric patients.
  • Further research may solidify PT's role in improving long-term outcomes and QOL for JIA.

Keywords:
Juvenile idiopathic arthritisPediatricsPhysiotherapyRehabilitationRheumatology

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