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Published on: July 27, 2022
Physical Activity and Sports for Children With Juvenile Idiopathic Arthritis
Jheel Pandya1, Lauren J Menino Rosenbluth2, Alexa B Adams1
1Department of Pediatric Rheumatology, Hospital for Special Surgery, New York, NY, USA.
Insights
Physical activity is crucial for children with juvenile idiopathic arthritis (JIA), but guidelines for sports and exercise programs are lacking. This review synthesizes current knowledge to inform best practices for JIA management.
Area of Science:
- Pediatric Rheumatology
- Sports Medicine
- Rehabilitation Science
Background:
- Juvenile idiopathic arthritis (JIA) is the most prevalent rheumatic condition in children.
- Current evidence supports physical activity for JIA, yet lacks specific recommendations for sports and structured exercise.
- No universally accepted therapeutic exercise program exists for JIA.
Purpose of the Study:
- To review and synthesize existing literature on physical activity management in children with JIA.
- To provide recommendations for sports participation and therapeutic exercise programs.
- To outline strategies for safe return to activity following JIA-related issues.
Main Methods:
- Comprehensive literature review of pediatric rheumatology and rehabilitation studies.
- Analysis of available evidence on physical activity, sports, and exercise for JIA.
- Synthesis of recommendations from relevant clinical and research literature.
Main Results:
- Evidence supports physical activity for children with JIA.
- Limited specific guidance exists for sports participation and structured exercise programs.
- Recommendations for return to activity are derived from available literature.
Conclusions:
- Further research is needed to establish evidence-based guidelines for physical activity in JIA.
- A structured approach to therapeutic exercise and sports participation is essential for managing JIA.
- This review provides a foundation for developing best practices in pediatric rheumatology and rehabilitation.
Abstract:
Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease of childhood, presenting clinically as inflammatory arthritis in children younger than 16 years. To date, while evidence supports physical activity for children with JIA, there is limited evidence on the recommended approach to physical activity and sports participation in this population, and no single structured therapeutic exercise program has been established as best practice. This review article presents what is known on the management of physical activity in children with JIA, including recommendations from the pediatric rheumatology and rehabilitation literature, where available, for sports participation, structured therapeutic exercise programs, and return to activity.
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