Session Information
Date: Tuesday, November 7, 2017
Title: Pediatric Rheumatology – Clinical and Therapeutic Aspects Poster III: Juvenile Arthritis
Session Type: ACR Poster Session C
Session Time: 9:00AM-11:00AM
Background/Purpose:
Juvenile idiopathic arthritis (JIA) is one of the most common rheumatic diseases in childhood, affecting at least 1 in 1000 children. Children with JIA, experience joint inflammation and swelling, pain and tenderness, morning stiffness, limited mobility. Children with JIA complain pain and have lower functional ability and decreased quality of life compared with their peers.The objective of this study was to investigate the effects of a function-based exercise program on pain, functional ability and quality of life in children with JIA.
Methods:
32 children with JIA (19 female and 13 male), age range 5- 16 years, participated in this study. Patient population consisted of 21 children with polyarticular, 9 children with oligoarticular, 1 children with systemic arthritis, and 1 children with psoriatic arthritis. All children and their parents were informed of about the study and the informed consent was obtained. The study was approved by Ethics Committee of Istanbul University.
Functional ability, pain, and quality of life were assessed with a Childhood Health Assessment Questionnaire (CHAQ), 11-point Numeric Analogue Scale (NRS) and the Pediatric Quality of Life Inventory (PedsQL), respectively. The children completed a 12-week individually planned function-based exercise program for thrice a week at the hospital in the supervised by the physical therapist. Function-based exercise program contained weight bearing to affected joint, squat, walking stair climbing and various activities for the upper limb (variable according to the needs of each patient).
Results:
The mean age and disease duration were 10.13±3.50 and 5.57±3.20 years, respectively. The mean of number of affected joint was 3.31±1.20. Baseline scores were NRS 30.31±24.81, CHAQ 0.73±0.68 and PedsQL 62.61±25.15. After the function-based exercise program, scores of NRS, CHAQ and PedsQL were 20.47±20.13, 0.23±0.38 and 84.46±13.67, respectively. Statistically significant improvements were found in all the outcome measures after the function-based exercise program (p<0.001). Also, it was found clinically relevant changes of CHAQ scores in a total of %74.4 of the children with JIA after the treatment.
Conclusion:
The study demonstrated that a 12-week individually planned function-based exercise program could result in improved pain, independence of functional, quality of life in children with JIA. So, we suggest that an exercise program should be planned individually and focus function in children with JIA. Further research is needed to clarify the long-term effect of exercise in children with JIA.
References:
1- Barut K, Adrovic A, Şahin S, Kasapçopur Ö. Juvenile Idiopathic Arthritis. Balkan Med J 2017;34: 90-101.
2- Tarakci E, Yeldan I, Kaya Mutlu E, Baydogan SN, Kasapcopur O. The relationship between physical activity level, anxiety, depression, and functional ability in children and adolescents with juvenile idiopathic arthritis. Clin Rheumatol. 2011;30:1415-20.
3- Tarakci E, Baydogan SN, Kasapcopur O, Dirican A. Cross-cultural adaptation, reliaability, and validity of the Turkish version of PedsQL. Qual Life Res. 2013;22:531-6.
To cite this abstract in AMA style:
Tarakci E, Baydogan SN, Sahin S, Adrovic A, Barut K, Kasapcopur O. Efficacy of Function-Based Exercise Program on Functional Ability, Pain and Quality of Life in Children with Juvenile Idiopathic Arthritis [abstract]. Arthritis Rheumatol. 2017; 69 (suppl 10). https://acrabstracts.org/abstract/efficacy-of-function-based-exercise-program-on-functional-ability-pain-and-quality-of-life-in-children-with-juvenile-idiopathic-arthritis/. Accessed .« Back to 2017 ACR/ARHP Annual Meeting
ACR Meeting Abstracts - https://acrabstracts.org/abstract/efficacy-of-function-based-exercise-program-on-functional-ability-pain-and-quality-of-life-in-children-with-juvenile-idiopathic-arthritis/