Susan Klepper1, Taryn Tamiko Mano Khong, Rachel Klotz, Adrienne Odmark Gregorek, Y Chee Chan, Samantha Sawade. 1. Program in Physical Therapy-retired (Dr Klepper), Department of Rehabilitation and Regenerative Medicine, Columbia University Medical Center, New York, New York; University of Utah Health (Dr Mano Khan), South Jordan, Utah; Lucille Packard Children's Hospital (Dr Klotz), Palo Alto, California; Westside Dance Physical Therapy (Dr Gregorek), New York, New York; Sloane Stecker Physical Therapy (Dr Chan), New York, New York; University of Colorado School of Medicine/Children's Hospital Colorado (Dr Sawade), Aurora, Colorado.
Abstract
PURPOSE: To examine safety and efficacy of exercise training (ET) for juvenile idiopathic arthritis (JIA) to improve physical fitness, pain, functional capability, and quality of life. METHODS: Ovid Medline, PubMed, CINAHL, PEDro, and Web of Science were searched from 1995 to April 2018 to find English-language articles examining effects of ET in JIA, ages 4 to 21 years. Quality of evidence/strength of clinical recommendations were assessed using the Cochrane GRADE (Grading of Recommendations, Assessment, Development and Evaluation) system. Results were reported using the 2009 Preferred Reporting Items for Systematic Reviews and meta-Analyses (PRISMA) checklist for health care interventions. RESULTS: Nine papers met inclusion criteria. A total of 457 individuals with JIA, ages 4 to 19.9 years, received ET or alternate activity, wait-list, or no intervention. Moderate-quality evidence supports Stott Pilates and underwater knee-resistance exercise. No adverse effects of ET were reported. CONCLUSIONS: Moderate-quality evidence exists for ET (30-50 minutes, 2-3 times/week, 12-24 weeks) to decrease pain, improve range of motion, knee strength, functional capability, and quality of life in JIA.
PURPOSE: To examine safety and efficacy of exercise training (ET) for juvenile idiopathic arthritis (JIA) to improve physical fitness, pain, functional capability, and quality of life. METHODS: Ovid Medline, PubMed, CINAHL, PEDro, and Web of Science were searched from 1995 to April 2018 to find English-language articles examining effects of ET in JIA, ages 4 to 21 years. Quality of evidence/strength of clinical recommendations were assessed using the Cochrane GRADE (Grading of Recommendations, Assessment, Development and Evaluation) system. Results were reported using the 2009 Preferred Reporting Items for Systematic Reviews and meta-Analyses (PRISMA) checklist for health care interventions. RESULTS: Nine papers met inclusion criteria. A total of 457 individuals with JIA, ages 4 to 19.9 years, received ET or alternate activity, wait-list, or no intervention. Moderate-quality evidence supports Stott Pilates and underwater knee-resistance exercise. No adverse effects of ET were reported. CONCLUSIONS: Moderate-quality evidence exists for ET (30-50 minutes, 2-3 times/week, 12-24 weeks) to decrease pain, improve range of motion, knee strength, functional capability, and quality of life in JIA.
Authors: Ragab K Elnaggar; Waleed S Mahmoud; Walid K Abdelbasset; Bader A Alqahtani; Saud M Alrawaili; Mahmoud S Elfakharany Journal: Lasers Med Sci Date: 2021-10-02 Impact factor: 3.161
Authors: Carolina Poncela-Skupien; Elena Pinero-Pinto; Carmen Martínez-Cepa; Juan Carlos Zuil-Escobar; Rita Pilar Romero-Galisteo; Rocío Palomo-Carrión Journal: Int J Environ Res Public Health Date: 2020-10-13 Impact factor: 3.390