Exercise in pediatric rheumatic diseases

Abstract

A sedentary lifestyle contributes to secondary impairments in aerobic and muscular fitness, bone health, and functional limitations in children and adolescents with rheumatic disease despite advances in the pharmacological management of these inflammatory conditions. Increased levels of moderate to vigorous physical activity and structured exercise may improve exercise capacity, performance of daily activities, and overall quality of life.

Juvenile idiopathic arthritis and physical activity: Possible inflammatory and immune modulation and tracks for interventions in young populations

“…The trends for outcome measures all point to benefits of exercise, with increased strength and range of motion, improved joint stiffness, and better quality of life [37]. However, results for pain are contradictory [27][28][29]32,35].…”

Participation in Leisure Activities among Canadian Children with Arthritis. A Wakeup Call for Physicians

“…However, the full effect of tissue loading on joint surfaces during exercise is unknown. When lower extremity joints are affected, low-to moderate-intensity weight-bearing exercise is generally recommended 18 . Periarticular osteopenia and atrophied muscle around active joints may escalate the risk of fracture.…”

Medical and Orthopedic Conditions and Sports Participation

“…Aerobic, flexibility, static, dynamic, and neuromuscular demands of the sport should be considered, as well as the potential for contact or collision. 2 The availability of safety equipment has to be explored, alongside the need for splints or orthosis. 2 The family and coaches have to assess the athlete's ability to self-limit participation.…”

“…2 The availability of safety equipment has to be explored, alongside the need for splints or orthosis. 2 The family and coaches have to assess the athlete's ability to self-limit participation. 2 JIA often persists into adulthood, although fewer than 10% become severely disabled.…”

“…2 The family and coaches have to assess the athlete's ability to self-limit participation. 2 JIA often persists into adulthood, although fewer than 10% become severely disabled. 10 Promoting sports during childhood and adolescence hopefully will help individuals to acquire healthy practices and maintain an active lifestyle as they transition into adulthood.…”