Physical Activity, Physical Fitness, and Exercise Therapy in Children with Juvenile Idiopathic Arthritis

Houghton, Kristin

doi:10.3810/psm.2012.09.1979

Cited by 20 publications

(12 citation statements)

References 60 publications

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“…Children with JIA have poor PA levels, reduced fitness, and decreased exercise tolerance [138, 139]. As well, poor anaerobic fitness is strongly associated with reduced functional ability in JIA [140].…”

Section: Systemic Inflammatory/autoimmune Diseasementioning

confidence: 99%

“…For example, inflammation and joint degradation can result in pain and difficulty with moving. Muscle wasting and weakness is a common symptom that directly results from JIA, which may contribute to difficulty in maintaining PA levels [139]. A vicious cycle of inactivity including: joint pain and muscle weakness lead to reduced PA levels, may contribute to muscle atrophy, pain, and deconditioning.…”

Section: Systemic Inflammatory/autoimmune Diseasementioning

confidence: 99%

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Physical activity for children with chronic disease; a narrative review and practical applications

et al. 2019

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BackgroundPhysical activity (PA) is associated with a diverse range of health benefits. International guidelines suggest that children should be participating in a minimum of 60 min of moderate to vigorous intensity PA per day to achieve these benefits. However, current guidelines are intended for healthy children, and thus may not be applicable to children with a chronic disease. Specifically, the dose of PA and disease specific exercise considerations are not included in these guidelines, leaving such children with few, if any, evidence-based informed suggestions pertaining to PA. Thus, the purpose of this narrative review was to consider current literature in the area of exercise as medicine and provide practical applications for exercise in five prevalent pediatric chronic diseases: respiratory, congenital heart, metabolic, systemic inflammatory/autoimmune, and cancer.MethodsFor each disease, we present the pathophysiology of exercise intolerance, summarize the pediatric exercise intervention research, and provide PA suggestions. ResultsOverall, exercise intolerance is prevalent in pediatric chronic disease. PA is important and safe for most children with a chronic disease, however exercise prescription should involve the entire health care team to create an individualized program.ConclusionsFuture research, including a systematic review to create evidence-based guidelines, is needed to better understand the safety and efficacy of exercise among children with chronic disease.

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Section: Systemic Inflammatory/autoimmune Diseasementioning

confidence: 99%

Section: Systemic Inflammatory/autoimmune Diseasementioning

confidence: 99%

Physical activity for children with chronic disease; a narrative review and practical applications

et al. 2019

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“…Earlier studies with children and adolescents report lower grip strength results in negative consequences compared with healthy subjects [ 53 ]. The Abalakov test showed a deficit in muscle strength in lower limbs; the deficits conformed to balance analysis [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Fitness and the Balance Levels of Children with a Diagnosis of Juvenile Idiopathic Arthritis: A Pilot Study

Patti

Maggio

Corsello

et al. 2017

IJERPH

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Background: Juvenile idiopathic arthritis is a main cause of physical disability and has high economic costs for society. The purpose of this study was to assess the fitness levels and the postural and balance deficits with a specific test battery. Methods: Fifty-six subjects were enrolled in this study. Thirty-nine healthy subjects were included in the control group and seventeen in the juvenile idiopathic arthritis group. All subjects were evaluated using a posturography system. The fitness level was evaluated with a battery of tests (Abalakov test, sit-up test, hand grip test, backsaver sit and reach, the toe touch test). An unpaired t-test was used to determine differences. Pearson’s correlation coefficient was used to evaluate the correlation between the tests. Results: The battery of tests demonstrated that subjects in the juvenile idiopathic arthritis group have lower fitness levels compared to the control group. The juvenile idiopathic arthritis group showed low postural control with respect to the control group. Pearson analysis of the juvenile idiopathic arthritis group data showed significant correlations between variables. Pearson’s results from the control group data showed a similar trend. Conclusions: The results suggest that the battery of tests used could be an appropriate tool. However, we highlight that these conclusions need to be supported by other studies with a larger population scale.

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“…Arthritis in childhood has been associated with low levels of physical activity and poor physical fitness (Houghton, 2012). Whilst rest was previously recommended for children with arthritis, consistent exercise programmes alongside a more active lifestyle are now considered necessary to help manage the condition and have been shown to improve exercise capacity, decrease disability in adulthood, improve quality of life, and decrease disease parameters (Klepper et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The physical education experiences of pupils with juvenile idiopathic arthritis: An ableism-critical perspective

Rudd,

Hemingway,

Kirk

et al. 2023

European Physical Education Review

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There is an ever-growing body of research relating to disabled pupils’ experiences of physical education (PE). However, our research is novel because it draws on an ableism-critical perspective to amplify the voices and centre the PE experiences of pupils with juvenile idiopathic arthritis (JIA). We used an online survey to gather quantitative and qualitative data from 100 participants with a diagnosis to explore their perceptions of: (a) the influence of JIA on participation in PE; (b) relationships with same-aged peers and their influence on experiences in PE; (c) relationships with teachers and their influence on experiences in PE; and (d) the appropriateness of the PE curriculum. Microsoft Excel was utilised to analyse quantitative data and produce descriptive statistics that were used to map views and experiences of PE, while qualitative data generated from open questions were analysed thematically. We discuss data in relation to the following themes: (a) pain, fatigue, and fear of injury restricted participation in PE; (b) awareness and (mis)understanding of JIA; (c) the negative judgements of others and peer bullying in PE; and (d) the (in)appropriateness of the PE curriculum. We end this article by emphasising the importance of disrupting ableist ideologies, discourses, and knowledge, particularly as these all relate to (mis)understandings of JIA and negative perceptions about the ability of such pupils in PE, because they are contributing to the marginalisation and ostracisation of pupils with JIA.

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Physical Activity, Physical Fitness, and Exercise Therapy in Children with Juvenile Idiopathic Arthritis

Cited by 20 publications

References 60 publications

Physical activity for children with chronic disease; a narrative review and practical applications

Physical activity for children with chronic disease; a narrative review and practical applications

Evaluation of Fitness and the Balance Levels of Children with a Diagnosis of Juvenile Idiopathic Arthritis: A Pilot Study

The physical education experiences of pupils with juvenile idiopathic arthritis: An ableism-critical perspective

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