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FRI0477-HPR The efficacy of land-based home exercise program in patients with juvenile idiopathic arthritis: A randomized-controlled, single-blind study
  1. E. Tarakci1,
  2. I. Yeldan1,
  3. S. Baydogan2,
  4. S. Olgar3,
  5. O. Kasapcopur4
  1. 1Faculty of Health Sciences, Division of Physiotherapy And, Istanbul University
  2. 2Center of Burcu Physical Therapy and Rehabilitation, istanbul
  3. 3Medical Faculty, Division of Pediatric, 3 Kahramanmaras Sutcu Imam University, Kahramanmaras
  4. 4Medical Faculty of Cerrahpasa, Department of Pediatric Rheumatology, Istanbul University, istanbul, Turkey

Abstract

Background Juvenile idiopathic arthritis (JIA) is a common chronic illness that affects 1 in 1,000 children (1). Patients with JIA may experience significant disability due to muscular weakness, joint pain, contracture, and physical deconditioning. Children with arthritis have been shown to participate in less physical activities and to have low functional ability and decreased physical fitness than their peers (2-5).

Objectives To investigate the effects of land-based home exercise program on pain, functional ability, and health-related quality of life in patients with JIA.

Methods A randomized controlled single-blind study design including 81 patients (ages 5-17 years) with JIA was used. Socio-demographic data and clinical features were assessed. Functional ability was assessed with 6-Minute Walking Test (6-MWT) and Childhood Health Assessment Questionnaire (CHAQ). Pain was measured using a Visual Analog Scale (VAS). Quality of life was evaluated with The Pediatric Quality of Life Inventory (PedsQL). Patients were randomly assigned to the exercise or control group. Exercise group (n=43) completed 12-week individually planned land-based home exercise program once a week at hospital for 4 days per week. Control group (n=38) was included in waiting list until the end of the study. All patients continued stable dosage on medication through the study.

Results In comparison of first assessment values for 6-MWT, CHAQ, VAS, PedsQL-self report and PedsQL-parent report, there was no statistically significant difference in all outcome measures between two groups. While only VAS score decreased significantly (p<0.01) in control group, statistically significant improvements (p<0.001) were found in all outcome measures in exercise group after 12 weeks. Except that VAS score (p>0.05), changes in other outcome measures (p<0.001) were significant in favour of exercise group.

Conclusions The study demonstratedthat participating in 12-week individually planned land-based home exercise program may result improved physical function and quality of life in patients with JIA.

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  3. 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.

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  5. Lelieveld OT, van Brussel M, Takken T, van Weert E, van Leeuwen MA, Armbrust W. Aerobic and anaerobic exercise capacity in adolescents with juvenile idiopathic arthritis. Arthritis Rheum 2007; 57(6): 898–904.

Disclosure of Interest None Declared

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