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AB1444-HPR Does effect clinical pilates therapy on daily living avtivities and motor function in children with juvenile idiopathic arthritis in two weeks? A pilot study
  1. E. Unal1,
  2. S. Atasavun Uysal2,
  3. P. Dizmek1,
  4. Y. Bilginer3,
  5. A. Çelebi Tayfur3,
  6. S. Özen3
  1. 1Physiotherapy and Rehabilitation
  2. 2Ergotherapy
  3. 3Faculty of Medicine-Pediatric Rheumatology, Hacettepe University, Ankara, Turkey


Background The importance of exercise is remarkable in children with Juvenile Idiopathic Arthritis (JIA). ClinicalPilatesTherapy don’t generatefatigue,help inhibition of pain with respiratorycontrol and muscle spasm.This exercise model is entertainingand can be appliedas a group. Even though clinical pilates therapy is used on adult rheumatic patients, there is no study in JIA.

Objectives To investigate the effects of Clinical Pilates Therapy on daily living activities and motor function in patients with JIA.

Methods The study included 9 children (8F;1M) with JIA.After obtaining demographics, Childhood Health Assessment Questionnaire (CHAQ) was performed to evaluate daily living activities of children. Sedimentation rate (ESR) and C-reactive protein(CRP) were recorded. Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) was applied to assessment the motor function. The same assessments were repeated after treatment.Therapy sessions were done three times a week. A session was included warm-ups,the main workout and cool down.Therapy sessions were done three times a week, two times a day, two weeks, each session lasting one hour. The warm up exercises included the warm up exercises of clinical pilates exercises and light – intensity dance. The main exercises consisted of clinical pilates exercises and the cool down exercises consisted of the cool down exercises of clinical pilates and body image affirmation exercises with dance figures (this method is named as Clinical Pilates Therapy by Edibe Ünal).

Results The mean age was 11,11±2,47 years. The mean duration of disease was 5,22±2,72 years. 5 oligoarticuler and 4 polyarticular type JIA were included. After the treatment,there were significant improvements in BOTMP scores(P<0,05). Although ESR and CRP did remain in initial limits, CHAQ scores did not change.(P>0,05).

Conclusions It was concluded that clinical pilates therapy was shown positive effects on motor function in patients with JIA. But we considered that the application of this method in two weekly is not sufficient to show an effect on daily living. We assured that this method should be investigated on a larger patient group and in a longer period to obtain further effects. As a result, Clinical Pilates Therapy can be considered as reliable and safety exercise model in children with JIA to improve motor function in a short period.

  1. Boros, C. and B. Whitehead, Juvenile idiopathic arthritis. Australian family physician, 2010; 39(9): p. 630-6.

  2. Oliveira, S., et al., Proxy-reported health-related quality of life of patients with juvenile idiopathic arthritis: the Pediatric Rheumatology International Trials Organization multinational quality of life cohort study. Arthritis and rheumatism, 2007; 57(1): p. 35-43.

  3. Emery, H.M., S.L. Bowyer, and C.E. Sisung, Rehabilitation of the child with a rheumatic disease. Pediatric Clinics of North America, 1995; 42(5): p. 1263-83.

  4. Klepper, S.E., Effects of an eight-week physical conditioning program on disease signs and symptoms in children with chronic arthritis. Arthritis care and research: the official journal of the Arthritis Health Professions Association, 1999; 12(1): p. 52-60.

Disclosure of Interest None Declared

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