scholarly journals The Effect of Physiotherapy in the Treatment of Juvenile Idiopathic Arthritis

2019 ◽  
Vol 1 (14) ◽  
Author(s):  
Auksė Arbačiauskaitė ◽  
Vilma Dudonienė
Keyword(s):  
Quality Of Life ◽  
Juvenile Idiopathic Arthritis ◽  
Children And Adolescents ◽  
Physical Performance ◽  
Life Quality ◽  
Exercise Program ◽  
Aquatic Therapy ◽  
Physical Exercises ◽  
General Physical

Background. Juvenile idiopathic arthritis (JIA) is the most common and most diffcult chronic rheumatic disease in children. Exercise helps to avoid joint deformities or corrects them, also reduces pain and disease activity, normalizes physical function, growth and development, improves the patient’s quality of life. So far, there is no consensus on what kind of exercise is appropriate for children with juvenile idiopathic arthritis. Goal of the research. To defne the most often applied physiotherapy techniques and their impact on the treatment of children and adolescents with juvenile idiopathic arthritis analysing and summarizing scientifc articles. Methods. Twelve articles have been analysed. Systemic literature overview involved the articles on clinical research which were selected in the light of the following criteria: children with juvenile’s idiopathic arthritis; classic clinical tests performed; application of different physical exercises and survey of their accessibility; Childhood Health Assessment questionnaire; language and year of publication (2000–2015). Results. Research participants in the selected articles were 525 research children and adolescents with juvenile idiopathic arthritis. Their mean age ± SD was 11.2 ± 2.9 years (range 4–21 years). There were 348 (66%) girls and 177 (34%) boys. Aquatic therapy and Pilates workout had the strongest effect on pain relief, general physical performance and life quality, whereas balance and proprioception exercises had the best effect on balance and mobility. The results showed that regular physical exercises did not increase pain, they reduced the number of swollen joints, they were safe and effcient, also, that high-intensity aerobic exercises did not provide additional benefts, so it may suggest that low-intensity exercise program is more suitable for children with JIA because it is a slow and mild. Conclusion. Analysis of 12 articles have shown that general physical exercises (33.5%) and aquatic therapy (33.5%) are used most often, whereas balance-proprioception exercises are less frequent (17%), Pilates workout (8%) and Qigong relaxation (8%) are used very rarely. The most effcient methods for the improvement of general physical performance, quality of life, and reducing pain include aquatic therapy, Pilates workout and Qigong therapy. Balance-proprioception exercises are proved to be most effective in the improvement of mobility and balance.Keywords: juvenile idiopathic arthritis, physical exercises, training, physiotherapy, physical condition, life quality.

scholarly journals Predictors of health-related quality of life in children and adolescents with juvenile idiopathic arthritis: Results from a web-based survey

2012 ◽  
Vol 64 (5) ◽  
pp. 694-703 ◽  
Author(s):  
L. Haverman ◽  
M. A. Grootenhuis ◽  
J. M. van den Berg ◽  
M. van Veenendaal ◽  
K. M. Dolman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Juvenile Idiopathic Arthritis ◽  
Children And Adolescents ◽  
Health Related Quality ◽  
Web Based ◽  
Related Quality ◽  
Health Related

The Effect of a 12-Week Intradialytic Exercise on Patients’ Blood Indices, Physical Performance, and Quality of Life

2020 ◽  
Vol 10 (6) ◽  
pp. 1429-1435
Author(s):  
Ji-Yeon Lee ◽  
Seung-Hui Baek ◽  
Yoon-Mi Lee ◽  
Ji-Hyung Cho ◽  
Jun-Chul Kim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Performance ◽  
Short Form ◽  
Exercise Program ◽  
Physical Component Score ◽  
Blood Indices ◽  
Sf 36 ◽  
Significant Difference ◽  
Intradialytic Exercise

This study aims to examine the effect of a 12-week intradialytic exercise program on patients’ blood indices, physical performance, and quality of life. Forty-six outpatients who were diagnosed with end-stage renal failure by a nephrologist and received hemodialysis therapy for six months or longer were recruited. The data were analyzed using SPSS and Kruskal-Wallis test was employed to analyze the continuous variables. Among blood indices, Hematocrit decreased significantly after aerobic and complex exercise; hemoglobin dropped only after complex exercise; P and Ca×P increased for a considerable amount only after complex exercise, but the postexamination results show no significant difference. As for physical performance, sit-to-stand (STS)-5 decreased with resistance and complex exercise (p < .01), while there was a significant increase in STS-30 after aerobic, resistance, and complex exercise (p < .01). 6-minute walk test (MWT) grew significantly in all groups (p < .01), but alongside gait speed, and grip strength, it diminished significantly in the non-exercise group (p< .05). When it comes to SF-36, there was a significant rise in the physical component score (PCS) (p< .01) with resistance and complex exercise. In the meantime, mental component summary (MCS) went up significantly after all types of exercises (p < .01). In contrast, Beck depression inventory (BDI) showed a significant decline only with complex exercise (p < .01). To sum up, this study suggests intradialytic complex exercise appears to be effective in enhancing Short Form (SF)-36 and BDI as well as physical performance, which is why we recommend this type of complex exercise program for hemodialysis patients.

scholarly journals Positive Impact of Organized Physical Exercise on Quality of Life and Fatigue in Children and Adolescents With Cancer

2021 ◽  
Vol 9 ◽  
Author(s):  
Filippo Spreafico ◽  
Francesco Barretta ◽  
Michele Murelli ◽  
Marco Chisari ◽  
Giovanna Gattuso ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Children And Adolescents ◽  
Social Functioning ◽  
Positive Impact ◽  
Young Patients ◽  
Exercise Program ◽  
Well Being ◽  
Drop Out ◽  
Supervised Exercise

Background: Cancer and its treatment can cause serious health issues that impair physical and mental well-being in children and adolescents. Exercise may be a valid strategy for managing some symptoms, including fatigue. In the light of our experience, we provide further justification for including exercise as part of routine childhood cancer care.Methods: Forty-four children and adolescents who had solid cancers not contraindicating their movement were invited to join an in-hospital 6-week supervised exercise program, and asked afterwards to complete validated quality of life and fatigue scales. The program consisted of personalized workout sessions of aerobic, resistance and flexibility exercises. The results obtained on the scales were compared between 21 patients who engaged in the exercise program (GYM group) and 23 who refused (No-GYM group), examining the different dimensions of health-related quality of life (physical, emotional, cognitive, social) and fatigue (general, sleep/rest, cognitive) in the two groups.Results: Being diagnosed with cancer initially prompted all but one of the respondents to drop-out of previous routine exercise or sports although their continuation had not been contraindicated. After 6 weeks of exercise, the GYM group's scores for quality of life and fatigue showed a statistically significant better perceived emotional functioning, and a trend toward a better social functioning than in the No-GYM group.Conclusion: We suggest that exercise improves the satisfaction of children and adolescents with cancer with their physical, mental and social functioning. We would emphasize the potential benefits of general practitioners discussing and recommending exercise for their young patients with cancer.

scholarly journals Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus

2019 ◽  
Vol 77 (12) ◽  
pp. 860-870
Author(s):  
Paulo Cesar Modesto ◽  
Fernando Campos Gomes Pinto
Keyword(s):  
Quality Of Life ◽  
Physical Exercise ◽  
Activities Of Daily Living ◽  
Ventriculoperitoneal Shunt ◽  
Daily Living ◽  
Dynamic Balance ◽  
Exercise Program ◽  
Physical Exercises ◽  
Significant Difference

ABSTRACT Objective: To present a program of home physical exercises for patients with normal pressure hydrocephalus (NPH) and to evaluate adherence, acceptance and applicability; to verify possible changes in patients with NPH in the home physical exercise program, comparing patients with, and without, a ventriculoperitoneal shunt, regarding gait, quality of life, activities of daily living, static and dynamic balance and its impact on the risks of falling. Methods: This was a controlled clinical trial, with assessments in three moments (0, 10 and 18 weeks) at the home, from October 2015 to November 2017. Fifty-two patients (30 women and 22 men) participated in the study. Results: There was a statistically significant improvement with 10 weeks of home physical exercises for the groups with and without ventriculoperitoneal shunt, respectively, in the sub-items: activities of daily living p = 0.032*, p = 0.003*; static balance p < 0.001*, p < 0.001*; functional capacity p < 0.001*, p = 0.027*; and dynamic balance and gait p = 0.009*, p < 0.001*. There was no statistically significant difference for the subitems: quality of life p = 0.695, p = 1.000; and NPH grading scale p = 0.695, p = 1.000, respectively. Conclusion: The developed program of home physical exercise was easily applied and there was good acceptance by most patients with NPH included in the research. There was a statistically significant improvement with the 10 weeks of home physical exercises in the sub-items: activities of daily living, static balance and functional capacity, for both groups. In the sub-item dynamic balance and gait, there was a statistically significant improvement for both groups, but with a higher score for the group with a ventriculoperitoneal shunt. There was no statistically significant difference for the sub-items: quality of life, NPH grading scale and risk of falls, based on the Berg scale.

scholarly journals Impact of home exercise program on self-efficacy and quality of life among primary knee osteoarthritis patients: a randomized controlled clinical study

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Wafaa K. Makarm ◽  
Doaa M. Sharaf ◽  
Rabab S. Zaghlol
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Self Efficacy ◽  
Positive Impact ◽  
Life Quality ◽  
Exercise Program ◽  
Home Exercise ◽  
Outpatient Rehabilitation ◽  
Adherence Level

Abstract Background Knee osteoarthritis (KOA) is a common joint disorder in elderly individuals, causing pain, loss of physical functioning, disability, and reduction of life quality. Home exercise programs (HEP) serve as a crucial complement to outpatient rehabilitation therapy, as they save the cost of supervised physical therapy sessions, while also offering a high level of treatment. The aim of this study was to evaluate the effectiveness of the 6-month HEP on pain, quality of life, and self-efficacy in patients with primary KOA and to identify the adherence level to exercises and associations with patients’ characteristics and clinical outcomes. Results After 6 months of HEP, there were statistically significant differences between groups for self-efficacy (p ≤ 0.001, from 58.29 to 71.5) (p = 0.23, from 55.98 to 57.72), quality of life (p ≤0.001, from 60.1 to 72.2) (p = 0.074, from 60.35 to 60.92), and pain severity (P ≤0.001, from 58.29 to 41.4) (P = 0.88, from 61.2 to 60.9) in favor of exercise group. Conclusions Home-based exercise program improves pain score, self-efficacy, and quality of life in patients with knee osteoarthritis. Adherence level to the exercise program may have a positive impact on patient improvement.

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