Experience with conservative rehabilitation in patients with juvenile chronic arthritis

Objective: to estimate a need for conservative rehabilitation treatment in patients with juvenile chronic arthritis (JCA).Material and methods. Data on the principles and procedures of rehabilitation treatment were analyzed in patients with JCA on the basis of 25- year experience. The need for these...

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Main Authors: T. A. Shelepina, N. N. Kuzmina
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2016-03-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/667
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author T. A. Shelepina
N. N. Kuzmina
author_facet T. A. Shelepina
N. N. Kuzmina
author_sort T. A. Shelepina
collection DOAJ
description Objective: to estimate a need for conservative rehabilitation treatment in patients with juvenile chronic arthritis (JCA).Material and methods. Data on the principles and procedures of rehabilitation treatment were analyzed in patients with JCA on the basis of 25- year experience. The need for these packages of measures in 1999, 2008, and 2014 was compared. Standard procedures for joints at different sites were described. According to the degree of joint functions, there were rehabilitation treatment packages: corrective, mobilization, and general health-improving.Results and discussion. All patients with juvenile arthritis need rehabilitation (physical, psychological, and social). Comparison of the total number of patients who had received rehabilitation treatment in 1999, 2008, and 2014 showed a small trend towards its reduction. This is due to the smaller number of patients with dysfunctions and to the larger number of those without movement disorders who had received adequate treatment in early periods of the disease. The high percentage of patients having limited joint functions needs a mobilization package. Analysis of the data available in the literature and the authors' experience may lead to the conclusion that all patients with JCA need exercise therapy. The latter is a major procedure for physical rehabilitation and should be included in the standards for adjuvant treatment during basic medical therapy. Emphasis is laid on the importance of the early initiation of treatment to prevent incapacitating deformity at early stages of the disease.
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spelling doaj.art-02964836ec8148c5bceff4fb0d6254c22025-03-02T13:10:58ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2016-03-01101263010.14412/1996-7012-2016-1-26-301959Experience with conservative rehabilitation in patients with juvenile chronic arthritisT. A. Shelepina0N. N. Kuzmina1V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical SciencesV.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical SciencesObjective: to estimate a need for conservative rehabilitation treatment in patients with juvenile chronic arthritis (JCA).Material and methods. Data on the principles and procedures of rehabilitation treatment were analyzed in patients with JCA on the basis of 25- year experience. The need for these packages of measures in 1999, 2008, and 2014 was compared. Standard procedures for joints at different sites were described. According to the degree of joint functions, there were rehabilitation treatment packages: corrective, mobilization, and general health-improving.Results and discussion. All patients with juvenile arthritis need rehabilitation (physical, psychological, and social). Comparison of the total number of patients who had received rehabilitation treatment in 1999, 2008, and 2014 showed a small trend towards its reduction. This is due to the smaller number of patients with dysfunctions and to the larger number of those without movement disorders who had received adequate treatment in early periods of the disease. The high percentage of patients having limited joint functions needs a mobilization package. Analysis of the data available in the literature and the authors' experience may lead to the conclusion that all patients with JCA need exercise therapy. The latter is a major procedure for physical rehabilitation and should be included in the standards for adjuvant treatment during basic medical therapy. Emphasis is laid on the importance of the early initiation of treatment to prevent incapacitating deformity at early stages of the disease.https://mrj.ima-press.net/mrj/article/view/667juvenile chronic arthritisrehabilitation treatmentcorrective, mobilization, and general health-improving packages
spellingShingle T. A. Shelepina
N. N. Kuzmina
Experience with conservative rehabilitation in patients with juvenile chronic arthritis
Современная ревматология
juvenile chronic arthritis
rehabilitation treatment
corrective, mobilization, and general health-improving packages
title Experience with conservative rehabilitation in patients with juvenile chronic arthritis
title_full Experience with conservative rehabilitation in patients with juvenile chronic arthritis
title_fullStr Experience with conservative rehabilitation in patients with juvenile chronic arthritis
title_full_unstemmed Experience with conservative rehabilitation in patients with juvenile chronic arthritis
title_short Experience with conservative rehabilitation in patients with juvenile chronic arthritis
title_sort experience with conservative rehabilitation in patients with juvenile chronic arthritis
topic juvenile chronic arthritis
rehabilitation treatment
corrective, mobilization, and general health-improving packages
url https://mrj.ima-press.net/mrj/article/view/667
work_keys_str_mv AT tashelepina experiencewithconservativerehabilitationinpatientswithjuvenilechronicarthritis
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