Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis

Objective. To assess efficacy of hospital stage of treatment including rehabilitation methods in pts with juvenile idiopathic arthritis (JIA) evaluating changes of some measures of functional status at admission and at discharge. Material and methods. 56 pts with different variants of JIA admitted t...

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Main Authors: T A Shelepina, O. I. Borodacheva, E S Fedorov
Format: Article
Language:Russian
Published: IMA PRESS LLC 2008-06-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/803
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author T A Shelepina
O. I. Borodacheva
E S Fedorov
author_facet T A Shelepina
O. I. Borodacheva
E S Fedorov
author_sort T A Shelepina
collection DOAJ
description Objective. To assess efficacy of hospital stage of treatment including rehabilitation methods in pts with juvenile idiopathic arthritis (JIA) evaluating changes of some measures of functional status at admission and at discharge. Material and methods. 56 pts with different variants of JIA admitted to the pediatric department of the Institute of Rheumatology of RAMS and treated with medicaments and rehabilitation methods. Correction of anti-inflammatory therapy influencing functional status (NSAIDs dose increase, intra-articular injections of glucocorticoids) was done in 36 pts. In the rest of pts treatment with DMARDs was changed. Mean duration of hospital stay was 20 days. At admission and at discharge following measures were recorded: pain on VAS, dynamometry, 25 m walking time, contracture angle and amplitude of movement of joint causing disability and treated with rehabilitation methods (mean summated measures were assessed, localization was not considered). Results. Significant change of pain (29,04 mm+2,9 mm vs 9,92 mm±l,6 mm), contracture angle (19,33o±l 1,12 о vs 10,33 о ±8,34 о) and movement amplitude (71,5 о ±38,52 о vs 90,71 о ±38,52 о). Significant improvement (movement amplitude increase from 68,6±42,4 to 85,3±41,0 and angle of deformation decrease from 15±5,8 to 8,5±7,4) was achieved in 20 pts without correction of treatment influencing functional status. Conclusion. Functional status of pts with JIA improved as a result of complex treatment with medicaments and active rehabilitation methods. Importance of rehabilitation treatment in pts with JIA during hospital stay was shown.
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spelling doaj.art-0ad14b08392a4c6883823465345164fc2023-03-22T13:45:44ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922008-06-014639510110.14412/1995-4484-2008-666743Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritisT A ShelepinaO. I. BorodachevaE S FedorovObjective. To assess efficacy of hospital stage of treatment including rehabilitation methods in pts with juvenile idiopathic arthritis (JIA) evaluating changes of some measures of functional status at admission and at discharge. Material and methods. 56 pts with different variants of JIA admitted to the pediatric department of the Institute of Rheumatology of RAMS and treated with medicaments and rehabilitation methods. Correction of anti-inflammatory therapy influencing functional status (NSAIDs dose increase, intra-articular injections of glucocorticoids) was done in 36 pts. In the rest of pts treatment with DMARDs was changed. Mean duration of hospital stay was 20 days. At admission and at discharge following measures were recorded: pain on VAS, dynamometry, 25 m walking time, contracture angle and amplitude of movement of joint causing disability and treated with rehabilitation methods (mean summated measures were assessed, localization was not considered). Results. Significant change of pain (29,04 mm+2,9 mm vs 9,92 mm±l,6 mm), contracture angle (19,33o±l 1,12 о vs 10,33 о ±8,34 о) and movement amplitude (71,5 о ±38,52 о vs 90,71 о ±38,52 о). Significant improvement (movement amplitude increase from 68,6±42,4 to 85,3±41,0 and angle of deformation decrease from 15±5,8 to 8,5±7,4) was achieved in 20 pts without correction of treatment influencing functional status. Conclusion. Functional status of pts with JIA improved as a result of complex treatment with medicaments and active rehabilitation methods. Importance of rehabilitation treatment in pts with JIA during hospital stay was shown.https://rsp.mediar-press.net/rsp/article/view/803juvenile idiopathic arthritisrehabilitationphysical treatment
spellingShingle T A Shelepina
O. I. Borodacheva
E S Fedorov
Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
Научно-практическая ревматология
juvenile idiopathic arthritis
rehabilitation
physical treatment
title Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
title_full Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
title_fullStr Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
title_full_unstemmed Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
title_short Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
title_sort efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
topic juvenile idiopathic arthritis
rehabilitation
physical treatment
url https://rsp.mediar-press.net/rsp/article/view/803
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AT esfedorov efficacyofrehabilitationtherapyonhospitalstageoftreatmentofpatientswithjuvenileidiopathicarthritis