Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis
Introduction: Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in children and teens. The inflammation of various joints causes pain. Early diagnosis and management of the patients, which include medication and rehabilitation therapies, can reduce the onset of complications....
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| Format: | Article |
| Language: | English |
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Romanian Association of Balneology, Editura Balneara
2023-09-01
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| Series: | Balneo and PRM Research Journal |
| Subjects: | |
| Online Access: | http://bioclima.ro/Balneo584.pdf |
| _version_ | 1797666927105015808 |
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| author | Bianca-Maria Pop Gabriela Dogaru Felicia Andronie-Cioară |
| author_facet | Bianca-Maria Pop Gabriela Dogaru Felicia Andronie-Cioară |
| author_sort | Bianca-Maria Pop |
| collection | DOAJ |
| description | Introduction: Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in children and teens. The inflammation of various joints causes pain. Early diagnosis and management of the patients, which include medication and rehabilitation therapies, can reduce the onset of complications. Despite the progress in managing this disease, there are cases which present severe complications. Material and Methods: A 13-year-old girl, diagnosed with JIA in a paediatric service in 2019, who is under treatment with Sulfasalzine since diagnosis, presented in the Paediatric Rehabilitation Centre of Băile 1 Mai with inflammatory pain in both knees, gait impairment with need of wheelchair, limited function in hands, elbows, shoulders, knees and hips which worsened in 2022, due to low compliance to the treatment and no check-up with a paediatric rheumatologist. She had 8 admissions in the Paediatric Rehabilitation Centre between October 2022 and July 2023. The examination reveals that there is a severe limitation of mobility in both hips and knees, the hands’ small joints, elbows and shoulders. Laboratory tests were conducted showing no inflammatory markers. The radiographic finds sustained the changes encountered at the clinical examination. During her admissions in the Paediatric Rehabilitation Centre, she underwent a complex rehabilitation program which consisted of kinetotherapy, hydrokinetotherapy, massage, occupational therapy and physical agents. The program was designed according to the needs and the disease activity. Pharmacological means were used for the management of pain. The results were limited and the ability of standing up and walking were not recovered. Conclusion: In conclusion, JIA is a complex disease, which needs an early diagnosis and an early management program, which comprises of pharmacological treatment, rehabilitation program. Teamwork is necessary for managing JIA cases. The lack of compliance, and inadequate medication can lead to disabling complications. |
| first_indexed | 2024-03-11T20:06:40Z |
| format | Article |
| id | doaj.art-9c069ee2f10e413683bcd2fe699f17fb |
| institution | Directory Open Access Journal |
| issn | 2734-8458 |
| language | English |
| last_indexed | 2024-03-11T20:06:40Z |
| publishDate | 2023-09-01 |
| publisher | Romanian Association of Balneology, Editura Balneara |
| record_format | Article |
| series | Balneo and PRM Research Journal |
| spelling | doaj.art-9c069ee2f10e413683bcd2fe699f17fb2023-10-03T18:01:36ZengRomanian Association of Balneology, Editura BalnearaBalneo and PRM Research Journal2734-84582023-09-0114358410.12680/balneo.2023.584Rehabilitation in Juvenile Idiopathic Arthritis with Hip AnkylosisBianca-Maria Pop0Gabriela Dogaru1Felicia Andronie-Cioară2Clinical Rehabilitation Hospital, Viilor Str, No 46-50, 400066, Cluj-Napoca, RomaniaClinical Rehabilitation Hospital, Viilor Str, No 46-50, 400066, Cluj-Napoca, Romania; Department of Medical Rehabilitation, "Iuliu Hațieganu” University of Medicine and Pharmacy Cluj-Napoca, Romania, Victor Babeș Str, No 43, 400012 Cluj-Napoca, RomaniaDepartment of Psycho-Neuroscience and Recovery, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; Clinical Medical Rehabilitation Hospital of Băile Felix, Romania, 417500, Băile Felix, Sânmartin, RomaniaIntroduction: Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in children and teens. The inflammation of various joints causes pain. Early diagnosis and management of the patients, which include medication and rehabilitation therapies, can reduce the onset of complications. Despite the progress in managing this disease, there are cases which present severe complications. Material and Methods: A 13-year-old girl, diagnosed with JIA in a paediatric service in 2019, who is under treatment with Sulfasalzine since diagnosis, presented in the Paediatric Rehabilitation Centre of Băile 1 Mai with inflammatory pain in both knees, gait impairment with need of wheelchair, limited function in hands, elbows, shoulders, knees and hips which worsened in 2022, due to low compliance to the treatment and no check-up with a paediatric rheumatologist. She had 8 admissions in the Paediatric Rehabilitation Centre between October 2022 and July 2023. The examination reveals that there is a severe limitation of mobility in both hips and knees, the hands’ small joints, elbows and shoulders. Laboratory tests were conducted showing no inflammatory markers. The radiographic finds sustained the changes encountered at the clinical examination. During her admissions in the Paediatric Rehabilitation Centre, she underwent a complex rehabilitation program which consisted of kinetotherapy, hydrokinetotherapy, massage, occupational therapy and physical agents. The program was designed according to the needs and the disease activity. Pharmacological means were used for the management of pain. The results were limited and the ability of standing up and walking were not recovered. Conclusion: In conclusion, JIA is a complex disease, which needs an early diagnosis and an early management program, which comprises of pharmacological treatment, rehabilitation program. Teamwork is necessary for managing JIA cases. The lack of compliance, and inadequate medication can lead to disabling complications.http://bioclima.ro/Balneo584.pdfjuvenile idiopathic arthritispaediatric rehabilitationhip ankylosispolyarticular subtype |
| spellingShingle | Bianca-Maria Pop Gabriela Dogaru Felicia Andronie-Cioară Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis Balneo and PRM Research Journal juvenile idiopathic arthritis paediatric rehabilitation hip ankylosis polyarticular subtype |
| title | Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis |
| title_full | Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis |
| title_fullStr | Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis |
| title_full_unstemmed | Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis |
| title_short | Rehabilitation in Juvenile Idiopathic Arthritis with Hip Ankylosis |
| title_sort | rehabilitation in juvenile idiopathic arthritis with hip ankylosis |
| topic | juvenile idiopathic arthritis paediatric rehabilitation hip ankylosis polyarticular subtype |
| url | http://bioclima.ro/Balneo584.pdf |
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