Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis
https://doi.org/10.14412/1995-4484-2008-666
Abstract
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.
References
1. <div><p>Базоркина Д. И. Эрдес Ш. Социальная значимость болезней костно-мышечной системы. Научно- практич. ревматол.,2005,6, 79-83.</p><p>Носкова А. С, Красавина И.Г., Могунова И.С.,Горбатова И.А. Оценка функциональной недостаточности суставов. Физиотерап., бальнеолог. реабилит 2005, 6, 32-34.</p><p>Носкова Ф.С., Дряженкова И. В. Физическая реабилитация в ревматологии и новые факторы риска сердечно-сосудистых заболеваний. Научно- практич. ревматол., 2005, 6, 670-71.</p><p>Andersson B.G., Anders F.The natural yistory of juvenile chronic arthritis a population based cohort study. J. Rheumatol., 1995, 22,2 , 295-319.</p><p>Budimir M. Evolition et prognostic de tart rite chronigue juvenile generalisee-la panarthrite. Proc. 15 Inter. Congr. Rheumatol., 1981, Abstr., 0696.</p><p>David J.The functional and psychological outcomes of juvenile chronic arthritis in young adulthood. Br. J. Rheumatol., 1994,33, 876-881.</p><p>Iversen M.D Moving the research agenda in rehabilitative rheumatology: where are we going and how will we get where? Curr. Opin. Rheumatol.,2005,2, 12-17.</p><p>Kirsten M. Prognosis of patients with JCA and JSA. J. Rheumatol., 2000, 27, 2256-2263.</p><p>Kirsten M. Long-Term outcome in patients with juvenile idiopathic arthritis. Arthr. Rlieum., 2002, 9, 2392-2401.</p><p>Prieur A. M. Prognosis of the systemic forms of juvenile chronic arthritis. Apropos of 100 cases. Arch. Fr.Pediatr,, 1984, 41, 91-97.</p><p>Prieur A.M.Devenirfonctionnel,social et professonnel de patients attents a*arthrite chronigie juvenile revus 12 ans apres une premiere estimation. Rev. Rhum.,1985,52,189-190.</p><p>Salliere D. Evolution о long terme des arthritis chronigues juveniles. Sem. Hop. Paris, 1981 57, 1155-1160.</p><p>Steinbrocker 0.,Nraeger С. H., Batterman R. C. Therapeutic criterie in rheumatoid arthritis. JAMA, 1949,140,659-662.</p></div><br />
Review
For citations:
Shelepina T.A., Borodacheva O.I., Fedorov E.S. Efficacy of rehabilitation therapy on hospital stage of treatment of patients with juvenile idiopathic arthritis. Rheumatology Science and Practice. 2008;46(3):95-101. (In Russ.) https://doi.org/10.14412/1995-4484-2008-666
Views:
691
Email this article 