Reabilitação em artrite idiopática juvenil
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://dx.doi.org/10.1590/S0482-50042007000300009 https://repositorio.unifesp.br/handle/11600/3711 |
Resumo: | INTRODUCTION AND AIMS: juvenile idiopathic arthritis (JIA) may cause permanent physical disabilities in children and adolescents. This study aimed to describe the several kinds of rehabilitation procedures, ranging from evaluation to prescription of exercises, as well as the elaboration of a practical rehabilitation guide for JIA patients. SOURCES OF DATA: the research was based on data from Medline and Lilacs. The opinion of experts working on the Pediatric Rheumatology service from Lar Escola São Francisco and Universidade Federal de São Paulo (UNIFESP) was considered on the debate of several topics. SUMMARY: JIA patients may present pain and limitation of joint movement thereby leading to decrease in physical capacity, affecting both aerobic and anaerobic activities. In addition to the joint compromise, cardiac and autonomic dysfunctions collaborate on this process, impairing sport and everyday activities. The American College of Rheumatology recommends 30-minute activity with moderate intensity, two to three times weekly. Hydrotherapy is associated to treatment adherence, besides helping in decreasing pain perception and adding to cope with daily activities. Other rehabilitation modalities, such as massage, education, joint protection, energy conservation, and splints are also considered in the present review. CONCLUSION: there are few studies in the literature focusing on rehabilitation in children with JIA. Particularly, there is a lack of studies concerning aspects of adequate prescription of exercises, weight-bearing, number of series and repetitions, as well as the best choice regarding ground or water activity. We believe that additional information is needed in order to improve the physical care to these patients. |
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Reabilitação em artrite idiopática juvenilRehabilitation in juvenile idiopathic arthritisRehabilitationPhysical therapyJuvenile idiopathic arthritisReabilitaçãoFisioterapiaArtrite idiopática juvenilINTRODUCTION AND AIMS: juvenile idiopathic arthritis (JIA) may cause permanent physical disabilities in children and adolescents. This study aimed to describe the several kinds of rehabilitation procedures, ranging from evaluation to prescription of exercises, as well as the elaboration of a practical rehabilitation guide for JIA patients. SOURCES OF DATA: the research was based on data from Medline and Lilacs. The opinion of experts working on the Pediatric Rheumatology service from Lar Escola São Francisco and Universidade Federal de São Paulo (UNIFESP) was considered on the debate of several topics. SUMMARY: JIA patients may present pain and limitation of joint movement thereby leading to decrease in physical capacity, affecting both aerobic and anaerobic activities. In addition to the joint compromise, cardiac and autonomic dysfunctions collaborate on this process, impairing sport and everyday activities. The American College of Rheumatology recommends 30-minute activity with moderate intensity, two to three times weekly. Hydrotherapy is associated to treatment adherence, besides helping in decreasing pain perception and adding to cope with daily activities. Other rehabilitation modalities, such as massage, education, joint protection, energy conservation, and splints are also considered in the present review. CONCLUSION: there are few studies in the literature focusing on rehabilitation in children with JIA. Particularly, there is a lack of studies concerning aspects of adequate prescription of exercises, weight-bearing, number of series and repetitions, as well as the best choice regarding ground or water activity. We believe that additional information is needed in order to improve the physical care to these patients.INTRODUÇÃO E OBJETIVOS: a artrite idiopática juvenil (AIJ) pode acarretar em seu curso clínico incapacidades físicas permanentes em crianças e adolescentes. Este estudo teve como objetivos a des-crição das diversas modalidades de reabilitação, desde a avaliação até a prescrição de exercícios, bem como a elaboração de um guia prático de reabilitação para pacientes com AIJ. FONTE DE DADOS: a pesquisa foi realizada nas bases de dados do Medline e do Lilacs. Na discussão dos diversos tópicos, foi considerada a experiência dos especialistas em reumatologia pediátrica e reabilitação do Lar Escola São Francisco e da Universidade Federal de São Paulo (UNIFESP). RESUMO: os pacientes com AIJ podem apresentar dor e limitação da amplitude de movimento articular e conseqüente diminuição da capacidade física, com comprometimento das capacidades aeróbia e anaeróbia. Não só o comprometimento articular, mas as disfunções cardíacas e autonômicas colaboram nesse processo, tendo como conseqüência uma baixa capacidade de executar atividades esportivas e atividades de vida diárias (AVDs). O American College of Rheumatology recomenda 30 minutos de atividade com intensidade moderada de duas a três vezes por semana. A hidroterapia está relacionada a uma maior aderência ao tratamento, além de auxiliar na diminuição da percepção dolorosa e dificuldade apresentada na realização das AVDs. As outras modalidades de reabilitação, tais como massagem, educação, proteção articular, conservação de ener-gia e órteses, também são discutidas nesta revisão. CONCLUSÃO: há poucos estudos na literatura sobre reabilitação em crianças com AIJ, especialmente no que se refere a temas como prescrição adequada de exercícios, cargas, número de séries e repetições, bem como qual a melhor opção a ser utilizada - solo ou piscina. Acreditamos que mais estudos científicos são necessários para que possamos prescrever adequadamente os diversos tipos de exercícios.UNIFESP-EPM Departamento de MedicinaUNIFESP-EPM Departamento de Neurologia e NeurocirurgiaUNIFESP-EPM Departamento de PediatriaUNIFESP Departamento de Pediatria Setor de Reumatologia PediátricaUNIFESP, EPM, Depto. de MedicinaUNIFESP, EPM Depto. de Neurologia e NeurocirurgiaUNIFESP, EPM Depto. de PediatriaUNIFESP, Depto. de Pediatria Setor de Reumatologia PediátricaSciELOSociedade Brasileira de ReumatologiaUniversidade Federal de São Paulo (UNIFESP)Bueno, Vanessa Cristina [UNIFESP]Lombardi Júnior, Imperio [UNIFESP]Medeiros, Wladimir Musetti [UNIFESP]Azevedo, Mariana Moreira Alckmin [UNIFESP]Len, Claudio Arnaldo [UNIFESP]Terreri, Maria Teresa Ramos Ascensão [UNIFESP]Natour, Jamil [UNIFESP]Hilário, Maria Odete Esteves [UNIFESP]2015-06-14T13:36:55Z2015-06-14T13:36:55Z2007-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion197-203application/pdfhttps://dx.doi.org/10.1590/S0482-50042007000300009Revista Brasileira de Reumatologia. Sociedade Brasileira de Reumatologia, v. 47, n. 3, p. 197-203, 2007.10.1590/S0482-50042007000300009S0482-50042007000300009.pdf0482-5004S0482-50042007000300009https://repositorio.unifesp.br/handle/11600/3711porRevista Brasileira de Reumatologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T22:56:57Zoai:repositorio.unifesp.br/:11600/3711Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T22:56:57Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Reabilitação em artrite idiopática juvenil Rehabilitation in juvenile idiopathic arthritis |
title |
Reabilitação em artrite idiopática juvenil |
spellingShingle |
Reabilitação em artrite idiopática juvenil Bueno, Vanessa Cristina [UNIFESP] Rehabilitation Physical therapy Juvenile idiopathic arthritis Reabilitação Fisioterapia Artrite idiopática juvenil |
title_short |
Reabilitação em artrite idiopática juvenil |
title_full |
Reabilitação em artrite idiopática juvenil |
title_fullStr |
Reabilitação em artrite idiopática juvenil |
title_full_unstemmed |
Reabilitação em artrite idiopática juvenil |
title_sort |
Reabilitação em artrite idiopática juvenil |
author |
Bueno, Vanessa Cristina [UNIFESP] |
author_facet |
Bueno, Vanessa Cristina [UNIFESP] Lombardi Júnior, Imperio [UNIFESP] Medeiros, Wladimir Musetti [UNIFESP] Azevedo, Mariana Moreira Alckmin [UNIFESP] Len, Claudio Arnaldo [UNIFESP] Terreri, Maria Teresa Ramos Ascensão [UNIFESP] Natour, Jamil [UNIFESP] Hilário, Maria Odete Esteves [UNIFESP] |
author_role |
author |
author2 |
Lombardi Júnior, Imperio [UNIFESP] Medeiros, Wladimir Musetti [UNIFESP] Azevedo, Mariana Moreira Alckmin [UNIFESP] Len, Claudio Arnaldo [UNIFESP] Terreri, Maria Teresa Ramos Ascensão [UNIFESP] Natour, Jamil [UNIFESP] Hilário, Maria Odete Esteves [UNIFESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Bueno, Vanessa Cristina [UNIFESP] Lombardi Júnior, Imperio [UNIFESP] Medeiros, Wladimir Musetti [UNIFESP] Azevedo, Mariana Moreira Alckmin [UNIFESP] Len, Claudio Arnaldo [UNIFESP] Terreri, Maria Teresa Ramos Ascensão [UNIFESP] Natour, Jamil [UNIFESP] Hilário, Maria Odete Esteves [UNIFESP] |
dc.subject.por.fl_str_mv |
Rehabilitation Physical therapy Juvenile idiopathic arthritis Reabilitação Fisioterapia Artrite idiopática juvenil |
topic |
Rehabilitation Physical therapy Juvenile idiopathic arthritis Reabilitação Fisioterapia Artrite idiopática juvenil |
description |
INTRODUCTION AND AIMS: juvenile idiopathic arthritis (JIA) may cause permanent physical disabilities in children and adolescents. This study aimed to describe the several kinds of rehabilitation procedures, ranging from evaluation to prescription of exercises, as well as the elaboration of a practical rehabilitation guide for JIA patients. SOURCES OF DATA: the research was based on data from Medline and Lilacs. The opinion of experts working on the Pediatric Rheumatology service from Lar Escola São Francisco and Universidade Federal de São Paulo (UNIFESP) was considered on the debate of several topics. SUMMARY: JIA patients may present pain and limitation of joint movement thereby leading to decrease in physical capacity, affecting both aerobic and anaerobic activities. In addition to the joint compromise, cardiac and autonomic dysfunctions collaborate on this process, impairing sport and everyday activities. The American College of Rheumatology recommends 30-minute activity with moderate intensity, two to three times weekly. Hydrotherapy is associated to treatment adherence, besides helping in decreasing pain perception and adding to cope with daily activities. Other rehabilitation modalities, such as massage, education, joint protection, energy conservation, and splints are also considered in the present review. CONCLUSION: there are few studies in the literature focusing on rehabilitation in children with JIA. Particularly, there is a lack of studies concerning aspects of adequate prescription of exercises, weight-bearing, number of series and repetitions, as well as the best choice regarding ground or water activity. We believe that additional information is needed in order to improve the physical care to these patients. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-06-01 2015-06-14T13:36:55Z 2015-06-14T13:36:55Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://dx.doi.org/10.1590/S0482-50042007000300009 Revista Brasileira de Reumatologia. Sociedade Brasileira de Reumatologia, v. 47, n. 3, p. 197-203, 2007. 10.1590/S0482-50042007000300009 S0482-50042007000300009.pdf 0482-5004 S0482-50042007000300009 https://repositorio.unifesp.br/handle/11600/3711 |
url |
https://dx.doi.org/10.1590/S0482-50042007000300009 https://repositorio.unifesp.br/handle/11600/3711 |
identifier_str_mv |
Revista Brasileira de Reumatologia. Sociedade Brasileira de Reumatologia, v. 47, n. 3, p. 197-203, 2007. 10.1590/S0482-50042007000300009 S0482-50042007000300009.pdf 0482-5004 S0482-50042007000300009 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Reumatologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
197-203 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Reumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Reumatologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
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UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268315798863872 |