Juvenil İdiyopatik Artrit ve Egzersiz

Year 2016, Volume: 3 Issue: 1, 1 - 13, 04.04.2016

Pınar Kısacık Edibe Ünal

Abstract

Juvenil idiyopatik artritli çocuklarda artritler, ağrı, kas zayıflığı, kemik doku zayıflığı,
büyüme ve gelişimsel bozukluklar, fonksiyonel kayıplar ve inaktivte en önemli sorunlardır.
Ancak zaman içinde gelişen fiziksel aktivitenin yetersizliği yorgunluğa, kas zayıflığı ve
fonksiyon kaybına, kemik yıkımına ve motor kontrol bozukluklarına yol açtığı
belirtilmektedir. Fiziksel egzersiz ise tüm bu sorunları çözümlemede önemli role sahiptir.
Literatürdeki egzersiz protokolleri süre, frekans, hastalık süresi, yoğunluk, çevre,
kompozisyon özellikleri açısından çeşitlendirilmektedir. Tüm çalışmalarda egzersizin, eklem
şişliğinde, ağrı skorlarında, eklem hareket açıklığında, kas kuvvetinde, aerobik kapasite,
fonksiyonel yetenek ve yaşam kalitesinde iyileşmeye yol açtığı belirtilmektedir. Sonuç olarak,
juvenil idiyopatik artritli çocuklar çocuklar için optimal egzersiz tedavisi programı; aerobik ve
nöromusküler eğitimi içermelidir. Bunların yanı sıra, ağrıyı azaltmayı ve çocuğun aktif
katılımı ile biyopsikososyal modelleri hedef almalı, fonksiyonel ve gelişimsel destek
sağlanmalıdır. Çocuk, rekreasyonel ve sportif aktivitelere yönlendirilmeli, böylece egzersiz
planı yaşam planı haline getirilmelidir.

Keywords

Juvenil idiyopatik artrit, egzersiz, hastalık yönetimi

Juvenile Idiopathic Arthritis and Exercise

Abstract

Arthritis, pain, muscle weakness, bone tissue defficiency, growth and developmental
deficits, functional loss and inactivity are the most important problems in children with
juvenile idiopathic arthritis. However, it is stated that the growing physical inactivity over
time, leads fatigue, muscle weakness and dysfunction, bone resorbtion and motor control
deficiency. The physical exercise has an important role in solving all these problems . The
exercise protocols in literature diversified in terms of duration, frequency, time, intensity,
environment and type/composition. In all studies, it was reported that exercise improves joint
swelling, pain scores, range of motion, muscle strength , aerobic capacity, functional ability
and quality of life. In conclusion, the optimal exercise program for children with juvenile
idiopathic arthritis should be combined with aerobic and neuromuscular training. Besides that,
it should be aimed reducing pain and biopsychosocial models with active participation of
child, and provided functional and developmental support. The child should be encouraged to
participate in recreational and sports activities, so that exercise plan should be integrated in to
life plan.

Keywords

Juvenile idiopathic arthritis, exercise. management of disease

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