Article

OBJECTIVE: To create guidelines focused on the use of structured physical
activity (PA) in the management of juvenile idiopathic arthritis (JIA). DATA
SOURCES: A systematic literature search was conducted using the electronic
databases Cochrane Central Register of Controlled Trials, MEDLINE (Ovid), EMBASE
(Ovid), and Physiotherapy Evidence Database for all studies related to PA
programs for JIA from January 1966 until December 2014, and was updated in May
2015. STUDY SELECTION: Study selection was completed independently by 2
reviewers. Studies were included if they involved individuals aged </=21 years
diagnosed with JIA who were taking part in therapeutic exercise or other PA
interventions for which effects of various disease-related outcomes were compared
with a control group (eg, no PA program or activity of lower intensity). DATA
EXTRACTION: Two reviewers independently extracted information on interventions,
comparators, outcomes, time period, and study design. The statistical analysis
was reported using the Cochrane Collaboration methods. The quality of the
included studies was assessed according to the Physiotherapy Evidence Database
Scale. DATA SYNTHESIS: Five randomized controlled trials (RCTs) fit the selection
criteria; of these, 4 were high-quality RCTs. The following recommendations were
developed: (1) Pilates for improving quality of life, pain, functional ability,
and range of motion (ROM) (grade A); (2) home exercise program for improving
quality of life and functional ability (grade A); (3) aquatic aerobic fitness for
decreasing the number of active joints (grade A); and (4) and cardio-karate
aerobic exercise for improving ROM and number of active joints (grade C+).
CONCLUSIONS: The Ottawa Panel recommends the following structured exercises and
physical activities for the management of JIA: Pilates, cardio-karate, home and
aquatic exercises. Pilates showed improvement in a higher number of outcomes.
CI - Copyright (c) 2017. Published by Elsevier Inc.

Langue : ANGLAIS