Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.
School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Rheumatol Int. 2019 Jan;39(1):59-65. doi: 10.1007/s00296-018-4209-8. Epub 2018 Nov 14.
Exercise capacity has been reported to be lower in children with Juvenile Idiopathic Arthritis (JIA). Therefore, the aim was to investigate the effects of an 8-week water-based exercise program on exercise capacity in children with JIA. Forty-two children with JIA were divided into two groups as: exercise group [n = 21, water-running, moderate-intensity exercise (60-70%), two times/week], and control group (n = 21, no additional treatment other than the prescribed medication). All children were assessed at baseline and post-intervention in terms of physical and disease-related characteristics, pain at rest and in activity (visual analog scale), range of motion (Escola Paulista de Medicina Range of Motion Scale), aerobic exercise capacity (cycle ergometer), and anaerobic exercise capacity (Wingate Test). Anaerobic exercise capacity was found to be improved in the exercise group [baseline: 5.54 W/kg (IQR 25/75: 4.07/6.88 W/kg) vs. post-intervention: 6.0 W/kg (IQR 25/75: 4.8/7.4 W/kg), p = 0.002], while no improvements were observed in the control group [baseline: 5.29 W/kg (IQR 25/75: 4.75/5.85 W/kg) vs. post-intervention: 5.5 watts/kg (IQR 25/75: 5.0/6.1 W/kg), p = 0.076]. The amount of the changes related to anaerobic exercise capacity were higher in the exercise group [exercise group: 0.6 W/kg (IQR 25/75: 0.3/1.3 W/kg) vs. control group: 0.2 W/kg (IQR 25/75: - 0.1/0.5 W/kg), p = 0.024]. No changes were detected related to aerobic exercise capacity in any of the groups (p > 0.05). An 8-week water-running program might be beneficial to improve anaerobic exercise capacity, but it is not enough to improve the aerobic exercise capacity in children with JIA.
运动能力已被报道在幼年特发性关节炎（JIA）儿童中较低。因此，目的是研究 8 周水基运动方案对 JIA 儿童运动能力的影响。42 名 JIA 患儿分为两组：运动组[n=21，水上跑步，中等强度运动（60-70%），每周两次]和对照组（n=21，除了规定的药物治疗外，没有其他额外的治疗）。所有患儿均在基线和干预后评估身体和疾病相关特征、静息和活动时的疼痛（视觉模拟量表）、运动范围（Escola Paulista de Medicina 运动范围量表）、有氧运动能力（测功计）和无氧运动能力（Wingate 测试）。在运动组中发现无氧运动能力提高[基线：5.54 W/kg（IQR 25/75：4.07/6.88 W/kg）vs. 干预后：6.0 W/kg（IQR 25/75：4.8/7.4 W/kg），p=0.002]，而对照组无改善[基线：5.29 W/kg（IQR 25/75：4.75/5.85 W/kg）vs. 干预后：5.5 瓦/千克（IQR 25/75：5.0/6.1 W/kg），p=0.076]。运动组的无氧运动能力变化量较高[运动组：0.6 W/kg（IQR 25/75：0.3/1.3 W/kg）vs. 对照组：0.2 W/kg（IQR 25/75：-0.1/0.5 W/kg），p=0.024]。任何一组的有氧运动能力都没有变化（p>0.05）。8 周水上跑步方案可能有益于提高无氧运动能力，但不足以提高 JIA 儿童的有氧运动能力。
