Pérez Ramírez Natalia, Nahuelhual Cares Paula, San Martín Peñailillo Pamela
Unidad de Kinesiología, Instituto Teletón, Santiago, Chile.
Dirección de Investigación y Desarrollo, Instituto Teletón, Chile.
Rev Chil Pediatr. 2019 Jun;90(3):283-292. doi: 10.32641/rchped.v90i3.886.
Juvenile idiopathic arthritis (JIA) is a rheumatologic disease in children under 16 years old, which causes early physical disability. The use of hydrotherapy Watsu in these patients is propo sed.
To evaluate the effectiveness of Watsu compared to conventional hydrotherapy on health-related quality of life (HRQoL), functional health status, pain, and ranges of joint motion in patients with acute or subacute JIA.
Randomized (1:1) single-blind parallel controlled clinical trial in 46 patients with acute and subacute JIA between 8-18 years old. Pediatric Quality of Life Inventory 4.0 (PedsQL4.0), Childhood Health Assessment Questionnaire (CHAQ), and 10-joints Global range of motion score (GROMS) assessments were used at the beginning, post treatment, and after three months of follow-up. Patients were randomly assigned to the Watsu group (n = 24) and to the conventional hydrotherapy group (n = 22), participating in 10 sessions of 45 mi nutes once a week.
Watsu therapy showed statistically significant improvements in physical functioning-HRQoL (p = 0.041), disability index (p = 0.015), distress index (p = 0.015), and functio nal health status-CHAQ (p = 0.013) after treatment compared to conventional hydrotherapy. Con clusions: Watsu therapy improved HRQoL, pain sensation, and functional health status compared to conventional hydrotherapy. Methodological adaptations are required in future studies to improve the external validity of these results.
青少年特发性关节炎（JIA）是一种发生在16岁以下儿童的风湿性疾病，可导致早期身体残疾。有人提议在这些患者中使用水疗性水舞疗法（Watsu）。
评估与传统水疗相比，水舞疗法对急性或亚急性JIA患者健康相关生活质量（HRQoL）、功能健康状况、疼痛及关节活动范围的有效性。
对46例8至18岁的急性和亚急性JIA患者进行随机（1:1）单盲平行对照临床试验。在治疗开始、治疗后及随访三个月时，使用儿童生活质量量表4.0（PedsQL4.0）、儿童健康评估问卷（CHAQ）和10关节总体活动范围评分（GROMS）进行评估。患者被随机分为水舞疗法组（n = 24）和传统水疗组（n = 22），每周参加一次，每次45分钟，共10次治疗。
与传统水疗相比，治疗后水舞疗法在身体功能-HRQoL（p = 0.041）、残疾指数（p = 0.015）、痛苦指数（p = 0.015）和功能健康状况-CHAQ（p = 0.013）方面有统计学显著改善。结论：与传统水疗相比，水舞疗法改善了HRQoL、疼痛感觉和功能健康状况。未来研究需要进行方法学调整以提高这些结果的外部效度。
