Meghe Sampada, Chitale Neha, Phansopkar Pratik, Joshi Aditi
Department of Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Oct 12;14(10):e30213. doi: 10.7759/cureus.30213. eCollection 2022 Oct.
A diverse group of idiopathic inflammatory arthritis that affects children under the age of 16 and lasts six weeks or longer is known as juvenile idiopathic arthritis (JIA) or juvenile rheumatoid arthritis (JRA). It causes joint pain and morning stiffness, and the affected joints swell and become difficult to move. During flares, patients may experience flu-like symptoms such as muscle aches and fatigue. Disease-modifying antirheumatic drugs (DMARDs) are the mainstay of rheumatoid arthritis (RA) treatment. If necessary, immunosuppressive medications can be administered in stages. Nonsteroidal anti-inflammatory drugs (NSAIDs) are pain relievers for joints. Physical therapy treatment aims to reduce pain, improve joint range, correct movement patterns, strengthen weak structures, improve cardiovascular endurance, and improve patients' quality of life. We present a case of a 12-year-old boy who presented to the hospital with knee pain and an inability to walk without assistance after falling on the ground one month prior. Medical history revealed that the patient had juvenile rheumatoid arthritis, which was confirmed on investigations. The consultant physician referred the patient for pre-rehabilitation physiotherapy before corrective surgery.
一组影响16岁以下儿童且持续六周或更长时间的特发性炎性关节炎被称为幼年特发性关节炎(JIA)或幼年类风湿关节炎(JRA)。它会导致关节疼痛和晨僵,受影响的关节会肿胀且活动困难。在病情发作期间,患者可能会出现类似流感的症状,如肌肉疼痛和疲劳。改善病情抗风湿药(DMARDs)是类风湿关节炎(RA)治疗的主要药物。如有必要,免疫抑制药物可分阶段使用。非甾体抗炎药(NSAIDs)是缓解关节疼痛的药物。物理治疗旨在减轻疼痛、改善关节活动范围、纠正运动模式、增强薄弱结构、提高心血管耐力并改善患者的生活质量。我们报告一例12岁男孩的病例,该男孩一个月前摔倒在地后出现膝关节疼痛,无法独立行走,前来医院就诊。病史显示该患者患有幼年类风湿关节炎,经检查得以确诊。会诊医生在进行矫正手术前将患者转介至康复前物理治疗。