Prieur A M, Labeaumont P, Michel P, Schwabb P, Mozziconacci P
Rev Rhum Mal Osteoartic. 1983 Jan;50(1):33-8.
Thirty children were admitted to a specialised centre for rehabilitation for chronic juvenile arthritis. Ten of them stayed for one to three months usually during the school holidays to perfect the physiotherapy essential for the maintenance of a good functional state. Twenty were admitted for longer periods, because of more severe forms of the disease which could not be satisfactorily retrained at home. An overall functional improvement was obtained in the majority of cases; no child was in Steinbrocker's class III or IV on discharge from the centre. The most marked functional progress was observed during the first 6 or 12 months of rehabilitation. Conversely, the radiological lesions progressed in all joints. However, the hip has the potential for definite radiological recovery, seen in 3 out of 10 cases in this small series. The authors believe that, even in severe forms of chronic juvenile arthritis, the possibility of stabilisation does exist and that everything should be done to give these children the best chances of as good a functional improvement as possible.
30名患有慢性幼年型关节炎的儿童被收治到一家专门的康复中心。其中10名儿童通常在学校假期期间住院1至3个月，以完善维持良好功能状态所必需的物理治疗。另外20名儿童因病情较重，无法在家中得到满意的康复训练，故住院时间更长。大多数病例的整体功能都有改善；出院时，没有儿童处于斯坦布罗克（Steinbrocker）分级的III级或IV级。康复治疗的前6个月或12个月功能进步最为明显。相反，所有关节的放射学病变都有进展。不过，髋关节有明确的放射学恢复可能，在这个小系列的10例中有3例出现这种情况。作者认为，即使是严重的慢性幼年型关节炎，也确实存在病情稳定的可能性，应尽一切努力为这些儿童提供尽可能获得良好功能改善的最佳机会。
