Hackett J, Johnson B, Parkin A, Southwood T
Paediatric Rheumatology Department, Birmingham Children's Hospital-NHS Trust.
Br J Rheumatol. 1996 Jul;35(7):695-9.
Physiotherapy and occupational therapy are widely accepted as being of central importance for the treatment of juvenile chronic arthritis (JCA). However, these approaches have rarely been subject to critical scrutiny. The aims of this report are to highlight some of the inter-centre similarities and differences observed in the implementation of physical and occupational therapy for JCA, and to emphasize the need for scientifically controlled research in this area. During a series of visits to several paediatric rheumatology units in the UK, USA and Canada, three aspects of the service were noted: treatment philosophy, physical interventions used for the treatment of JCA and quality-of-life and independence training activities. There was general consensus with the philosophy that early physical intervention was a vital part of the treatment plan for JCA, although all therapists were concerned that compliance with treatment modalities was poor. Differences between units in the approach to acute arthritis, the use of foot orthoses and wrist splints, the treatment of joint contractures and the use of general quality-of-life training activities were noted. Although it was widely recognized that controlled research into the efficacy of physical intervention was needed, no centre had a co-ordinated plan for such investigations.
物理治疗和职业治疗被广泛认为对青少年慢性关节炎（JCA）的治疗至关重要。然而，这些方法很少受到严格审查。本报告的目的是突出在JCA物理治疗和职业治疗实施过程中观察到的一些中心间的异同，并强调该领域进行科学对照研究的必要性。在对英国、美国和加拿大的几个儿科风湿病科进行的一系列访问中，注意到服务的三个方面：治疗理念、用于治疗JCA的物理干预措施以及生活质量和独立性训练活动。对于早期物理干预是JCA治疗计划的重要组成部分这一理念，大家普遍达成共识，尽管所有治疗师都担心对治疗方式的依从性较差。注意到各单位在急性关节炎的治疗方法、足部矫形器和手腕夹板的使用、关节挛缩的治疗以及一般生活质量训练活动的使用方面存在差异。尽管人们普遍认识到需要对物理干预的疗效进行对照研究，但没有一个中心有协调一致的此类调查计划。
