Exercise programs for scoliosis in juvenile idiopathic arthritis: a randomized-controlled study

• Published in: Rheumatology international Vol. 44; no. 3; pp. 441 - 449
• Main Authors: Kisa, Eylul Pinar, Tarakcı, Ela, Leblebici, Gokce, Ozdincler, Arzu Razak, Kasapcopur, Ozgur
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.03.2024; Springer Nature B.V
• Subjects: Arthritis, Juvenile - complications; Arthritis, Juvenile - therapy; Child; Clinical Trials; Exercise Therapy - methods; Humans; Medicine; Medicine & Public Health; Pain; Prospective Studies; Rheumatology; Scoliosis; Scoliosis - therapy; Scoliosis; 3D exercise; Physiotherapy; Juvenile idiopathic arthritis
• ISSN: 1437-160X; 0172-8172; 1437-160X
• DOI: 10.1007/s00296-023-05439-7

By improving core strength and stability, children with JIA can experience increased endurance, reduced pain, and improved posture. No study was found that investigated the effectiveness of 3-Dimension (3D) exercises in JIA. This study aimed to compare the effectiveness of structured 3D exercises with that of a conventional exercise program specially planned for children with JIA who have scoliosis. This was a prospective, randomized-controlled study. Structured 3D scoliosis exercises for Group 1 (n: 25) and conventional exercises for the Group 2 (n: 25) were applied for 24 weeks. The angle of trunk rotation (ATR) by scoliometer, scoliosis angle by Cobb angle, pain by a numerical rating scale (NRS), respiratory functions by spirometry, and perception of cosmetic deformity by The Walter Reed visual assessment scale (WRVAS) were evaluated. ATR, Cobb angle, and pain in Group I showed significant improvement compared to Group II. While the sub-parameters of WRVAS and increased significantly in both groups, the improvement in Group I was found to be greater between the groups. While FVC (%) and FEV1 (%) results within the group were significant in both groups. 3D exercises and conventional exercises are an effective and feasible method in the treatment of scoliosis in these children. Despite the curative effect of both methods, 3D exercises have been proven in this study to be more effective on Cobb angle, ATR, WRAS, and respiratory parameters.