T. Shelepina
2020 Annals of the Rheumatic Diseases  
Background:Juvenile Idiopathic Artritis (JIA) is a chronic, disabling disease of a childhood age that significantly limits the patient's capabilities and affects the life quality. Modern drug therapies can prevent most of the negative consequences of the disease and maintain satisfactory functional abilities of patients.Objectives:to examine the nature of the daily physical and social activities of patients suffering from JIA.Methods:the study included 236 patients aged from 4 to 17 years old
more » ... dergoing in-patient treatment. Among them, 146 (62%) - polyarthritis and spreading oligoarthritis, including 13 (5.5%) - with damage to the eyes, persistent oligoarthritis - 60 (25%), including 26 (11%) with damage to the eyes, systemic JIA 22 (16%), enthesitis-associated 8 (3%). The patients were divided into the following age groups: pre-school age (4-6 years old) – 26 patients (11%), primary school age (7-10 years old) - 54 patients (23%); an average school age (11-12 years old) – 49 patients (21%), senior school age (13-15 years old) -52 patients (22%), youth (16-17 years old) -55 patients (23%). The assessment methods: collection of their pharmacological history, questioning (with an author's questionnaire) the parents of children aged from 4 to 10 years and older patients themselves, VAS pain evaluation, a CHAQ questionnaire.Results:10 (4%) patients received NSAID, 88 (38%) patients - synthetic basic anti-inflammatory drugs, biological therapy - 133 (56%), 5 patients (2%) did not receive any drug therapy. An average value of the VAS pain evaluation: 2.5 cm, the CHAQ functional insufficiency is low: 137 patients (58%), medium insufficiency in 88 patients (37%), a severe one in 11 patients (5%). Children's educational institutions were regularly visited by 199 (85%) patients, leisure activities were enjoyed by 90 (38%) patients; at that, the highest rate of leisure activities was recorded for the age group 112-12 years (67% of the entire group), daily walks were recorded in 172 (73%) patients, doing homework on a regular basis by 155 (66%) patients, regular doing exercises of therapeutic gymnastics recorded in 55 (24%) patients.Conclusion:The social activity of patients suffering from JIA can be estimated as satisfactory, while their physical activity as inadequate. An adequate social and physical activation of patients with JIA being in the remission status is required. This can be facilitated by educational programs for patients and their parents, a joint discussion of issues on the social and physical activity of patients and their parents with rheumatologists and rehabilitation therapy specialists.Acknowledgments:I thank senior researcher, E. S. Fedorov MD for his help in completing the work and preparing abstractsDisclosure of Interests:None declared
doi:10.1136/annrheumdis-2020-eular.4208 fatcat:qfs5cx6b2rcrrmi6elzetazc34