Good disease control , with therapeutic escalation to achieve low disease activity , was recommended .
OBJECTIVE To develop treatment recommendations for children with juvenile idiopathic arthritis manifesting as non-systemic polyarthritis , sacroiliitis , or enthesitis .
Effect of Electromyographic Biofeedback Training on Pain, Quadriceps Muscle Strength, and Functional Ability in Juvenile Rheumatoid Arthritis
Objective To investigate the effects of electromyographic ( EMG ) biofeedback training on pain , quadriceps strength , and functional ability in juvenile rheumatoid arthritis ( JRA ) . Design This is a r and omized controlled study ; 36 children ( 11 boys and 25 girls ) with polyarticular JRA , with ages ranging from 8 to 13 years , were selected and assigned r and omly , using computer-generated r and om numbers , into 2 groups . The control group ( n = 18 ) received the conventional physical therapy program , whereas the study group ( n = 18 ) received the same program as the control group in addition to EMG biofeedback-guided isometric exercises for 3 days a week for 12 weeks . Pain , peak torque of quadriceps strength , and functional ability were evaluated before , after 6 weeks , and at the end of 12 weeks of the treatment program . Results By 6 weeks , significant differences were observed in the study group ( P < 0.05 ) in all measured variables except pain levels , whereas nonsignificant differences were observed in all measured variables in the control group . By 12 weeks , each group demonstrated significant improvements in pain , quadriceps strength , and functional ability ( P < 0.05 ) , with significantly greater improvements seen in the study group compared to the control group ( P < 0.05 ) . Both groups showed significant improvement at 12 weeks compared to that at 6 weeks . Conclusions Electromyographic biofeedback may be a useful intervention modality to reduce pain , improve quadriceps strength , and functional performance in JRA
Good disease control , with therapeutic escalation to achieve low disease activity , was recommended .
OBJECTIVE To develop treatment recommendations for children with juvenile idiopathic arthritis manifesting as non-systemic polyarthritis , sacroiliitis , or enthesitis .