Impact of Pilates Exercise in Children With Juvenile Idiopathic Arthritis

Study Overview
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Brief Summary
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Juvenile idiopathic arthritis (JIA) is one of the most common chronic childhood inflammatory diseases that is characterized by permanent joint inflammation attributable to immune system disturbance.

Detailed Description
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Therapeutic exercises play an essential role as a non-pharmacologic treatment for children with JIA. It has effectively been used to reduce pain, improve muscular function, increase physical activity and promote quality of life in children with chronic musculoskeletal disorders. Clinical Pilates exercise is usually perceived as enjoyable activity by children with JIA, thereby, it can help them be more active for extended periods without causing discomfort while also allowing them to control their breathing and avoid becoming fatigued.

Official Title
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Impact of Clinical Pilates Exercise on Pain, Cardiorespiratory Fitness, Functional Ability, And Quality of Life in Children With Polyarticular Juvenile Idiopathic Arthritis

Conditions
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Juvenile Arthritis, Cardiorespiratory Fitness, Quality of Life

Intervention / Treatment
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* Other: Pilates exercises
* Other: Conventional physical therapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Polyarticular JIA per the International League of Associations for Rheumatology classification. Age ranges from 10 to14 years. Stable medical treatment. Exclusion Criteria: If they had contractures. Congenital anomalies. History of surgery. History of systemic disease Cardiorespiratory co-morbidity. Participation in regular exercises or sports activity.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experimental group<br>Patients in the study group received Pilates exercises plus conventional physical therapy program | Other: Pilates exercises<br>* Mat, Pilates band or elastic bands, and Pilate's ball<br>* Other names: Pilates band;Other: Conventional physical therapy program<br>* pain relief, increasing flexibility, and mobility, improving muscle strength<br>* Other names: pain reliving modalities, stretching exercises;|
| Experimental: control group<br>Patients in the control group received conventional physical therapy | Other: Conventional physical therapy program<br>* pain relief, increasing flexibility, and mobility, improving muscle strength<br>* Other names: pain reliving modalities, stretching exercises;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain assessment | measured using visual analog scale. A score of zero means no pain, while a score often means significant pain. | at baseline | 
| Pain assessment | measured using visual analog scale. A score of zero means no pain, while a score often means significant pain. | after 12 weeks | 
| Cardiorespiratory fitness assessment | assessed using electromagnetic cycle ergometer with electronic braking | at baseline | 
| Cardiorespiratory fitness assessment | assessed using electromagnetic cycle ergometer with electronic braking | after 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional ability assessment | assessed using The Childhood Health Assessment Questionnaire | at baseline | 
| Functional ability assessment | assessed using The Childhood Health Assessment Questionnaire | after 12 weeks | 
| health-related quality of life | assessed using The self-report Pediatric Quality of Life Inventory | at baseline | 
| health-related quality of life | assessed using The self-report Pediatric Quality of Life Inventory | after 12 weeks |