Pediatric emergency medicine trisk 2986 2986
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The major goal of therapy in children with JIA is to control joint inflammation such
that function is restored and long-term joint health is secured in order to help both the
child and the family maintain as normal a life as possible. Emotional support, including
the information that most children with this disease are able to lead a normal life with
few long-term problems, provides reassurance. Simple measures, such as warm baths
and the use of electric blankets at night, help control morning stiffness. For children
with minimal joint involvement, regular daily activities, including participation in
physical education classes, are to be encouraged, although direct impact on inflamed
joints should be avoided. In the presence of muscle wasting, weakness, or restricted
range of motion in any joint, an active physical therapy program on land, in water or
both is indicated. Splinting may be used to rest actively inflamed, painful joints and to
prevent worsening of deformities, though complete disuse should be avoided in order
to minimize atrophy and loss of motion.
