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BioMed Research International
Volume 2014, Article ID 748972, 6 pages
Clinical Study

Regular Aerobic Training Combined with Range of Motion Exercises in Juvenile Idiopathic Arthritis

1Department of Sports Medicine, Istanbul Faculty of Medicine, Istanbul University, 34093 Istanbul, Turkey
2Department of Pediatric Rheumatology, Cerrahpasa Faculty of Medicine, Istanbul University, 34098 Istanbul, Turkey
3Department of Physiology, Cerrahpasa Faculty of Medicine, Istanbul University, 34098 Istanbul, Turkey
4Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Trakya University, 22030 Edirne, Turkey

Received 17 April 2013; Revised 13 November 2013; Accepted 18 November 2013; Published 22 January 2014

Academic Editor: Roya Kelishadi

Copyright © 2014 Mine Doğru Apti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To assess the effects of regular aerobic training combined with range of motion (ROM) exercises on aerobic capacity, quality of life, and function in children with juvenile idiopathic arthritis (JIA). Methods. Thirty patients with JIA and 20 healthy age-matched controls (mean age ± SD, 11.3 ± 2.4 versus 11.0 ± 2.3, resp.; ) were included. All patients performed aerobic walking (4 days a week for 8 weeks) and active and passive ROM exercises of involved joints. All patients completed the childhood health assessment questionnaire (CHAQ) and the child health questionnaire. ROM measurements of joints were performed by using universal goniometer. Aerobic capacity was determined by measuring peak oxygen uptake ( ) during an incremental treadmill test. Results. Peak oxygen uptake and exercise duration were significantly lower in JIA group than in controls (32.5 ± 6.6 versus 35.9 ± 5.8 and 13.9 ± 1.9 versus 15.0 ± 2.0, resp.; for both). Eight-week combined exercise program significantly improved exercise parameters of JIA patients (baseline versus postexercise and exercise duration, 32.5 ± 6.6 to 35.3 ± 7.9 and 13.9 ± 1.9 to 16.3 ± 2.2, resp.; for both). Exercise intervention significantly improved CHAQ scores in JIA patients (0.77 ± 0.61 to 0.20 ± 0.28, ). Conclusion. We suggest that regular aerobic exercise combined with ROM exercises may be an important part of treatment in patients with JIA.