Juvenile Arthritis Conference 2011Exercise: To Rest Is To Rust Jennifer Horonjeﬀ, MS, PhD Candidate email@example.com Program of Ergonomics and Biomechanics Occupational & Industrial Orthopaedic Center New York University
GoalsDuring a flare: PRESERVE!When under control: Improve fitness and participation in activities
How to choose the right activities What does the child want to do? What are the physical demands? Does the child have the “resources” to meet these demands? If not—can they be remediated? Are coaches, teachers, etc aware of child’s condition and willing to allow “self-limit” participation?
Types of Exercise Strength-conditioning Alone not able to bolster bone mineral density Dynamic high-intensity exercise Reduction of disease activity greater than usual care Non-weight bearing exercises Best when baseline radiologic damage exists HydrotherapySome people have experienced feeling better than did with land exercises
Is it safe? Increased disease activity and radiologic damage NOT caused by long-term high- intensity weight-bearing exercise Actually less pronounced in this form of exercise than those who received physical therapy!!