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12 Cards in this Set
- Front
- Back
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What is JIA?
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-juvenile idiopathic arthritis
-systemic disease -articular and extra-articular -occurs prior to age of 16 |
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how long do JIA symptoms persist
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-more then 6 weeks
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what are the 3 subtypes of JIA
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-pauciarticular
-polyarticular -systemic |
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systemic JIA
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-10% of cases
-onset can be at any age in childhood -no gender difference -joints and organs are involved |
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systemic JIA signs/symptoms
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-fever/chills
-rash on thighs and chest -fatigue -joint inflammation -muscle atrophy -enlargement of spleen and lymph nodes -cardiac changes -weight loss |
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polyarticular JIA
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-40% of cases
-usually >8 at onset -affects girls 3x as often as boys -more than 5 joints (typically in feet, ankles, knees, hips) -often symmetrical |
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polyarticular signs/symptoms
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-insidious onset
-weight loss -malaise -low grade fever -organomegaly |
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pauciarticular JIA
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-50% of cases
-5:1 girls:boys -early onset > girls (1-5) -later onset > boys (10-12) -fewer than 4 joints -asymmetrical |
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pauciarticular JIA signs and symptoms
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-usually knee
-stiffness, little pain -sparing of hip and small joints of hand |
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potential consequence of JIA
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-reduced bone mineral density
-increased fracture risk -reduced activity level -reduced CP and muscular endurance -pain/stiffness=reduced ROM -reduced function of joint receptors (Reduced balance) |
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potential treatment
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-custom semi-rigid FO
-WB activity (can increase/off set BMD loss) -exercise (to combat deconditioning) -aquatic activity |
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assessments for JIA
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-fatigue/work of exercise
-children's omni scale -pain scales -assess pre-post exercise |
