Juvenile Rheumatoid Arthritis (JRA)

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Juvenile rheumatoid arthritis (JRA) is an inflammation of the joints that is the result of the body’s own immune system attacking the joints (Peacock & Ostrov, 2000). Juvenile rheumatoid arthritis is also known as juvenile idiopathic arthritis (JIA) (Brescia, 2012). There are seven major types of JRA, which are: systemic JIA; oligoarthritis; polyarticular arthritis, rheumatoid factor negative; polyarticular arthritis, rheumatoid factor positive; psoriatic arthritis; enthesitis-related arthritis; and undifferentiated arthritis (Brescia, 2012). JRA normally develops in children under 16 years but can last throughout adulthood. Juvenile rheumatoid arthritis usually causes stiffness, warm, and pain from swollen joints, sometimes the pain can be debilitating to the children (Peacock & Ostrov, 2000).
The cause of juvenile rheumatoid arthritis is unknown, but the cause for the inflammation and swelling in the joints is due to the body’s own immune system attacking itself. This condition, according to research, indicates that it is
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So far the risk factors are unknown, scientist are working to determine the genetic causes and the environmental and the body’s triggers that cause the body’s own immune system to attack itself (Peacock & Ostrov, 2000). The implication of occupational therapy services for children with juvenile rheumatoid arthritis indicates a strong need for OT services and interventions. Precautions for OT therapist working with children with JRA would be prevention of further joint damage such as contractures and deformities due to lack of ROM, strength, and activities. Biomechanical, MOHO, developmental, and even rehabilitation are the frames of reference that could be used on children with JRA depending on the severity of the

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