mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2016-4-106-110mrj-727Research ArticleОБЗОРЫREVIEWSДВИЖЕНИЕ ИЛИ ПОКОЙ: ЧТО ПРЕДПОЧТИТЕЛЬНЕЕ ДЛЯ ПАЦИЕНТОВ С ЮВЕНИЛЬНЫМ ИДИОПАТИЧЕСКИМ АРТРИТОМ?MOTION OR REST: WHAT IS MORE PREFERABLE FOR PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS?ШелепинаТ. А.ShelepinaT. A.

Контакты: Татьяна Андреевна Шелепина; ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», 115522, Москва, Каширское шоссе, 34A

Contact: Tatyana Andreevna Shelepina; V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, 34A, Kashirskoe Shosse, Moscow 115522 

Shelepina208@mail.ruНаучно-исследовательский институт ревматологии им. В.А. НасоновойРоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation201616122016104106110Copyright © Шелепина Т.А., 20162016Шелепина Т.А.Shelepina T.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/727

Представлен обзор литературы, посвященной прогнозу при ювенильном идиопатическом артрите (ЮИА), физической активности пациентов, ее роли в развитии функциональных проблем, вызывающих ограничение жизнедеятельности и снижение качества жизни, а также эффективности физических упражнений (exercise therapy, лечебной физкультуры – ЛФК) в лечении данной патологии. Подчеркивается связь между отставанием в физическом развитии больных ЮИА и возникновением у них психологических и социальных проблем. Приведены данные публикаций о необходимости физических нагрузок для пациентов с различной ревматологической патологией, в том числе и взрослых. Особое внимание уделено хорошей переносимости ЛФК, которую ряд авторов называет дополнительным лечением больных ЮИА, улучшающим функциональное состояние, но не влияющим на течение и исход заболевания. Проанализированы обзорные работы, посвященные мультидисциплинарной проблеме реабилитации детей и, особенно, подростков и важности научно обоснованной пропаганды активного образа жизни. На основании проведенного анализа литературы сделан вывод о целесообразности включения лечебной гимнастики в стандарты лечения больных ЮИА. 

The paper reviews the literature dealing with juvenile idiopathic arthritis (JIA) prognosis, patient physical activity, its role in the development of functional problems that cause limited vital activity and reduced quality of life, as well as the efficiency of physical exercises (exercise therapy (ET)) in the treatment of this disease. It stresses the relationship between physical developmental delay in patients with JIA and the occurrence of psychological and social problems. There are data of publications about the need for physical loads for patients with various rheumatic diseases, as well as for adults. Special attention is paid to the good endurance of ET that is identified by a number of authors as an additional treatment for JIA patients, which improves their functional status, but fails to affect the course and outcome of the disease. The author analyzes survey papers on the multidisciplinary rehabilitation of children, adolescents in particular, and the importance of science-based propaganda of active lifestyle. By having analyzed the literature, the author concludes that it is expedient to include ET into standard treatment for patients with JIA. 

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The authors declare that there are no conflicts of interest present.