JRA Flashcards
What is Juvenile rheumatoid arthritis (JRA)?
JRA is the most common chronic rheumatic disease in children, characterized by inflammation of the joints and connective tissues.
What are the classifications of JRA?
The classifications of JRA include systemic, polyarticular, and oligoarticular.
What is the etiology of JRA?
The exact etiology is unknown, but it is theorized that external factors like a virus, infection, or trauma may trigger an autoimmune response in genetically predisposed children.
What are the signs and symptoms of systemic JRA?
Systemic JRA occurs in 10-20% of cases and presents with acute onset, high fevers, rash, spleen and liver enlargement, and inflammation of the lungs and heart.
What are the signs and symptoms of polyarticular JRA?
Polyarticular JRA accounts for 30-40% of cases, has a high female incidence, significant rheumatoid factor, and involves arthritis in more than four joints with symmetrical joint involvement.
What are the signs and symptoms of oligoarticular JRA?
Oligoarticular JRA accounts for 40-60% of cases and affects less than five joints with asymmetrical joint involvement.
What is the treatment for JRA?
Treatment includes pharmacological management with NSAIDs, corticosteroids, antirheumatics, and immunosuppressive agents.
What does physical therapy management for JRA include?
Physical therapy management includes passive and active range of motion, positioning, splinting, strengthening, endurance training, weight-bearing activities, postural training, and functional mobility.
What modalities are used for pain management in JRA?
Pain management includes modalities such as paraffin, ultrasound, warm water, and cryotherapy.
When might surgical intervention be indicated for JRA?
Surgical intervention may be indicated secondary to pain, contractures, or irreversible joint destruction.
