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Rheumatology Advance Access published online on June 27, 2003
Rheumatology, doi:10.1093/rheumatology/keg386
Rheumatology © British Society for Rheumatology 2003; all rights reserved
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© 2003 Rheumatology 42 © British Society for Rheumatology 2003; all rights reserved

Original Papers

Aquatic fitness training for children with juvenile idiopathic arthritis

T. Takken 1*, J. van der Net 1, W. Kuis 2, and P. J. M. Helders 1

1 Department of Paediatric Physical Therapy, University Hospital for Children and Youth ‘Het Wilhelmina Kinderziekenhuis', University Medical Centre Utrecht, Utrecht, The Netherlands
2 Department of Paediatric Immunology, University Hospital for Children and Youth ‘Het Wilhelmina Kinderziekenhuis', University Medical Centre Utrecht, Utrecht, The Netherlands

* Corresponding author. E-mail: T.Takken{at}wkz.azu.nl..

Received 25 October 2002 ; accepted 4 March 2003

Abstract

Objective. To evaluate the effects of an aquatic training programme for JIA patients.

Methods. Fifty-four patients with JIA (age range 5 to 13 yr) participated in this study and were randomized into an experimental (n = 27) and a control (n = 27) group. The children in the experimental group received a training programme consisting of a 1 h per week supervised training programme in a local pool of approximately 20 sessions. Effects were analysed on the following domains: functional ability, health-related quality of life, joint status and physical fitness.

Results. Although all measures improved more in the experimental group than the control group, none of the differences was statistically significant.

Conclusions. The current research found no significant effect of an aquatic fitness training programme in children with JIA. Since there were no signs of worsening in health status, one can conclude that this was a safe exercise programme.

Key words: Randomized controlled trial, Exercise, Functional ability, Quality of life, Endurance.
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