Aqua-Plyometric Exercises-Induced Changes in Muscle Strength, Bone Mineral Properties, and Physical Fitness in Patients With Juvenile Idiopathic Arthritis: A 12-Week, Randomized Controlled Trial.

IF 1.4 4区医学 Q3 PEDIATRICS

Pediatric Exercise Science Pub Date : 2022-12-19 Print Date: 2023-11-01 DOI:10.1123/pes.2022-0044

Ragab K Elnaggar, Mahmoud S Elfakharany

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引用次数: 0

Abstract

Purpose: To determine whether a 12-week, lower body-targeted aqua-plyometric (AquaPlyo) exercise program could improve muscle strength, bone mineral properties, and physical fitness in patients with juvenile idiopathic arthritis.

Methods: A randomized controlled trial was adopted and included 48 patients with polyarticular juvenile idiopathic arthritis (age: 12-18 y). Patients were assigned to undergo either AquaPlyo exercises (AquaPlyo group, n = 24) or standard exercises (control group, n = 24). The outcome measures were assessed pretreatment and posttreatment and included concentric quadriceps peak torque, bone mineral properties (areal bone mineral density [BMD], volumetric BMD, bone mineral content, and BMD Z score), and physical fitness.

Results: A significant posttreatment increase in the concentric quadriceps peak torque was detected in the AquaPlyo group compared with the control group (either at an angular velocity of 90°/s [right side: P = .016, left side: P = .025] or 180°/s [right side: P = .007, left side: P = .029]). Besides, a considerably greater improvement in the areal BMD (P = .0006), volumetric BMD (P = .027), bone mineral content (P = .002), and BMD Z score (P = .0004) was observed in the AquaPlyo group. Moreover, a remarkably greater rise in the physical fitness (P < .001) was revealed in the AquaPlyo group.

Conclusion: AquaPlyo training can efficiently enhance muscle strength, improve bone mineral properties, and boost physical fitness in patients with juvenile idiopathic arthritis.

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青少年特发性关节炎患者的水层计量运动诱导肌肉力量、骨矿物质特性和身体素质的变化：一项为期12周的随机对照试验。

目的：确定为期12周的针对下半身的水上增强型（AquaPlyo）锻炼计划是否可以改善青少年特发性关节炎患者的肌肉力量、骨矿物质特性和身体素质。方法：采用随机对照试验，纳入48例多关节幼年特发性关节炎患者（年龄：12-18岁）。患者被分配进行AquaPlyo运动（AquaPlio组，n=24）或标准运动（对照组，n=23）。对治疗前和治疗后的结果进行评估，包括同心股四头肌峰值扭矩、骨矿物质特性（面积骨密度[BMD]、体积骨密度、骨矿物质含量和骨矿物质Z评分）和身体素质。结果：与对照组相比，AquaPlyo组的同心股四头肌峰值扭矩在治疗后显著增加（角速度为90°/s[右侧：P=.016，左侧：P=.025]或180°/s[左侧：P=.007，左侧：P=0.029]）。此外，面积BMD（P=.0006）、体积BMD（P=0.027），在AquaPlyo组中观察到骨矿物质含量（P=0.002）和BMD Z评分（P=0.004）。此外，AquaPlyo组的身体素质显著提高（P<.001）。结论：AquaPlyo训练能有效增强幼年特发性关节炎患者的肌肉力量，改善骨矿物质特性，增强体质。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Exercise Science 医学-生理学

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.