Effects of Hydrotherapy on Juvenile Idiopathic Arthritis: A Systematic Review and Meta-Analysis.

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-09-18 DOI:10.1097/PEP.0000000000001256

Gleb Verit, Danish Anwar, Matthew Greenberg, Jake Cisek, Kate Hinrichs, Nia Mensah, Kaitlin Kirker

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引用次数: 0

Abstract

Purpose: To evaluate the effectiveness of hydrotherapy (HT) on pain and function in children with juvenile idiopathic arthritis (JIA).

Methods: Eligible studies were randomized clinical trials published in English, which recruited children with JIA and had 2 groups with 1 receiving HT alone and the other receiving a comparison/control intervention. Risk of bias was assessed using the Cochrane Risk of Bias 2. Overall quality of evidence was assessed with the Grading of Recommendations Assessments, Development, and Evaluation. Meta-analyses were performed for outcomes when possible.

Results: Meta-analyses comparing HT to standard care demonstrated statistically significant effects on pain and VO2max favoring HT. No significant differences were found for function (CHAQ), peak knee extensor torque, or 6-minute walk test. The overall level of evidence ranged from very low to moderate.

Conclusions: Hydrotherapy improved VO2max and reduced pain in individuals with JIA compared to standard care.

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水疗法对幼年特发性关节炎的影响：系统回顾和荟萃分析。

目的：探讨水疗法（HT）对幼年特发性关节炎（JIA）患儿疼痛及功能的影响。方法：符合条件的研究为英文发表的随机临床试验，招募JIA患儿，分为两组，一组单独接受HT治疗，另一组接受比较/对照干预。使用Cochrane Risk of bias 2评估偏倚风险。证据的总体质量通过建议评估、发展和评价的分级来评估。在可能的情况下对结果进行meta分析。结果：荟萃分析比较HT和标准治疗显示，在疼痛和最大摄氧量方面，HT有统计学上的显著效果。功能（CHAQ）、膝关节伸肌扭矩峰值或6分钟步行测试均无显著差异。总体证据水平从极低到中等。结论：与标准治疗相比，水疗法提高了JIA患者的最大摄氧量，减轻了疼痛。

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 Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.