The summer camp nurse and parent of a 9-year-old with juvenile idiopathic arthritis (JIA) are discussing appropriate physical activities for the child. Which of the following activities should be included? Select all that apply.

Question

Quizplus · Accepted Answer

Children with JIA are at high risk for becoming deconditioned due to decreased muscle strength and endurance and overall capacity for exercise. They tend to tire quickly even when the disease is in remission. Both aerobic and anaerobic exercise can help minimize this risk, and resistance training can increase muscle strength and endurance. Exercise may also have a positive effect on low bone density, a secondary condition often associated with JIA. In general, low-impact, weight-bearing, and non-weight-bearing exercises that involve range of motion and stretching to preserve joint mobility and strengthen muscles are best. High-impact activities and those that cause overtiring and joint pain should be avoided. Swimming is often considered the ideal activity for children with JIA as it allows for exercising a large number of joints with minimal gravitational pull. Other recommended activities include riding a stationary bike, throwing or kicking a ball, low-impact aerobic dancing, walking, and yoga. (Option A) Playing dodgeball places the child at risk for joint or other injury. (Option B) Reading a book does not provide physical activity. Educational objective: Exercise and physical activity for the child with JIA are important to prevent joint deformity and maintain muscle strength and endurance. The best activities are those that are low impact; these can be weight bearing or non-weight bearing. Examples include swimming, riding a stationary bike, throwing or kicking a ball, and yoga.

The Summer Camp Nurse and Parent of a 9-Year-Old with Juvenile