Question

Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis? A. Playing video games B. Swimming C. Working crossword puzzles D. Playing slow-pitch softball

Short answer

A. Playing video games B. Swimming C. Working crossword puzzles D. Playing slow-pitch softball Answer: B. Swimming

Step-by-step solution

Eliminate high joint stress activities

First, let's eliminate activities that can put significant stress on joints or may not be suitable for a child with juvenile rheumatoid arthritis. Playing slow-pitch softball (option D) involves running, throwing, and hitting, which all can be stressful for joints. So, we can eliminate option D.

Consider activities helpful for arthritis

Swimming (option B) is a low-impact activity that is often recommended for people with arthritis, as it helps improve muscle strength and flexibility without putting too much pressure on the joints. Swimming is suitable for a child with juvenile rheumatoid arthritis, so we can keep option B.

Evaluate remaining options

Playing video games (option A) can be an enjoyable activity, but it may not provide the physical benefits and exercise needed for someone with arthritis. Working crossword puzzles (option C) is a mental activity that doesn't have any physical benefits for someone with arthritis. Comparing these two options, swimming (option B) is more beneficial for a child with juvenile rheumatoid arthritis.

Conclusion

Considering the elimination of high joint stress activities, finding activities helpful for arthritis, and evaluating the remaining options, the best-suited activity for a 12-year-old with juvenile rheumatoid arthritis is: B. Swimming

Key concepts

Pediatric Arthritis Management

Dealing with juvenile rheumatoid arthritis (JRA) in children requires a careful balance of therapies and activities to ensure the child's health and well-being. Effective management of pediatric arthritis involves a combination of medical interventions, such as medication and physical therapy, alongside tailored activities that support joint health without exacerbating symptoms.

For many children with JRA, maintaining an active lifestyle is pivotal. However, it’s essential to select the right kind of activities. High-impact sports or those that involve sudden movements and stresses on the joints may not be favorable for a child with arthritis. Instead, engaging in gentle, range-of-motion exercises under the guidance of a physical therapist helps maintain joint function and reduces stiffness.

Nutritional counselling can also play a vital role. A balanced diet rich in anti-inflammatory foods can support overall health and potentially ease arthritic symptoms. Moreover, regular check-ups with a pediatric rheumatologist are essential to monitor the child's condition and adjust treatments as necessary.

Low-Impact Exercise for Arthritis

Low-impact exercises are particularly beneficial for individuals with arthritis, as they help keep the joints mobile without placing undue stress upon them. Swimming, as mentioned in our exercise example, is one of the most recommended forms of low-impact exercise. The buoyancy of water supports the body and reduces the strain on joints, making it an ideal activity for managing juvenile rheumatoid arthritis.

Other low-impact activities include walking, biking on a stationary bike, and yoga. These exercises strengthen the muscles around the joints, which can help take some of the pressure off the joints themselves, thereby easing pain and improving endurance.

Flexibility Exercises

Stretching and flexibility exercises are also crucial as they help maintain a range of motion in the joints. Always ensure that a qualified instructor supervises exercises to avoid overexertion or incorrect movements that could lead to injury.

Physical Activity for Juvenile Arthritis

Encouraging physical activity in a child with juvenile arthritis might seem counterintuitive. However, regular physical activity can actually improve joint health and reduce the symptoms of arthritis over time. It's all about choosing the right type and amount of exercise.

Aquatic activities such as swimming or water aerobics have the dual benefit of providing resistance for building muscle while also being gentle on the joints. Children might also enjoy dance or gymnastics, which can be modified to suit their individual needs and limitations.

Engaging in Play

For younger children, play that includes a range of motions can be both fun and therapeutically beneficial. It's important, however, to schedule these activities during times when the child's arthritis symptoms are least pronounced, allowing for maximum participation and benefit. Adequate rest periods and warm-up sessions before engaging in physical activities are also critical in preventing overuse and fatigue.