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  • No known cause of JRA
  • Autoimmune Disease
  • Two-Step Process
  • Genetic
  • Environmental

Juvenile Rheumatoid Arthritis

Living with JRA

Causes of JRA

What is JRA?

Signs and Symptoms

Incidence and Prevalence

Progression and Prognosis

  • Juvenile rheumatoid arthritis is a chronic disorder that begins in childhood and is characterized by stiffness and inflammation of the joints, weakness, loss of mobility, and deformity
  • 3 Types of JRA:
  • Pauciarticular (4 or fewer joints)
  • 40% of Cases
  • Polyarticular (5 or more joints)
  • 40% of Cases
  • Still's Disease (Joints and internal organs)
  • 20% of Cases
  • Joint Pain
  • Joint Swelling/Inflammation
  • Joint Stiffness
  • Repetitive fevers of 103 degrees or higher
  • Pink rash that comes and goes
  • Eye inflammation
  • Limping
  • Reduced activity levels
  • Weakening of fine motor skills
  • Impaired bone development and growth
  • Non-Progressive Disease
  • Most children outgrow disease
  • 75% of children in complete remission by adulthood
  • Overall Prevalence Rate:
  • 1 in 1000
  • Polyarticular JRA more prevalent in girls
  • Affects children ages 6 months to 16 years

Ask the Doctor

What can OT do?

Prevention

Occupational Therapy's Role

  • No known way to prevent juvenile rheumatoid arthritis
  • Genetic Link
  • Precautions
  • Joint Protection Techniques
  • Contractures and Deformities
  • Drugs
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
  • Disease-Modifying Antirheumatic Drugs (DMARDs)
  • Biologic agents
  • Intra-articular and oral steroids
  • Exercise
  • Stretching
  • Movement
  • Nutrition
  • Occupational and Physical Therapy
  • Occupational Performance
  • Motor Skills- Gross and Fine Motor
  • Emotional Regulation, Communication and Social Participation
  • Areas of Occupation
  • ADLs- Feeding, Mobility, Dressing
  • IADLs- Pet Care and Community Mobility
  • Education, Play, Leisure, and Social Participation

OT Evaluation and Treatment

The End

  • Evaluation
  • Parent Assessment
  • Observation
  • Goniometry
  • Treatment Goals
  • Perform ADL and Play Activities
  • Pain Relief Program
  • Maintain/Improve ROM
  • Joint Protection
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