Arthritis und Rheuma 2018; 38(06): 400-407
DOI: 10.1055/s-0038-1677370
Sport und Rheuma im Kindes- und Jugendalter
Georg Thieme Verlag KG Stuttgart · New York

Sport und Bewegung bei JIA

Bedeutung für das muskuloskelettale SystemSport and exercise in JIAimportance for the musculoskeletal system
S. Hansmann
1   Universitätsklinik für Kinder- und Jugendmedizin Tübingen, Tübingen
,
H. Girschick
2   Klinik für Kinder- und Jugendmedizin, Vivantes Klinikum im Friedrichshain, Berlin
› Author Affiliations
Further Information

Publication History

Publication Date:
04 January 2019 (online)

Zusammenfassung

Der Bewegungsapparat des Menschen bildet eine funktionelle Einheit aus Knochen, Muskeln und Gelenken und ermöglicht durch ein komplexes Zusammenspiel Stabilität und Beweglichkeit. Während des Wachstums findet eine kontinuierliche Anpassung an die neuen Erfordernisse und Kräfte statt. Sportliche Aktivität während des Wachstums hat einen positiven Effekt auf die körperliche Entwicklung, die Muskelkraft und Knochenmineralisation und reduziert das Risiko für chronische Erkrankungen im Kindes- und Erwachsenenalter. Die juvenile idiopathische Arthritis (JIA) ist eine chronische Erkrankung des muskuloskelettalen Systems, die vor dem 16. Lebensjahr auftritt. Betroffene sind initial durch Schmerzen stark in ihrer Bewegungsausübung gehindert und deshalb in ihrer körperlichen, motorischen und psychosozialen Entwicklung eingeschränkt. Sportliche Aktivität beeinflusst die Fitness, Selbstwirksamkeit und Schmerzstärke sowie die Muskelkraft, Knochendichte und Gelenkfunktion günstig und führt nicht zu einer Erkrankungsverschlechterung. Kinder und Jugendliche mit JIA profitieren von körperlicher Aktivität in allen Erkrankungsphasen.

Summary

The musculoskeletal system of humans forms a functional unit of bones, muscles and joints and enables stability and mobility through a complex interaction. There is a continuous adaptation to the new requirements and forces during growth. Exercise during growth has a positive effect on physical development, muscle strength and bone mineralization and reduces the risk of chronic diseases in childhood and adulthood. Juvenile idiopathic arthritis (JIA) occurs before the age of 16 and is a chronic disease of the musculo - skeletal system. Patients are initially severely hampered by pain in their exercise and are therefore limited in their physical, motor and psychosocial development. Sporting activity has a positive influence on fitness, self-efficacy and pain intensity as well as muscle strength, bone density and joint function and does not lead to a worsening of the disease. Children and adolescents with JIA benefit from physical activity during all disease phases.

 
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