Prevalence of Exercise Prescription and Clinical Justifications in Pediatric Rheumatology Patients with a Immigrant Background: A Single-Center Observational Study

Duygu Kurtuluş; Selma Dağcı; Betül Sözeri

doi:10.37990/medr.1696991

Prevalence of Exercise Prescription and Clinical Justifications in Pediatric Rheumatology Patients with a Immigrant Background: A Single-Center Observational Study

Authors : Duygu Kurtuluş, Selma Dağcı, Betül Sözeri

Pages : 573-7

Doi:10.37990/medr.1696991

View : 59 | Download : 217

Publication Date : 2025-09-09

Article Type : Research Paper

Abstract :Aim: Pediatric rheumatic diseases, such as Juvenile Idiopathic Arthritis (JIA), fibromyalgia, muscle strain, and scoliosis, can significantly impact physical function and quality of life. Exercise therapy is an effective, evidence-based approach for managing musculoskeletal symptoms in these patients, but its use in pediatric rheumatology remains underexplored. This study aimed to evaluate the prevalence of exercise prescription, the underlying clinical justifications, and demographic characteristics of pediatric rheumatology immigrant-background pediatric patients referred to a physical therapy clinic. Material and Method: This prospective, cross-sectional study included pediatric patients with immigrant (0-22 years) referred from the pediatric rheumatology clinic to the physical therapy clinic of Ümraniye Training and Research Hospital between January 1 and December 31, 2024. Patient data, including age, gender, diagnosis, and treatment type, were analyzed using SPSS (v.26), with p<0.05 considered statistically significant. Results: A total of 190 patients were included (63% female, 37% male), with a mean age of 14.2±4.3 years. Exercise prescriptions were provided to 55% (n=105) of the patients. Male patients had a slightly higher exercise prescription rate (59%) compared to females (53%), though this difference was not statistically significant (p>0.05). Muscle strain (74%) and joint pain (69%) had the highest exercise prescription rates, while JIA patients had a lower rate (47%). Conclusion: Exercise prescriptions are more common in non-inflammatory conditions like muscle strain and joint pain, while JIA patients receive them less frequently, likely due to concerns over joint damage and disease activity. Future studies should assess the long-term impact of exercise in this population.
Keywords : Pediatric rheumatology, exercise prescription, Juvenile Idiopathic Arthritis, muscle strain, physical therapy

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