Juvenile rheumatoid arthritis (IRA) is the most common pediatric rheumatic disease and is a leading cause of chilcihood duility. Physical therapisis play a crucial role in the treatment of these children and serve as essential members of the interdisciplinary treatment team. An understanding of the etiology and back- Juvenile rheumatoid arthritis URA) is the most common pediatric rheumatoid disease in North America and a major cause of childhood disabi1ity.l Up to 25% of children with JRA have unremitting disease, which may lead to contracture and deformity: and approximately 10% will enter adulthood with severe functional disabilities.’ Significant visual impairment may also occur as a consequence of this illness, secondary to iridocyclitis, a chronic eye inflammation affecting the iris and ciliary body. Valerie J Rhodes Etiology, Incidence, and Clinical Manifestations ground of this disease & cri’tical to appropriate evaluation, goal setting, and treatment planning. This rmevlewar ticle will provde an overview of the epuiemiology, immune system pathoplysiology, and clinical charact&tics of JKA Physical therapy primiples of care, evaluation procedures, and treatment techniques will be covered in depth. In addition, common orthopedic manifstations and their management, including surgical approaches, will be discusred. [Rbodes V. Physical therapy management of patients with juvenile rheumatoid arthritis. Phys Ther. 1991;71:910-919.j
Key Words: Artbri’tis, rheumatoid arthritis; Orthopedics, general; Pedian-ics,treatment.