چکیده مقاله
Background and Aim: Musculoskeletal disorders such as cerebral palsy CP , juvenile idiopathic arthritis JIA , and scoliosis significantly impair children's mobility and quality of life, often requiring hospitalization and comprehensive rehabilitation Corrective exercise programs are frequently used to improve muscle strength, flexibility, posture, and reduce pain in these populations Despite their widespread application, there is limited consensus on their overall effectiveness and best practices This systematic review aims to evaluate the evidence on the impact of corrective exercise interventions on musculoskeletal function and recovery in hospitalized pediatric patients diagnosed with CP, JIA, or scoliosis Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, PEDro, and Cochrane Library databases for studies published up to July 2025 Keywords included “corrective exercise, pediatric rehabilitation, cerebral palsy,” “juvenile idiopathic arthritis, scoliosis, and hospitalized children Inclusion criteria were original peer reviewed articles focusing on hospitalized children 0 18 years with CP, JIA, or scoliosis, assessing corrective exercise programs through quantitative musculoskeletal outcomes Excluded were studies on outpatient care, surgical interventions alone, reviews, and case reports Two reviewers independently screened 1,123 articles, and 19 met the inclusion criteria Results: The included studies involved 8 on CP, 6 on JIA, and 5 on scoliosis, with sample sizes from 30 to 200 patients and intervention durations ranging from 4 weeks to 6 months CP patients showed significant improvements in motor function, with Gross Motor Function Measure GMFM scores increasing by 12 18% JIA patients experienced 25 40% reductions in joint pain Visual Analog Scale and 15 degree improvements in joint range of motion Scoliosis studies reported average Cobb angle reductions of 5 7 degrees and enhanced trunk muscle endurance Variability in protocols and outcome measures limited cross study comparisons Only six studies provided follow up data beyond three months Conclusion: Corrective exercise programs demonstrate effectiveness in improving musculoskeletal function and reducing symptoms in hospitalized pediatric patients with CP, JIA, and scoliosis However, heterogeneity among studies and limited long term data highlight the need for standardized, high quality trials to establish optimal exercise protocols and promote sustained recovery
کلیدواژهها
نویسندگان
Sana Mahdian Rizi
Students Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran
شیوه ارجاع
Mahdian Rizi, Sana,1404,Effectiveness of Corrective Exercise Programs on Musculoskeletal Function and Recovery in Hospitalized Pediatric Patients with Cerebral Palsy, Juvenile Idiopathic Arthritis, and Scoliosis: A Systematic Review,37th International Congress on Pediatrics,Tehran
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مجموعه مقالات سی و هفتمین کنگره بیماری های کودکان17 مهر 1404 · تهران