title: Therapeutic effects of exercise training in patients with pediatric rheumatic diseases.
abstract: Over the past decades, the role of exercise training in rheumatic diseases has been largely explored. Currently, physical activity is well known to benefit patients with osteoporosis, osteoarthritis, systemic lupus erythematosus, systemic sclerosis, idiopathic inflammatory myopathy, fibromyalgia and rheumatoid arthritis. Therefore, exercise training has been considered a valuable tool for treating rheumatic patients. The therapeutic effects of exercise training have also been investigated in pediatric rheumatic diseases. Collectively, studies have revealed the therapeutic potential of exercise in juvenile idiopathic arthritis, juvenile systemic lupus erythematosus, juvenile dermatomyositis, juvenile fibromyalgia and other causes of chronic pain. The aim of this review is to familiarize the pediatric rheumatologist with the exercise science field; discuss the potential benefits of exercise training in pediatric rheumatic diseases, emphasize both research and clinical perspectives of this promising field; and propose practical models of pre-participation examinations and contraindications to exercise.
authors.affiliation: Escola de Educação Física e Esporte, Universidade de São Paulo, Brasil. gualano@usp.br
authors.forename: Bruno
authors.initials: B
authors.lastname: Gualano
authors.forename: Ana Lúcia de Sá
authors.initials: AL
authors.lastname: Pinto
authors.forename: Maria Beatriz
authors.initials: MB
authors.lastname: Perondi
authors.forename: Hamilton
authors.initials: H
authors.lastname: Roschel
authors.forename: Adriana Maluf Elias
authors.initials: AM
authors.lastname: Sallum
authors.forename: Ana Paula Tanaka
authors.initials: AP
authors.lastname: Hayashi
authors.forename: Marina Yazigi
authors.initials: MY
authors.lastname: Solis
authors.forename: Clóvis Artur
authors.initials: CA
authors.lastname: Silva
mesh_terms: D002648:Child; D005081:Exercise Therapy; D006801:Humans; D017410:Practice Guidelines as Topic; D012216:Rheumatic Diseases / Q000628:therapy*; D009626:Terminology as Topic