In contrast to adults, rheumatic diseases in children are largely of an inflammatory nature. Today, chronic joint inflammation predominates; because of its peculiarity compared to adults, it is referred to as “juvenile chronic arthritis”. We are dealing with different manifestations that differ in the involvement of the joints, in their complications as well as in the treatment and often in the prognosis. As soon as possible, emerging movement restrictions and relieving postures must be treated as a preventative measure. The treatment begins with maintaining full joint mobility and preventing the risk of joint misalignments. Every child must be treated according to their age.
The therapist must first gain the child’s trust, treat them painlessly and in a child-friendly manner, work in a way that is gentle on the joints, reduce muscle tension, stretch and activate depending on the findings, improve joint mobility and help the child relearn the “correct” movement sequences.