Juvenile idiopathic arthritis

There are no known primary preventive measures.

Regular physical activity can help prevent deconditioning.[65]Long AR, Rouster-Stevens KA. The role of exercise therapy in the management of juvenile idiopathic arthritis. Curr Opin Rheumatol. 2010 Mar;22(2):213-7. http://www.ncbi.nlm.nih.gov/pubmed/20010296?tool=bestpractice.com Physical therapy and occupational therapy are also recommended.[60]Davies K, Cleary G, Foster H, et al. BSPAR Standards of Care for children and young people with juvenile idiopathic arthritis. Rheumatology (Oxford). 2010 Jul;49(7):1406-8. https://academic.oup.com/rheumatology/article/49/7/1406/1785261/BSPAR-Standards-of-Care-for-children-and-young http://www.ncbi.nlm.nih.gov/pubmed/20173199?tool=bestpractice.com

Patients should be vaccinated, but shared decision-making with patients should be encouraged regarding holding immunosuppressive medications or delaying vaccination to maximize vaccine efficacy. Individual risk for vaccine-preventable illness and disease flare should be considered if immunosuppressive medications are withheld for vaccination.[121]American College of Rheumatology. 2022 American College of Rheumatology guideline for vaccinations in patients with rheumatic and musculoskeletal diseases. Feb 2023 [internet publication]. https://rheumatology.org/vaccinations-guideline http://www.ncbi.nlm.nih.gov/pubmed/36597813?tool=bestpractice.com ​​ Annual influenza vaccinations, especially for those on immunosuppressive agents, can help prevent the development of concurrent infection and/or infection triggering a flare. For those on immunosuppressive agents, varicella prophylaxis following contact is advised.