What is Juvenile Idiopathic Arthritis?

Juvenile idiopathic arthritis (JIA) is an umbrella term which is used to include a heterogeneous group of conditions which begin in childhood and involve persistent inflammation in one or more joints.

JIA occurs worldwide with an annual incidence of approximately 6-19 per 100 000 children and a prevalence rate of approximately 1 in 1000.

JIA is defined as arthritis beginning at less than 16 years, persisting for at least 6 weeks with no known cause.

The benefits of The Bambach for Juvenile Idiopathic Arthritis

• The hip joint is its position of maximal joint surface contact (closed pack position).
• Limbs are in a mid-range position which can minimise abnormal tone.
• Focus on pelvic control maintains an upright stable pelvis in its neutral position. In this position the spine, shoulder girdle, trunk, head and neck can function in their most stable position.
• A clear midline assists balance and symmetry.
• The individual sitting upright is in an active dynamic posture rather than a passive collapsed position.
• Partial weight bearing can be encouraged through to standing from a half-sitting position.
• Dynamic sitting facilitates muscle activity which ensures the stimulation of normal and symmetrical growth of bone and soft tissue.
• Facilitation of independence in sitting and other motor activities.
• Thoracic, abdominal and pelvic spaces are maximized resulting in improved lung and internal organ function and circulation.
• Self care activities, such as meals, washing and dressing, writing, computer work, hobbies and playing games, are also more easily performed.

Bambach understands the problems associated with Juvenile Idiopathic Arthritis

• Joint swelling, pain and stiffness
• Children with inflamed joint will rapidly develop flexion deformities
• Persistent inflammation in a joint can lead to bony overgrowth
• Disturbance in growth
• Decreased bone mineral density (Osteopenia)