Prevalence of Exercise Prescription and Clinical Justifications in Pediatric Rheumatology Patients with a Immigrant Background: A Single-Center Observational Study

Aim: Pediatric rheumatic diseases, such as Juvenile Idiopathic Arthritis (JIA), fibromyalgia, muscle strain, and scoliosis, can significantly impact physical function and quality of life. Exercise therapy is an effective, evidence-based approach for managing musculoskeletal symptoms in these patients, but its use in pediatric rheumatology remains underexplored. This study aimed to evaluate the prevalence of exercise prescription, the underlying clinical justifications, and demographic characteristics of pediatric rheumatology immigrant-background pediatric patients referred to a physical therapy clinic. Material and Method: This prospective, cross-sectional study included pediatric patients with immigrant (0-22 years) referred from the pediatric rheumatology clinic to the physical therapy clinic of Ümraniye Training and Research Hospital between January 1 and December 31, 2024. Patient data, including age, gender, diagnosis, and treatment type, were analyzed using SPSS (v.26), with p0.05). Muscle strain (74%) and joint pain (69%) had the highest exercise prescription rates, while JIA patients had a lower rate (47%). Conclusion: Exercise prescriptions are more common in non-inflammatory conditions like muscle strain and joint pain, while JIA patients receive them less frequently, likely due to concerns over joint damage and disease activity. Future studies should assess the long-term impact of exercise in this population.