Abstract:

Objective To review the research of exercise interventions in children with juvenile idiopathic arthritis，clarify the intervention elements and effects，so as to provide references for clinical practice. Methods Guided by scoping review methodological guidelines，systematic searches were performed in domestic and international databases from their establishment to March 31，2025. Totally 2 researchers independently conducted literature screening and data extraction. Results A total of 16 studies were included，consisting of 9 randomized controlled trials，6 quasi-experimental studies， and 1 mixed-methods study. Exercise interventions included aerobic exercise，resistance training，flexibility exercises，and coordination training. Most protocols were designed as 2 to 3 times peer week，30 to 45 minutes peer times，and lasted 8 to 12 weeks. Outcome measures covered，such as pain，quality of life，physical fitness. Results showed that exercise intervention can alleviate pain，enhance muscle strength，improve joint function and quality of life，and is both safe and feasible. Conclusion Exercise interventions exert positive effects for paediatric patients；however，existing evidence is mostly derived from overseas studies. It is recommended to develop individualized exercise prescriptions based on the characteristics of Chinese juvenile idiopathic arthritis，and carry out standardized research.

Key words: Juvenile Idiopathic Arthritis, Exercise, Rehabilitation Nursing, Scoping Review

摘要： 目的 对运动干预在幼年特发性关节炎患儿中应用的相关研究进行范围综述，明确其类型、干预要素、结局指标、评估工具及应用效果，以期为临床实践提供参考。 方法 以范围综述方法学指南为指导，系统检索国内外数据库，检索时限为建库至2025年3月31日，2名研究者独立筛选文献、提取资料。 结果 纳入16篇文献，其中随机对照试验9篇、类实验研究6篇、混合性研究1篇。运动干预类型包括有氧运动、抗阻训练、柔韧性练习、协调性训练；干预要素多为2~3次/周、每次30~45 min、持续8~12周；结局指标涵盖疼痛、生活质量及健康状态、体能及运动功能等方面。结果显示，运动干预可缓解疼痛、提升肌力、改善关节功能与生活质量，且安全可行。 结论 运动干预对幼年特发性关节炎患儿有积极效果，但现有证据多来自国外，建议结合国内患儿特点制订个体化运动处方并开展规范化研究。

关键词: 幼年特发性关节炎, 运动, 康复护理, 范围综述