Pediatric rheumatology

Personalized, physiotherapist-guided exercise programs in Juvenile Idiopathic Arthritis (JIA): home-based vs. immersive virtual reality (JiaFitXR)

Rheumatology (Oxford)Published Randomised controlled trial

Authors' conclusion

Both physiotherapist-guided exercise approaches effectively enhanced physical and functional outcomes in adolescents with JIA.

Study context

Population
Adolescents aged 13–18 years with JIA
Participants
50 adolescents
Comparison
Immersive virtual reality exergaming programme (JiaFitXR) vs home-based programme (HomeEX), both physiotherapist-guided
Methodological details1:1 randomisation, assessor-blinded, intention-to-treat
  • 1:1 randomisation
  • Assessor-blinded
  • Intention-to-treat

Primary result

As reported in the abstract

Physical fitness, functional capacity and physical activity · post-intervention (8 weeks)
Both interventions significantly improved physical fitness, functional capacity and daily activity
P < 0.05
Greater gains in 1-Min Sit-to-Stand, Step-Up and Step-Down tests, lower-extremity endurance and neuromuscular activation with JiaFitXR
P < 0.05
Superior improvements in flexibility and upper-extremity strength with HomeEX
P < 0.05

Original publication

Personalized, physiotherapist-guided exercise programs in JIA: home-based vs. immersive virtual reality (JiaFitXR). Rheumatology (Oxford). Published 1 July 2026. doi:10.1093/rheumatology/keag355

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