The effect of core stabilization training on pain, functional status, fatigue and quality of life in patients with juvenile spondyloarthropathy

Juvenile spondyloarthropathy (JSpA) is a group of chronic, inflammatory diseases that emerge during childhood and affect multiple systems, primarily the musculoskeletal system. Pain, muscle weakness, fatigue, and functional limitations observed during the course of the disease can negatively affect children's participation in daily life activities. This study was designed as a prospective, randomized controlled trial to evaluate the effects of core stabilization exercises on pain, fatigue, functional status, and quality of life in children diagnosed with JSpA. A total of 30 children aged between 10 and 18 years who had been diagnosed with JSpA were included in the study. Participants were randomly divided into two groups: Group 1 and Group 2. While core stabilization exercises were applied to Group 1, only physical activity counseling was provided to Group 2. Before and after the 12-week treatment period, pain levels were assessed using the Visual Analog Scale (VAS), muscle strength was evaluated with manual muscle testing, fatigue levels were measured using the Multidimensional Fatigue Scale (MFS), lower extremity functional status was assessed with the 6-Minute Walk Test (6MWT) and the Timed Up and Down Stairs Test (TUDS), and quality of life was evaluated using the Pediatric Quality of Life Inventory (PedsQL) 3.0 Arthritis Module. At the end of the study, although both groups showed improvements in various parameters, the changes observed in the intervention group were found to be statistically more significant (p < 0.05). While improvements in back muscle strength, pain scores, and 6MWT performance were noted in both the intervention and control groups, the effects of core stabilization exercises were found to be considerably greater (p < 0.05). In conclusion, core stabilization exercises stand out as an effective method for improving symptom management and enhancing functional well-being in children with JSpA.