Management of juvenile rheumatoid arthritis; the problem of long-term rehabilitation.

A program for the management of juvenile rheumatoid arthritis should permit the child an optimal developmental experience despite the persistence of potentially crippling inflammatory disease. Drugs are useful, although no more than palliative, and all are significantly toxic. Physical measures should be directed toward the improvement of joint alignment and mobility and the restoration of muscular strength. The emotional, social and educational needs of a child with such a chronic disability deserve the most thoughtful attention.