Publication Name	World Journal of Clinical Pediatrics
Manuscript ID	113152
Country	Brazil

Category	Rheumatology
Manuscript Type	Letter to the Editor
Article Title	Assessing joint damage in juvenile idiopathic arthritis: Guide for prescribing physical exercise with the juvenile arthritis damage index
Manuscript Source	Invited Manuscript
All Author List	Wlaldemir Roberto Dos Santos
Funding Agency and Grant Number
Corresponding Author	Wlaldemir Roberto Dos Santos, Adjunct Professor, School of Physical Education, University of Pernambuco, 310 Arnóbio Marques St, Santo Amaro, Recife 50100-130, Brazil. wlaldemir.santos@upe.br
Key Words	Physical rehabilitation; Contractures; Prognostic assessment; Pediatric rheumatology; Functional outcomes
Core Tip	Juvenile idiopathic arthritis (JIA) can lead to irreversible structural and functional damage. The juvenile arthritis damage index (JADI) emerges as a valuable tool for assessing long-term joint involvement and guiding therapeutic strategies. In addition to predicting pharmacological response, JADI offers specific advantages over disease activity scores-such as juvenile arthritis disease activity score-because it reflects irreversible damage rather than active inflammation, making it particularly relevant for long-term rehabilitation planning. Beyond predicting pharmacological response, JADI enables the identification of patients with established lesions who require tailored rehabilitation. Early integration of individualized physical exercise and physiotherapy with medical treatment may restore function, prevent further deterioration, and enhance adherence. Incorporating JADI into clinical practice optimizes exercise prescription, mobility, and quality of life in patients with JIA.
Citation	Dos Santos WR. Assessing joint damage in juvenile idiopathic arthritis: Guide for prescribing physical exercise with the juvenile arthritis damage index. World J Clin Pediatr 2025; In press

Received	2025-08-18 01:12
Peer-Review Started	2025-08-18 01:12
First Decision by Editorial Office Director	2025-09-09 09:58
Return for Revision	2025-09-09 09:58
Revised	2025-09-11 17:58
Publication Fee Transferred
Second Decision by Editor	2025-12-24 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-24 08:18
Articles in Press	2025-12-24 08:18
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2219-2808 (online)
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