{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T01:37:57Z","timestamp":1793151477315,"version":"4.5.0"},"reference-count":41,"publisher":"Human Kinetics","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Purpose<\/jats:bold>:<\/jats:italic> To determine whether a 12-week, lower body-targeted aqua-plyometric (AquaPlyo) exercise program could improve muscle strength, bone mineral properties, and physical fitness in patients with juvenile idiopathic arthritis. <jats:italic><jats:bold>Methods<\/jats:bold>:<\/jats:italic> A randomized controlled trial was adopted and included 48 patients with polyarticular juvenile idiopathic arthritis (age: 12\u201318\u00a0y). Patients were assigned to undergo either AquaPlyo exercises (AquaPlyo group, n\u2009=\u200924) or standard exercises (control group, n\u2009=\u200924). The outcome measures were assessed pretreatment and posttreatment and included concentric quadriceps peak torque, bone mineral properties (areal bone mineral density [BMD], volumetric BMD, bone mineral content, and BMD <jats:italic>Z<\/jats:italic> score), and physical fitness. <jats:italic><jats:bold>Results:<\/jats:bold><\/jats:italic> A significant posttreatment increase in the concentric quadriceps peak torque was detected in the AquaPlyo group compared with the control group (either at an angular velocity of 90\u00b0\/s [right side: <jats:italic>P<\/jats:italic>\u2009=\u2009.016, left side: <jats:italic>P<\/jats:italic>\u2009=\u2009.025] or 180\u00b0\/s [right side: <jats:italic>P<\/jats:italic>\u2009=\u2009.007, left side: <jats:italic>P<\/jats:italic>\u2009=\u2009.029]). Besides, a considerably greater improvement in the areal BMD (<jats:italic>P<\/jats:italic>\u2009=\u2009.0006), volumetric BMD (<jats:italic>P<\/jats:italic>\u2009=\u2009.027), bone mineral content (<jats:italic>P<\/jats:italic>\u2009=\u2009.002), and BMD <jats:italic>Z<\/jats:italic> score (<jats:italic>P<\/jats:italic>\u2009=\u2009.0004) was observed in the AquaPlyo group. Moreover, a remarkably greater rise in the physical fitness (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) was revealed in the AquaPlyo group. <jats:italic><jats:bold>Conclusion<\/jats:bold>:<\/jats:italic> AquaPlyo training can efficiently enhance muscle strength, improve bone mineral properties, and boost physical fitness in patients with juvenile idiopathic arthritis.<\/jats:p>","DOI":"10.1123\/pes.2022-0044","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T02:54:37Z","timestamp":1671418477000},"page":"198-205","source":"Crossref","is-referenced-by-count":11,"title":["Aqua-Plyometric Exercises-Induced Changes in Muscle Strength, Bone Mineral Properties, and Physical Fitness in Patients With Juvenile Idiopathic Arthritis: A 12-Week, Randomized Controlled Trial"],"prefix":"10.1123","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5080-702X","authenticated-orcid":true,"given":"Ragab K.","family":"Elnaggar","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia"},{"name":"Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-4469","authenticated-orcid":true,"given":"Mahmoud S.","family":"Elfakharany","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Res Kinesiol","first-page":"111","article-title":"The impact of plyometrics and aqua plyometrics on the lower extremities explosive strength in children aged 11\u201315","volume":"43","author":"Atanaskovi\u0107 A","year":"2015","unstructured":"Atanaskovi\u0107 A, Georgiev M, Mutavdzi\u0107 V. 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