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. Author manuscript; available in PMC: 2023 Apr 25.
Published in final edited form as: Arthritis Rheumatol. 2022 Mar 1;74(4):570–585. doi: 10.1002/art.42036

Table 3.

Nonpharmacologic therapies*

Recommendation Certainty of evidence PICO evidence report(s) basis Page no(s). of evidence tables†
A discussion of healthy, age-appropriate diet is strongly recommended. Very low PICO 7. In children with oligoarticular JIA, should dietary or herbal interventions be recommended, in addition to whatever other therapeutic options are given, versus not recommending them? 48–49
Use of a specific diet to treat JIA is strongly recommended against. Very low PICO 7. In children with oligoarticular JIA, should dietary or herbal interventions be recommended, in addition to whatever other therapeutic options are given, versus not recommending them? 48–49
Use of supplemental or herbal interventions specifically to treat JIA is conditionally recommended against. Very low PICO 17. In children with JIA with active TMJ arthritis, should dietary or herbal interventions be recommended, in addition to whatever other therapeutic options are given, versus not recommending them? 60
Physical and occupational therapy are conditionally recommended regardless of concomitant pharmacologic therapy. Very low PICO 8. In children with oligoarticular JIA, regardless of disease activity and poor prognostic features, should PT/OT versus no PT/OT (regardless of concomitant medical therapy) be recommended?
PICO 18. In children with JIA with active TMJ arthritis, regardless of disease activity and poor prognostic features, should PT versus no PT (regardless of concomitant medical therapy) be recommended?		 49–51
60
*

PICO = Patient/Population, Intervention, Comparison, and Outcomes; JIA = juvenile idiopathic arthritis; TMJ = temporomandibular joint; PT = physical therapy; OT = occupational therapy.