Fitness Integrative Training for Pediatric Rheumatology Disorders

Eligibility Criteria

• * Pediatric rheumatic diseases (PRD) or joint hypermobility (JH) diagnosed by a pediatric rheumatologist or pain physician.
• * Initial diagnosis ≥ 3 months ago
• * Ages 10-19 years, inclusive
• * Ongoing symptoms of musculoskeletal pain and/or fatigue for at least 3 months
• * Functional Disability Index (FDI) Score ≥ 13 indicating at least moderate disability.
• * Child has written and spoken proficiency in English and parent has written and spoken proficiency in English or Spanish (will have a certified bilingual provider or interpreter available)
• * Untreated major psychiatric diagnoses (e.g., major depression, bipolar disorder, psychoses) or documented developmental delay.
• * Any other medical condition determined by their physician to be a contraindication for exercise.
• * Childhood Myositis Assessment Scale (CMAS) ≤ 30