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Impact of involvement of individual joint groups on subdimensions of functional ability scales in juvenile idiopathic arthritis.

Abstract：

OBJECTIVE:To investigate the influence of arthritis in individual joint groups on subdimensions of functional ability questionnaires in children with juvenile idiopathic arthritis (JIA). METHODS:206 patients were included who had the Childhood Health Assessment Questionnaire (C-HAQ) and the Juvenile Arthritis Functionality Scale (JAFS) completed simultaneously by a parent and received a detailed joint assessment. In each patient, joint involvement (defined as presence of swelling, pain on motion/tenderness and/or restricted motion) was classified in 3 topographic patterns: Pattern 1 (hip, knee, ankle, subtalar and foot joints); Pattern 2 (wrist and hand joints); Pattern 3 (elbow, shoulder, cervical spine and temporomandibular joints). Frequency of reported disability in each instrument subdimension was evaluated for each joint pattern, present either isolatedly or in mixed form. RESULTS:Among patients with Pattern 1, the JAFS revealed the greatest ability to capture and discriminate functional limitation, whereas impairment in the C-HAQ was more diluted across several subdimensions. Both C-HAQ and JAFS appeared to be less reliable in detecting functional impairment in the hand and wrist (Pattern 2) than in other body areas. Overall, the JAFS revealed a superior ability to discriminate the relative functional impact of impairment in individual joint groups among patients with mixed joint patterns. CONCLUSION:In children with JIA, a functional measure focused to assess the function of individual joint groups (the JAFS) may detect with greater precision the functional impact of arthritis in specific body areas than does a standard questionnaire based on the assessment of activities of daily living (the C-HAQ).

journal_name

Clin Exp Rheumatol

journal_title

Clinical and experimental rheumatology

authors

Meiorin S,Filocamo G,Pistorio A,Magni-Manzoni S,Sztajnbok F,Cespedes-Cruz A,Magnani A,Ruperto N,Martini A,Ravelli A

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

527-33

issue

3

eissn

0392-856X

issn

1593-098X

pii

2638

journal_volume

27

pub_type

杂志文章

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