Foot-related impairment in children with juvenile idiopathic arthritis.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-07-05 DOI:10.1002/msc.1794
Hanene Lassoued Ferjani, Ines Cherif, Lobna Ben Ammar, Dorra Ben Nessib, Dhia Kaffel, Kaouther Maatallah, Wafa Hamdi
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Abstract

Aim: Foot involvement is present in approximately 60%-90% of children with Juvenile idiopathic arthritis (JIA). It is a major cause of disability, which can lead to deterioration in daily activities and quality of life. However, it is often overlooked and can compromise patient management.

Purpose: Our objective was to describe the ankle and foot involvement in JIA and to appraise the functional impact of this damage on the child's performance and quality of life by using validated scores.

Methods: The cross-sectional study included patients with JIA. Functional impairment was assessed through the Juvenile Arthritis Functionality Scale (JAFS) and the Oxford Ankle and Foot Questionnaire for children.

Results: Twenty-three patients aged 12.75 ± 3.9 and with 41 months of disease duration. After completing the Oxford score, the physical domain appeared to be the most altered. A long delay in diagnosis was associated with an alteration in the emotional domain of the Oxford score. Higher disease activity was significantly associated with impairment in both the physical activity and the footwear domains of the Oxford score. As regards clinical examination data, the presence of foot pain as well as the presence of tendinopathy were associated with an alteration of all Oxford score domains. The presence of flat feet significantly affected all domains of the Oxford score. The JAFS was reported to affect the child's performance ability and was associated with impairment in physical activity, school and play, and emotional domains.

Conclusion: Ankle and foot involvement was common in our study. Functional ability was most impaired in the lower limbs. High disease activity, foot and ankle pain, tenosynovitis, and flat feet were associated with poorer quality of life and higher functional impact.

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幼年特发性关节炎患儿与足部有关的损伤。
目的:约有 60%-90% 的幼年特发性关节炎(JIA)患儿的足部受累。足部受累是致残的主要原因,可导致日常活动能力和生活质量下降。目的:我们的目的是描述 JIA 中踝关节和足部受累的情况,并通过使用有效的评分来评估这种损伤对患儿表现和生活质量的功能影响:这项横断面研究包括JIA患者。通过青少年关节炎功能量表(JAFS)和儿童牛津踝足问卷对功能障碍进行评估:23名患者的年龄为(12.75±3.9)岁,病程为41个月。在完成牛津评分后,身体领域的变化似乎最大。诊断延误时间过长与牛津评分中情感领域的改变有关。较高的疾病活动度与牛津评分中身体活动和鞋类领域的损伤有明显关联。在临床检查数据方面,足部疼痛和肌腱病变的存在与牛津评分所有领域的改变有关。扁平足的存在会明显影响牛津评分的所有项目。据报告,JAFS会影响儿童的表现能力,并与体育活动、学校和游戏以及情感方面的障碍有关:结论:在我们的研究中,踝关节和足部受累很常见。结论:在我们的研究中,踝关节和足部受累很常见,下肢功能受损最严重。高疾病活动度、足踝疼痛、腱鞘炎和扁平足与较差的生活质量和较高的功能影响有关。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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