青少年特发性关节炎患者的体能调查:病例对照研究

IF 1.3 Q3 PEDIATRICS Turkish archives of pediatrics Pub Date : 2024-09-02 DOI:10.5152/TurkArchPediatr.2024.24103
Sinem Bozcuk, Bilge Basakcı Calık, Elif Gur Kabul, Zahide Ekici Tekin, Selçuk Yüksel
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引用次数: 0

摘要

幼年特发性关节炎(JIA)会出现关节肿胀、渗出、触痛和疼痛。这种疾病会导致关节活动受限、肌肉无力、萎缩、平衡和步态障碍。体能被认为是儿童和青少年健康的重要决定因素。本研究旨在评估患有关节炎的儿童/青少年的体能,并将其与健康儿童/青少年进行比较。研究对象包括 70 名儿童/青少年(35 名 JIA 患者和 35 名健康患者)。评估采用儿童健康评估问卷(CHAQ)和布洛克波特体能测试。布罗克波特体能测试包括优势手握力、卷发上举、俯卧撑、躯干上举、肩部拉伸、坐姿和伸展测试、皮褶厚度(小腿/肱三头肌/肩胛下)测量以及 PACER 20 米测试。结果发现,健康组在 CHAQ 的所有子参数(P < .05)、优势手握力(P = .037)、卷发上举测试(P < .001)、躯干上举测试(P = .018)、肩部拉伸(P < .001)和 PACER 20 米测试(P < .001)方面均有明显差异。与健康的同龄人相比,患有 JIA 的儿童/青少年在肌肉和心血管能力测试(卷腹测试、PACER 20 米测试、躯干抬高测试、优势手握力测试和肩部拉伸测试)中表现较差。与健康的同龄人相比,他们的功能能力受损更严重,疼痛程度更高,总体健康水平更低。
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Investigation of Physical Fitness in Children and Adolescents with Juvenile Idiopathic Arthritis: A Case-Control Study.

Swelling, effusion, tenderness, and pain seen in the joints of juvenile idiopathic arthritis (JIA). This disease may cause limitation in joint movements, muscle weakness, atrophy, balance, and gait disorders. Physical fitness is accepted as an important determinant of health in both childhood and adolescence. The aim was to evaluate the physical fitness of children/adolescents with JIA and compare it with healthy peers. Seventy children/adolescents were included (35 JIA and 35 healthy). The Childhood Health Assessment Questionnaire (CHAQ) and the Brockport physical fitness test battery were used for evaluation. The Brockport physical fitness test battery consists of dominant handgrip strength, curl-up, push-up, trunk lift, shoulder stretch, sit and reach tests, skinfold thickness (calf/triceps/subscapular) measurements, and PACER 20 m test. A significant difference was found in all sub-parameters of CHAQ (P < .05) and dominant hand grip strength (P = .037), curl-up test (P < .001), trunk lift test (P = .018), shoulder stretch (P < .001) and PACER 20 m test (P < .001) tests in favor of the healthy group. Children/adolescents with JIA demonstrated lower performance compared to their healthy peers in muscular and cardiovascular capacity tests (curl-up test, PACER 20 m test, trunk lift test, dominant hand grip strength test, and shoulder stretch test). Their functional abilities are more impaired, and they experience higher levels of pain and lower levels of general well-being compared to healthy peers.

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