کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6207486 1265662 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Foot function is well preserved in children and adolescents with juvenile idiopathic arthritis who are optimally managed
ترجمه فارسی عنوان
عملکرد پا در کودکان و نوجوانان مبتلا به آرتریت ایدئوپاتیک نوجوانان که به طور مطلوب مدیریت می شوند، به خوبی حفظ می شود
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeThe objective of this study was to compare disease activity, impairments, disability, foot function and gait characteristics between a well described cohort of juvenile idiopathic arthritis (JIA) patients and normal healthy controls using a 7-segment foot model and three-dimensional gait analysis.MethodsFourteen patients with JIA (mean (standard deviation) age of 12.4 years (3.2)) and a history of foot disease and 10 healthy children (mean (standard deviation) age of 12.5 years (3.4)) underwent three-dimensional gait analysis and plantar pressure analysis to measure biomechanical foot function. Localised disease impact and foot-specific disease activity were determined using the juvenile arthritis foot disability index, rear- and forefoot deformity scores, and clinical and musculoskeletal ultrasound examinations respectively. Mean differences between groups with associated 95% confidence intervals were calculated using the t distribution.ResultsMild-to-moderate foot impairments and disability but low levels of disease activity were detected in the JIA group. In comparison with healthy subjects, minor trends towards increased midfoot dorsiflexion and reduced lateral forefoot abduction within a 3-5° range were observed in patients with JIA. The magnitude and timing of remaining kinematic, kinetic and plantar pressure distribution variables during the stance phase were similar for both groups.ConclusionIn children and adolescents with JIA, foot function as determined by a multi-segment foot model did not differ from that of normal age- and gender-matched subjects despite moderate foot impairments and disability scores. These findings may indicate that tight control of active foot disease may prevent joint destruction and associated structural and functional impairments.

► Foot kinematics were compared between children with and without juvenile idiopathic arthritis. ► Gait measurements and ultrasound features were explored as measures of structure and function. ► Magnitude and timing parameters for foot kinetics and pressure distribution were similar. ► Foot function did not differ despite moderate foot impairments and disability levels.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gait & Posture - Volume 38, Issue 1, May 2013, Pages 30-36
نویسندگان
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