Affiliation:
1. Rheumatology Department Kassab Orthopedics Institute Ksar Saïd Tunisia
2. Faculty of Medicine of Tunis University Tunis El Manar Tunis Tunisia
3. Research Unit UR17SP04 Tunis Tunisia
4. Rheumatology Department Military Hospital Tunis Tunisia
Abstract
AbstractAimFoot 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.PurposeOur 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.MethodsThe 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.ResultsTwenty‐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.ConclusionAnkle 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.
Subject
Nursing (miscellaneous),Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Chiropractics,Rheumatology
Reference29 articles.
1. The juvenile arthritis foot disability index: Development and evaluation of measurement properties;André M.;Journal of Rheumatology,2004
2. Favourable social functioning and health related quality of life of patients with JIA in early adulthood
3. Development and validation of a composite disease activity score for juvenile idiopathic arthritis
4. Strong relationships between disease activity, foot‐related impairments, activity limitations and participation restrictions in children with juvenile idiopathic arthritis;Clinical & Experimental Rheumatology,2010
5. Ankle arthritis predicts polyarticular disease course and unfavourable outcome in children with juvenile idiopathic arthritis;Clinical & Experimental Rheumatology,2015