SAT0626-HPR EXPLORING THE RELATION BETWEEN PAIN AND ACTIVITY AND PARTICIPATION BASED ON ICF IN CHILDREN AND ADOLESCENTS WITH JUVENIL IDIOPATIK ARTRIT: A PILOT STUDY

Abstract

Background:Functional limitation and inactivation are the most important problems in children with Juvenil Idiopatik Artrit (JIA).Objectives:The aim of this study was to link and allocate items of Childhood Health Assessment Questionnaire (CHAQ) with activity and participation based on International Classification of Functioning, Disability and Health (ICF). The other aim was to examine the relationship between the pain and activity and participation determined on the basis of CHAQ with Juvenil Idiopatik Artrit (JIA).Methods:Thirty-seven children and adolescents (26 girls, 11 boys, mean age=11.75±4.04 years) were included. The mean BMI of the participants was 19.61±4.52 kg / cm2. Inclusion criteria: To be diagnosed with JIA according to ILAR classification. Being in the 6-18 age range. To be stable in drug use for at least 3 months or longer. Exclusion criteria:The presence of another disease. Intraarticularsteroid injection or surgery in any joint in last 3 months. Evaluations were made by the same pediatric rheumatologist and physiotherapist (PT) by face to face interview method. Pain was evaluated by use of Numeric Rating Scale (NRS) (0=no, 10=worst) and disability by CHAQ. As CHAQ score increases, disability increases. CHAQ has 8 categories. The highest score for any question determines the score for that category. The items of CHAQ were linked with ICF codes and allocated with the ICF components by three PT. Original scoring of CHAQ allocated to ICF components was used in order to calculate scores of activity and participation in accordance with clinical data for 37 JIA. The 20th item in the “Reach” category is not included in the calculation as it contains the body function component of ICF. The data was analyzed using Pearson’s correlation coefficient.Results:Mean score of NRS was 3.52±2.34. Mean activity and participation score of CHAQ was 0.51±0.58, 0.70±1.10, respectively. Based on expert distinction, activity and participation categories of ICF were covered 24 and 5 items of CHAQ, respectively. Pain had moderate correlation with activity (r=0.595; p=0.002) and participation (r=0.604; p=0.001) for CHAQ. Activity had high correlation with participation (r=0.702; p=0.000).Conclusion:Pain in children and adolescents with JIA is an important parameter affecting activity and participation. Pain should be evaluated in all aspects due to the limitation of both activity and participation. CHAQ largely contains the activity component of ICF. The development of new questionnaire is needed to assess the participation of JIA children and adolescents in more detail.References:[1]Schanberg LE. Widespread pain in children: when is it pathologic? Arthritis Rheum 2003;48:2402-2405.Table 1.Linking and allocating items of CHAQItemsICF CodeICF ComponentDRESSING & GROOMINGDress, including tying shoelaces and doing buttons?d5402AShampoo his/her hair?d5100ARemove socks?d5403ACut fingernails?d520AARISINGStand up from a low chair or floor?d4103AGet in and out of bed or stand up in crib?d4100AEATINGCut his /her own meat?d550ALift a cup or glass to mouth?d4402AOpen a new cereal box?d440AWALKINGWalk outdoors on flat ground?d450AClimb up five steps?d4551AHYGIENEWash and dry entire body?d510ATake a tub bath?dd410AGet on and off the toilet or potty chair?d4103ABrush teeth?d5201AComb/brush hair?d5202AREACHReach and get down a heavy object from just above his/her head?d4452ABend down to pick up clothing or a piece of paper from the floor?d4105APull on a sweater over his/her head?d5400ATurn neck to look back over shoulder?b7101Body FunctionGRIPWrite or scribble with pen or pencil?d170AOpen car doors?d4450AOpen jars which have been previously opened?d4453ATurn faucets on and off?d4402APush open a door when he/she to turn a door knob?d4453AACTIVITIESRun errands and shop?d6200PGet in and out of car or toy car or school?d4702PRide bike or tricycle?d4750PDo household choresd6402PRun and play?d9201PA:Activity, P:ParticipationDisclosure of Interests:None declared