Abstract
Objective: To investigate the influence of arthritis in individual joint groups on subdimensions of functional ability questionnaires in children with juvenile idiopathic arthritis (JIA). Methods: 206 patients were included who had the Childhood Health Assessment Questionnaire (C-HAQ) and the Juvenile Arthritis Functionality Scale (JAFS) completed simultaneously by a parent and received a detailed joint assessment. In each patient, joint involvement (defined as presence of swelling, pain on motion/tenderness and/or restricted motion) was classified in 3 topographic patterns: Pattern 1 (hip, knee, ankle, subtalar and foot joints); Pattern 2 (wrist and hand joints); Pattern 3 (elbow, shoulder, cervical spine and temporomandibular joints). Frequency of reported disability in each instrument subdimension was evaluated for each joint pattern, present either isolatedly or in mixed form. Results: Among patients with Pattern 1, the JAFS revealed the greatest ability to capture and discriminate functional limitation, whereas impairment in the C-HAQ was more diluted across several subdimensions. Both C-HAQ and JAFS appeared to be less reliable in detecting functional impairment in the hand and wrist (Pattern 2) than in other body areas. Overall, the JAFS revealed a superior ability to discriminate the relative functional impact of impairment in individual joint groups among patients with mixed joint patterns. Conclusion: In children with JIA, a functional measure focused to assess the function of individual joint groups (the JAFS) may detect with greater precision the functional impact of arthritis in specific body areas than does a standard questionnaire based on the assessment of activities of daily living (the C-HAQ).
| Original language | English |
|---|---|
| Pages (from-to) | 527-533 |
| Number of pages | 7 |
| Journal | Clinical and Experimental Rheumatology |
| Volume | 27 |
| Issue number | 3 |
| Publication status | Published - May 2009 |
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Keywords
- Disability
- Functional assessment
- Health outcomes
- Juvenile idiopathic arthritis
ASJC Scopus subject areas
- Immunology
- Immunology and Allergy
- Rheumatology
Cite this
Impact of involvement of individual joint groups on subdimensions of functional ability scales in juvenile idiopathic arthritis. / Meiorin, Silvia; Filocamo, Giovanni; Pistorio, Angela; Magni-Manzoni, Silvia; Sztajnbok, Flavio; Cespedes-Cruz, Adriana; Magnani, Alessandra; Ruperto, Nicolino; Martini, Alberto; Ravelli, Angelo.
In: Clinical and Experimental Rheumatology, Vol. 27, No. 3, 05.2009, p. 527-533.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Impact of involvement of individual joint groups on subdimensions of functional ability scales in juvenile idiopathic arthritis
AU - Meiorin, Silvia
AU - Filocamo, Giovanni
AU - Pistorio, Angela
AU - Magni-Manzoni, Silvia
AU - Sztajnbok, Flavio
AU - Cespedes-Cruz, Adriana
AU - Magnani, Alessandra
AU - Ruperto, Nicolino
AU - Martini, Alberto
AU - Ravelli, Angelo
PY - 2009/5
Y1 - 2009/5
N2 - Objective: To investigate the influence of arthritis in individual joint groups on subdimensions of functional ability questionnaires in children with juvenile idiopathic arthritis (JIA). Methods: 206 patients were included who had the Childhood Health Assessment Questionnaire (C-HAQ) and the Juvenile Arthritis Functionality Scale (JAFS) completed simultaneously by a parent and received a detailed joint assessment. In each patient, joint involvement (defined as presence of swelling, pain on motion/tenderness and/or restricted motion) was classified in 3 topographic patterns: Pattern 1 (hip, knee, ankle, subtalar and foot joints); Pattern 2 (wrist and hand joints); Pattern 3 (elbow, shoulder, cervical spine and temporomandibular joints). Frequency of reported disability in each instrument subdimension was evaluated for each joint pattern, present either isolatedly or in mixed form. Results: Among patients with Pattern 1, the JAFS revealed the greatest ability to capture and discriminate functional limitation, whereas impairment in the C-HAQ was more diluted across several subdimensions. Both C-HAQ and JAFS appeared to be less reliable in detecting functional impairment in the hand and wrist (Pattern 2) than in other body areas. Overall, the JAFS revealed a superior ability to discriminate the relative functional impact of impairment in individual joint groups among patients with mixed joint patterns. Conclusion: In children with JIA, a functional measure focused to assess the function of individual joint groups (the JAFS) may detect with greater precision the functional impact of arthritis in specific body areas than does a standard questionnaire based on the assessment of activities of daily living (the C-HAQ).
AB - Objective: To investigate the influence of arthritis in individual joint groups on subdimensions of functional ability questionnaires in children with juvenile idiopathic arthritis (JIA). Methods: 206 patients were included who had the Childhood Health Assessment Questionnaire (C-HAQ) and the Juvenile Arthritis Functionality Scale (JAFS) completed simultaneously by a parent and received a detailed joint assessment. In each patient, joint involvement (defined as presence of swelling, pain on motion/tenderness and/or restricted motion) was classified in 3 topographic patterns: Pattern 1 (hip, knee, ankle, subtalar and foot joints); Pattern 2 (wrist and hand joints); Pattern 3 (elbow, shoulder, cervical spine and temporomandibular joints). Frequency of reported disability in each instrument subdimension was evaluated for each joint pattern, present either isolatedly or in mixed form. Results: Among patients with Pattern 1, the JAFS revealed the greatest ability to capture and discriminate functional limitation, whereas impairment in the C-HAQ was more diluted across several subdimensions. Both C-HAQ and JAFS appeared to be less reliable in detecting functional impairment in the hand and wrist (Pattern 2) than in other body areas. Overall, the JAFS revealed a superior ability to discriminate the relative functional impact of impairment in individual joint groups among patients with mixed joint patterns. Conclusion: In children with JIA, a functional measure focused to assess the function of individual joint groups (the JAFS) may detect with greater precision the functional impact of arthritis in specific body areas than does a standard questionnaire based on the assessment of activities of daily living (the C-HAQ).
KW - Disability
KW - Functional assessment
KW - Health outcomes
KW - Juvenile idiopathic arthritis
UR - http://www.scopus.com/inward/record.url?scp=67651154541&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=67651154541&partnerID=8YFLogxK
M3 - Article
VL - 27
SP - 527
EP - 533
JO - Clinical and Experimental Rheumatology
JF - Clinical and Experimental Rheumatology
SN - 0392-856X
IS - 3
ER -