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See Latest ArticlesImpact of involvement of individual joint groups on subdimensions of functional ability scales in juvenile idiopathic arthritis
Clinical and Experimental Rheumatology Online, 07/31/09
Meiorin S et al. – Study proposes that in children with juvenile idiopathic arthritis (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).
Methods- An investigation of the influence of arthritis in individual joint groups on subdimensions of functional ability questionnaires in children with JIA
- 206 pts; had C-HAQ and JAFS completed simultaneously by a parent and received a detailed joint assessment
- In each patient, joint involvement 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
- Among pts 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 were less reliable in detecting functional impairment in the hand and wrist (Pattern 2) vs other body areas
- Overall, the JAFS revealed a superior ability to discriminate the relative functional impact of impairment in individual joint groups among pts with mixed joint patterns
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