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Self-rated walking disability and dynamic ankle joint stiffness in children and adolescents with Juvenile Idiopathic Arthritis receiving intraarticular corticosteroid joint injections of the foot
Karolinska Inst, Karolinska Univ Hosp, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Harvard Med Sch, Sect Clin Sci, Div Rheumatol Immunol & Allergy, Brigham & Womens Hosp, Boston, MA USA.;Northeastern Univ, Dept Phys Therapy Movement & Rehabil Sci, Bouve Coll Hlth Sci, Boston, MA 02115 USA..
Karolinska Inst, Karolinska Univ Hosp, Dept Womens & Childrens Hlth, Stockholm, Sweden..
KTH, Skolan för teknikvetenskap (SCI), Centra, BioMEx. KTH, Skolan för teknikvetenskap (SCI), Mekanik. Karolinska Inst, Karolinska Univ Hosp, Dept Womens & Childrens Hlth, Stockholm, Sweden..ORCID-id: 0000-0002-2232-5258
Lund Univ, Skdne Univ Hosp, Dept Orthoped, Clin Sci, Lund, Sweden..
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2019 (Engelska)Ingår i: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 67, s. 257-261Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Children and adolescents with Juvenile Idiopathic Arthritis (JIA) exhibit deviations in ankle dynamic joint stiffness (DJS, or moment-angle relationship) compared to healthy peers, but the relationship between ankle DJS and self-reported walking impairments has not been studied. This secondary analysis aimed to investigate the relationship between ankle DJS and self-reported walking disability in juveniles with JIA, and to determine whether intraarticular corticosteroid foot injections (IACI) were associated with long term changes in ankle DJS. Research questions: Is ankle DJS altered in children with JIA reporting walking difficulties compared to children with JIA reporting no walking difficulties? Are IACIs associated with persistent alterations in ankle DJS? Methods: Gait dynamics (DJS), foot pain, and foot-related disability were assessed in 33 children with JIA before intraarticular corticoid foot injection (IACI), and three months after IACI. Using self-reported walking capacity scores, children were classified as either having no walking difficulties (ND) or having walking difficulties (WD). Inferential statistics were used to compare demographics, pain, impairment scores, and ankle DJS between the groups. Results: Before treatment, in the WD group, ankle DJS was significantly decreased both in the early rising phase (ERP = 0.03 +/- 0.02 vs. 0.05 +/- 0.02 Nm(kg*deg)(-1)) and late rising phase (LRP = 0.11 +0.06 vs. 0.24+0.22 Nm (kg*deg)(-1)) compared to the ND group. At three months, the ERP was still significantly decreased in the WD group (ERP = 0.03 +/- 0.01 vs. 0.05+0.03 Nm(kg*deg)(-1)). Significance: Among children and adolescents with JIA who reported walking difficulties prior to IACIs, alterations in DJS in early stance phase (decreased ERP) remained three months after IACI suggesting persistent gait adaptations, possibly related to pain. Pre-treatment gait analysis may aid in identifying children who will not have long term benefit from IACIs in terms of improved gait, and therefore, may be informed and have the choice to be spared the risk of side effects associated with this treatment.

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ELSEVIER IRELAND LTD , 2019. Vol. 67, s. 257-261
Nyckelord [en]
Juvenile idiopathic arthritis, Gait analysis, Dynamic joint stiffness, Ankle joint, Foot
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Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:kth:diva-239746DOI: 10.1016/j.gaitpost.2018.10.024ISI: 000450182400043PubMedID: 30396058Scopus ID: 2-s2.0-85055879863OAI: oai:DiVA.org:kth-239746DiVA, id: diva2:1277451
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QC 20190110

Tillgänglig från: 2019-01-10 Skapad: 2019-01-10 Senast uppdaterad: 2019-01-10Bibliografiskt granskad

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