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Three-dimensional analysis of gait in children and adolescents with juvenile idiopathic arthritis

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Języki publikacji
EN
Abstrakty
EN
The paper aimed to assess the gait pattern in children and adolescents with juvenile idiopathic arthritis (JIA) treated at the rehabilitation center and to assess changes in this pattern after the end of treatment and 9 months later. Methods: 50 children with JIA were enrolled into the study. 35 healthy volunteers were enrolled into the study for a comparison. Spatiotemporal and kinematic gait parameters were obtained using a movement analysis system. The Gait Deviation Index (GDI) was calculated. The assessment was performed three times: on the day of admission to the rehabilitation center, after the end of a 4-week treatment period and 9 months later. Results: With regard to the majority of spatiotemporal and kinematic parameters, differences in their distribution were highly statistically significant between the study group and the control group ( p < 0.001). In two subsequent tests, differences were less significant when compared to the control group ( p < 0.01). In the study group, ranges of motion in the sagittal plane in the hip ( p < 0.01), knee ( p < 0.001) and ankle joints ( p < 0.01) increased significantly between tests 1 and 2, and 1 and 3. A significantly lower value of GDI was observed in the study group (right limb; p = 0.036). Conclusions: The gait pattern of children with JIA is significantly different from the one observed in healthy children. A rehabilitation program significantly improved gait in children with JIA, but differences compared to healthy children were still observed, and it indicates that the abnormal gait pattern became permanent in this group of subjects.
Rocznik
Strony
35--45
Opis fizyczny
Bibliogr 27 poz., rys., tab.
Twórcy
  • Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
  • Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
  • Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
  • Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
  • Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
  • Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
  • Faculty of Medicine, University of Rzeszów, al. mjr. W. Kopisto 2a, 35-310, Rzeszów, Poland
Bibliografia
  • [1] AZAB S.R., IBRAHIM A.R., RADWAN N.L., Effect of Extracorporeal Shockwave Therapy on Selected Gait Parameters in Children with Juvenile Idiopathic Arthritis, IJTRR., 2016, 5, 180–188.
  • [2] BEUKELMAN T., PATKAR N.M., SAAG K.G., TOLLESON- -RINEHART S., CRON R.Q., DEWITT E.M., ILOWITE N.T., KIMURA Y., LAXER R.M., LOVELL D.J., MARTINI A., RABINOVICH C.E., RUPERTO N., American College of Rheumatology Recommendations for the Treatment of Juvenile Idiopathic Arthritis: Initiation and Safety Monitoring of Therapeutic Agents for the Treatment of Arthritis and Systemic Features, Arthtitis Care Res., 2011, 4, 465–482.
  • [3] BŁAŻKIEWICZ M., WISZOMIRSKA I., WIT A., Comparison of four methods of calculating the symmetry of spatial-temporal parameters of gait, Acta Bioeng Biomech., 2014, 16 (1), 29–35.
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  • [5] BROSTROM E., HAGELBERG S., HAGLUND-AKERLIND Y., Effect of joint injections in children with juvenile idiopathic arthritis: evaluation by 3D-gait analysis, Acta Paediatr., 2004, 93, 906–910.
  • [6] BROSTROM E., HAGLUND-AKERLIND Y., HAGELBERG S., CRESSWELL A.G., Gait in children with juvenile chronic arthritis. Timing and force parameters, Scand J Rheumatol., 2002, 31, 317–323.
  • [7] BROSTROM E., ORTQVIST M., HAGLUND-AKERLIND Y., HAGELBERG S., GUTIERREZ-FAREWIK E., Trunk and center of mass movements during gait in children with juvenile idiopathic arthritis, Hum. Mov. Sci., 2007, 26, 296–305.
  • [8] DAVIS R.B., ÕUNPUU S., TYBURSKI D., GAGE J.R., A gait analysis data collection and reduction technique, Hum. Mov. Sci., 1991, 10, 575–587.
  • [9] ESBJÖRNSSON A.C., IVERSEN M.D., ANDRÉ M., HAGELBERG S., SCHWARTZ M.H., BROSTRÖM E.W., Effect of Intraarticular Corticosteroid Foot Injections on Walking Function in Children With Juvenile Idiopathic Arthritis, Arthritis Care Res., 2015, 67, 1693–1701.
  • [10] FAIRBURN P.S., PANAGAMUWA B., FALKONAKIS A., OSBORNE S., PALMER R., JOHNSON B., SOUTHWOOD T.R., The use of multidisciplinary assessment and scientific measurement in advanced juvenile idiopathic arthritis can categorise gait deviations to guide treatment, Arch. Dis. Child., 2002, 87, 160–165.
  • [11] HARTMANN M., KREUZPOINTNER F., HAEFNER R., MICHELS H., SCHWIRTZ A., HAAS J.P., Effects of juvenile idiopathic arthritis on kinematics and kinetics of the lower extremities call for consequences in physical activities recommendations, Inter. J. Pediatr., 2010, 835984.
  • [12] HARTMANN M., SCHWIRTZ A., HÄFNER R., MICHELS H., Gait patterns of JIA polyarthritis – first kinematic results of a 3D motion analysis, Aktuel Rheumatol., 2008, 33, 363–366. [13] HOF L., Scaling gait data to body size, Gait Posture., 1996, 3, 222–223.
  • [14] HOUGHTON K.M., GUZMAN J., Evaluation of Static and Dynamic Postural Balance in Children With Juvenile Idiopathic Arthritis, Pediatr. Phys. Ther., 2013, 25, 150–157.
  • [15] JING-LONG H., New advances in Juvenile Idiopathic Arthritis, Chang Gung Med. J., 2012, 35, 1–14.
  • [16] KLEPPER S.E., Effects of an eight-week physical conditioning programme on disease signs and symptoms in children with chronic arthritis, Arthritis Care Res., 1999, 12, 52–60.
  • [17] LECHNER E.D., MCCARTHY F.C., HOLDEN M.K., Gait patterns in patients with juvenile rheumatoid arthritis, Phys Ther., 1987, 67, 1335–1341.
  • [18] MERKER J., HARTMANN M., HAAS J.P., SCHWIRTZ A., Combined three-dimensional gait and plantar pressure analyses detecting significant functional deficits in children with juvenile idiopathic arthritis, Gait Posture, 2018, 66, 247–254.
  • [19] MERKER J., HARTMANN M., KREUZPOINTNER F., SCHWIRTZ A., HAAS J.P., Pathophysiology of juvenile idiopathic arthritis induced pes planovalgus in static and walking condition – A functional view using 3d gait analysis, Pediatr. Rheumatol. Online J., 2015, 13, 21.
  • [20] MYER G.D., BRUNNER H.I., MELSON P.G., PATERNO M.V., FORD K.R., HEWETT T.E., Specialized Neuromuscular Training to Improve Neuromuscular Function and Biomechanics in a Patient With Quiescent Juvenile Rheumatoid Arthritis, Phys. Ther., 2005, 85, 791–802.
  • [21] PETTY R.E., SOUTHWOOD T.R., MANNERS P., BAUM J., GLASS D.N., GOLDENBERG J., HE X., MALDONADO-COCCO J., OROZCO-ALCALA J., PRIEUR A.M., SUAREZ-ALMAZOR M.E., WOO P., International League of Associations for Rheumatology. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001, J. Rheumatol., 2004, 31 (2), 390–392.
  • [22] ROMICKA A., Juvenile idiopathic arthritis – clinical picture, course of the disease and treatment, Med. Stand/Paediatr., 2010, 7, 189–193.
  • [23] SCHWARTZ M.H., ROZUMALSKI A., The Gait Deviation Index: a new comprehensive index of gait pathology, Gait Posture, 2008, 28, 351–357.
  • [24] TAKKEN T., VAN NET J., HELDERS P.J., Do juvenile idiopathic arthritis patients benefit from exercise program? A pilot study, Arthritis Reum., 2001, 45, 81–85.
  • [25] TAKKEN T., VAN DER NET J., KUIS W., HELDERS P.J.M., Aquatic fitness training for children with juvenile idiopathic arthritis, Rheumatology, 2003, 42(11), 1408–1414.
  • [26] TARACKI E., YELDAN I., BAYDOGAN N., OLGAR S., KASAPCOPUR O., Efficiency of a land-based home exercise program for patients with juvenile idiopathic: A randomized controlled, single-blind study, J. Rehabil. Med., 2012, 44, 962–967.
  • [27] VAN DER NET J., VAN DER TORRE P., ENGELBERT R.H., ENGELEN V., VAN ZON F., TAKKEN T., HELDERS P.J., Motor performance and functional ability in preschool- and early school-aged children with juvenile idiopathic arthritis: a cross-sectional study, Pediatr. Rheumatol. Online J., 2008, 6, 2.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-d8d31e80-4ce9-4bac-a722-cd369237e281
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