Fellas Antoni, Singh-Grewal Davinder, Santos Derek, Coda Andrea
School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.
The Sydney Children's Hospital, Randwick, Sydney, NSW, Australia.
Arthritis. 2018 May 15;2018:3408162. doi: 10.1155/2018/3408162. eCollection 2018.
Juvenile idiopathic arthritis (JIA) is the most common form of rheumatic disease in childhood and adolescents, affecting between 16 and 150 per 100,000 young persons below the age of 16. The lower limb is commonly affected in JIA, with joint swelling and tenderness often observed as a result of active synovitis.
The objective of this scoping review is to identify the existence of physical examination (PE) tools to identify and record swollen and tender lower limb joints in children with JIA.
Two reviewers individually screened the eligibility of titles and abstracts retrieved from the following online databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and CINAHL. Studies that proposed and validated a comprehensive lower limb PE tool were included in this scoping review.
After removal of duplicates, 1232 citations were retrieved, in which twelve were identified as potentially eligible. No studies met the set criteria for inclusion.
Further research is needed in developing and validating specific PE tools for clinicians such as podiatrists and other allied health professionals involved in the management of pathological lower limb joints in children diagnosed with JIA. These lower limb PE tools may be useful in conjunction with existing disease activity scores to optimise screening of the lower extremity and monitoring the efficacy of targeted interventions.
幼年特发性关节炎（JIA）是儿童和青少年中最常见的风湿性疾病形式，每10万名16岁以下的年轻人中就有16至150人受其影响。JIA通常会影响下肢，由于活跃的滑膜炎，常可见关节肿胀和压痛。
本范围综述的目的是确定是否存在用于识别和记录JIA患儿下肢肿胀和压痛关节的体格检查（PE）工具。
两名综述员分别筛选从以下在线数据库检索到的标题和摘要的合格性：医学文献数据库（MEDLINE）、荷兰医学文摘数据库（EMBASE）、Cochrane对照试验中心注册库和护理学与健康领域数据库（CINAHL）。本范围综述纳入了提出并验证了一种全面的下肢PE工具的研究。
去除重复项后，检索到1232条引文，其中12条被确定为可能合格。没有研究符合纳入的既定标准。
需要进一步开展研究，为足病医生和其他参与管理被诊断为JIA的儿童病理性下肢关节的专职医疗人员等临床医生开发和验证特定的PE工具。这些下肢PE工具可能与现有的疾病活动评分结合使用，有助于优化对下肢的筛查并监测靶向干预措施的疗效。
