Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Faculty of Medicine, Department of Pediatric Rheumatology, Hacettepe University, Ankara, Turkey.
Phys Occup Ther Pediatr. 2024;44(6):798-811. doi: 10.1080/01942638.2024.2376058. Epub 2024 Jul 11.
To examine physical functions, activity, and participation level, and associated factors with participation in children with juvenile idiopathic arthritis (JIA) across the International Classification of Functioning Disability and Health-Children and Youth.
49 children (Girl/Boy:28/21) aged between 7 and 18 years (Mean: 13.4 ± 3.3) were included. To evaluate body structure/functioning; pain, fatigue, disease activity, and motor functions were assessed. Childhood Health Assessment Questionnaire and Juvenile Arthritis Biopsychosocial and Clinical Questionnaire were used to determine activity level. Child and Adolescent Scale of Participation was used to assess participation.
Mild level of pain (2.0 ± 2.3), disease activity (2.0 ± 2.3), and fatigue (4.1 ± 4.0) were recorded. Decrease in motor functions was determined in 75% of children, while 61% of whom had activity-related disability. There was mild to moderate participation restrictions, and participation was significantly associated with age ( = -0.29), pain severity ( = -0.31), disease activity ( = -0.39), motor functions ( = 0.33), and activity level ( = -0.43), ( ˂ 0.05).
Majority of children with JIA have deteriorations in physical functions, activity, and participation. Age, pain, disease activity, motor functions and activity level were associated with participation level. Children with JIA should be regularly evaluated multi-directional and they should be referred to rehabilitation programs to increase functionality and participation.
运用《国际功能、残疾和健康分类儿童和青少年版》研究青少年特发性关节炎（JIA）患儿的身体功能、活动和参与水平，以及与参与相关的因素。
共纳入 49 例 7 至 18 岁（平均 13.4±3.3 岁）的 JIA 患儿（男/女：28/21）。评估身体结构/功能；评估疼痛、疲劳、疾病活动度和运动功能。采用儿童健康评估问卷和青少年关节炎生物心理临床问卷评估活动水平。采用儿童青少年参与量表评估参与度。
记录到轻度疼痛（2.0±2.3）、疾病活动度（2.0±2.3）和疲劳（4.1±4.0）。75%的患儿运动功能下降，其中 61%的患儿活动受限。患儿存在轻度至中度的参与受限，且参与度与年龄（=-0.29）、疼痛严重度（=-0.31）、疾病活动度（=-0.39）、运动功能（=0.33）和活动水平（=-0.43）显著相关（均<0.05）。
大多数 JIA 患儿的身体功能、活动和参与度下降。年龄、疼痛、疾病活动度、运动功能和活动水平与参与度相关。应定期对 JIA 患儿进行多方位评估，并为其提供康复治疗以提高功能和参与度。
