Motor performance and functional ability in preschool- and early school-aged children with Juvenile Idiopathic Arthritis: a cross-sectional studyReport as inadecuate




Motor performance and functional ability in preschool- and early school-aged children with Juvenile Idiopathic Arthritis: a cross-sectional study - Download this document for free, or read online. Document in PDF available to download.

Pediatric Rheumatology

, 6:2

First Online: 16 January 2008Received: 08 August 2007Accepted: 16 January 2008

Abstract

ObjectiveTo describe the level of motor performance and functional skills in young children with JIA.

MethodsIn a cross-sectional study in 56 preschool-aged PSA and early school- aged children ESA with JIA according to ILAR classification, motor performance was measured with the Bayley Scales of Infant Development II BSID2 and the Movement Assessment Battery for Children M-ABC. Functional skills were measured with the Pediatric Evaluation of Disability Inventory PEDI. Disease outcome was measured with a joint count on swelling-range of joint motion, functional ability and joint pain.

ResultsTwenty two PSA children mean age 2.1 years with a mean Developmental Index of the BSID2 of 77.9 indicating a delayed motor performance; 45% of PSA children showed a severe delayed motor performance. Mean PEDI scores were normal, 38% of PSA scored below -2 SD in one or more domains of the PEDI. Thirty four ESA children mean age 5.2 years with a mean M-ABC 42.7, indicating a normal motor performance, 12% of ESA children had an abnormal score. Mean PEDI scores showed impaired mobility skills, 70% of ESA children scored below -2 SD in one or more domains of the PEDI. Disease outcome in both age groups demonstrated low to moderate scores. Significant correlations were found between age at disease onset, disease duration and BSID2 or M-ABC and between disease outcome and PEDI in both age cohorts.

ConclusionMore PSA children have more impaired motor performance than impaired functional skills, while ESA children have more impairment in functional skills. Disease onset and disease duration are correlated with motor performance in both groups. Impaired motor performance and delayed functional skills is primarily found in children with a polyarticular disease course. Clinical follow up and rehabilitation programs should also focus on motor performance and functional skills development in young children with JIA.

Electronic supplementary materialThe online version of this article doi:10.1186-1546-0096-6-2 contains supplementary material, which is available to authorized users.

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Author: Janjaap van der Net - Patrick van der Torre - Raoul HH Engelbert - Vivian Engelen - Femke van Zon - Tim Takken - Paul JM 

Source: https://link.springer.com/







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