在患有青少年异常性关节炎的儿童中与脚相关的损伤
Hanene Lassoued Ferjani1,2,3, Ines Cherif1, Lobna Ben Ammar4
1Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia.
Musculoskeletal care
|July 5, 2023
概括
青少年异常性关节炎 (JIA) 经常影响儿童的脚和脚,影响日常生活. 早期诊断和管理疾病活动对于改善生活质量和功能至关重要.
科学领域:
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
背景情况:
- 足部和脚的参与在青少年异常性关节炎 (JIA) 中很普遍,影响60%-90%的儿童.
- 这种参与显著导致残疾,损害日常活动和整体生活质量.
- 在JIA中忽视的脚问题可能会损害有效的患者管理.
研究的目的:
- 在患有JIA的儿科患者中描述脚和脚部的参与.
- 通过使用验证的评估工具,评估与JIA相关的脚损伤对儿童表现和生活质量的功能影响.
主要方法:
- 进行了一项横截面研究,涉及被诊断患有JIA的患者.
- 用青少年关节炎功能表 (JAFS) 和儿童牛津脚和脚问卷来评估功能障碍.
主要成果:
- 牛津分数的物理领域受到影响最大. 延迟诊断与改变的情绪领域相关.
- 增加的疾病活动与身体活动和鞋类领域的损害有关.
- 脚痛,肌病和平脚与所有牛津分数领域的显著变化有关,影响身体,情绪和日常功能.
结论:
- 脚和脚部的参与是JIA的一个常见和重要的问题.
- 功能障碍,特别是在下肢,是相当大的.
- 高度的疾病活动,疼痛,紧突炎和平脚是与JIA儿童的生活质量和功能能力降低相关的关键因素.
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