Dynamic Gait Index as a Functional Gait Assessment Measure in Children With JIA

Официальное название

Investigation of Validity and Reliability of Dynamic Walking Index in Childhood Rheumatic Diseases

Обзор

Juvenile idiopathic arthritis (JIA) is one of the most common chronic rheumatic diseases seen in childhood. Pain, joint swelling and loss of function caused by inflammation significantly reduce the patients' quality of life and lead to muscle weakness, limited range of motion and gait disorders. Although there are various clinical assessment methods, there is no functional test in the current literature that evaluates walking in children with JIA. The Dynamic Gait Index (DGI) is a functional walking scale that evaluates walking on level ground, walking while changing speed, walking with sideways head turns, walking with vertical head turns, walking with pivot turns, walking by jumping over obstacles, going around obstacles and climbing stairs. While the DGA is widely used in the clinical assessment of walking in older adults and other pediatric patient groups, it has not yet been investigated for the assessment of walking difficulties in children with JIA. This study aimed to determine whether the DYI is a usable tool for assessing walking in children with JIA.

Вмешательства

• Другое Physical examination
  The physical examination will included Timed Up and Go Test (TUG), Walking speed, Wong-Baker FACES Pain Scale, Pediatric balance scale and CHAQ (Childhood Health Assessment Questionnaire).
• Другое Dynamic Gait Index
  The DGI, whose validity and reliability will be investigated, consists of 8 items: walking on level ground, walking with changing speed, walking with sideways head turns, walking with vertical head turns, walking with pivot turns, walking over obstacles, going around obstacles, and climbing stairs. Performance on each item is rated on a 4-point scale ranging from 0 (severe impairment) to 3 (normal walking ability without a walking aid). The total score is 24. Scores below 19 indicate a risk of f

Первичные конечные точки

• Dynamic Gait Index [Срок оценки: Baseline and after 2 weeks from the baseline evaluation]
• Walking speed [Срок оценки: Baseline]
• Timed Up and Go Test [Срок оценки: Baseline]
• Wong-Baker FACES Pain Scale [Срок оценки: Baseline]
• Pediatric Balance Scale [Срок оценки: Baseline]

Вторичные конечные точки (1)

• Childhood Health Assessment Questionnarie [Срок оценки: Baseline]

Критерии участия

Критерии включения

• Study Group;
• Having a JIA diagnosis according to ILAR criteria between the ages of 8-16,
• Having unilateral knee joint involvement that will affect walking
• Being compatible, volunteer and cooperative in the study Control Group;

• Not having any neurological or orthopedic diagnosis
• Being between the ages of 8-16
• Being at a mental level that can understand the commands of the person performing the evaluation

Критерии исключения

• Study Group;
• Having an additional neurological or orthopedic diagnosis accompanying JIA and affecting treatment results,
• Having lower extremity asymmetry or active lower extremity involvement other than the knee joint that will affect walking.

Control Group;

-Having any health problem that may affect the study

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Turkey (Türkiye) · 1 центр

• Istanbul University-Cerrahpasa — Istanbul

Публикации

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Идентификаторы

NCT: NCT06870045 · dyi_jia

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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