Clinical trial NCT06870045: Dynamic Gait Index As a Functional Gait Assessment Measure in Children with JIA
Official title: Investigation of Validity and Reliability of Dynamic Walking Index in Childhood Rheumatic Diseases
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Juvenile Idiopathic Arthritis
Childhood Rheumatic Disease
Keywords: juvenile idiopathic arthritis
gait
dynamic gait index
childhood rheumatic diseases
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
Collaborators: name: Medipol University
name: Istanbul Medeniyet University
First posted: 2025-03-11
Enrollment: 52
Sex: ALL
Minimum age (years): 8
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Juvenile Idiopathic Arthritis

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* 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;

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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Dynamic Gait Index
timeFrame: Baseline and after 2 weeks from the baseline evaluation
measure: Walking speed
timeFrame: Baseline
measure: Timed Up and Go Test
timeFrame: Baseline
measure: Wong-Baker FACES Pain Scale
timeFrame: Baseline
measure: Pediatric Balance Scale
timeFrame: Baseline
Secondary outcomes:
measure: Childhood Health Assessment Questionnarie
timeFrame: Baseline
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpasa
Study officials:
References:
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