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Hand Function in Juvenile Idiopathic Arthritis

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Abstract

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease of childhood. It is an important cause of short- and long-term disability. It includes oligoarthritis, systemic arthritis, polyarthritis, enthesitis-related arthritis, and psoriatic arthritis. Hands are mainly involved in systemic arthritis, polyarthritis, and psoriatic arthritis. There is a typical polyarticular course in about 60–80 % of untreated children. In the last 20 years, specific instruments are developed in order to measure the effects of all the related conditions of the child with arthritis, namely, health-related quality of life (HRQoL). One of the most widely used is the “core outcome variables.” They constitute of physician global assessment, patient/parent global assessment, number of joints with active arthritis, number of joints with limited range of motion, ESR as acute phase reactant, and childhood health assessment questionnaire (CHAQ). There are numerous important instruments for measuring physical function and health-related quality of life other than CHAQ. Duruöz Hand Index is a simple, reliable, and validated test in some clinical conditions in children. Recently, it is validated in JIA (unpublished data, author’s study).

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Authors and Affiliations

  1. Pediatric Rheumatology Division, Department of Pediatrics, Faculty of Medicine, Dokuz Eylül University, Izmir, 35340, Turkey

    Erbil Ünsal M.D.

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  1. Erbil Ünsal M.D.
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Correspondence to Erbil Ünsal M.D. .

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Editors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Istanbul, Turkey

    Mehmet Tuncay Duruöz

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Ünsal, E. (2014). Hand Function in Juvenile Idiopathic Arthritis. In: Duruöz, M. (eds) Hand Function. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9449-2_12

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  • DOI: https://doi.org/10.1007/978-1-4614-9449-2_12

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