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Pediatr Phys Ther. 2013 Summer;25(2):150-7; discussion 157. doi: 10.1097/PEP.0b013e31828a2978.

Evaluation of static and dynamic postural balance in children with juvenile idiopathic arthritis.

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1
British Columbia Children's Hospital, Child Family Research Institute and the University of British Columbia, Vancouver, British Columbia, Canada. khoughton@cw.bc.ca

Abstract

PURPOSE:

To evaluate balance in children with lower limb involvement due to juvenile idiopathic arthritis (JIA).

METHODS:

Twenty-five children with JIA manifesting lower extremity arthritis within the previous year and 36 children who were healthy (aged 8-18 years) were assessed by using the Biodex Balance System (BBS) (Biodex, Shirley, New York). Single-leg static balance (BBS level 12) and bilateral static and dynamic balance (BBS levels 2 and 7) were measured. Lower extremity strength, disease activity, function, and pain were also assessed.

RESULTS:

: Ten subjects with JIA (40%) could not complete single-leg balance testing, while all controls did (P < .0001). Bilateral dynamic balance was impaired only at BBS level 2 (most unstable). Lower extremity weakness correlated with poor balance.

CONCLUSION:

A significant proportion of children with leg arthritis have impaired balance. Proprioceptive exercises may emerge as an important therapy in the treatment of lower extremity arthritis.

PMID:
23542191
DOI:
10.1097/PEP.0b013e31828a2978
[Indexed for MEDLINE]
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