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International Journal of Rheumatology
Volume 2009, Article ID 478526, 5 pages
http://dx.doi.org/10.1155/2009/478526
Clinical Study

Land-Jump Performance in Patients with Juvenile Idiopathic Arthritis (JIA): A Comparison to Matched Controls

1Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati Children's Hospital Research Foundation, Cincinnati, OH 45229, USA
2Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH 45221, USA
3Rocky Mountain University of Health Professions, Provo, UT 84606, USA
4Division of Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA
5Division of Occupational and Physical Therapy, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA
6Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH 45219, USA

Received 17 August 2009; Accepted 9 November 2009

Academic Editor: Terry L. Moore

Copyright © 2009 Kevin R. Ford et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. The purpose of this study was to determine if high functioning children with Juvenile Idiopathic Arthritis (JIA) with minimal disease activity have different biomechanics during high loading tasks compared to controls. Patients were included if they had minimal inflammation documented in one or both knees. Methods. The subject groups consisted of eleven patients with JIA and eleven sex, age, height, and weight matched controls. Sagittal plane kinematic and kinetics were calculated during a drop vertical jump maneuver. The Child Health Assessment Questionnaire (CHAQ) was collected on each patient with JIA. Results. The subjects with JIA had increased knee ( 𝑃 = . 0 1 1 ) and hip flexion ( 𝑃 < . 0 0 1 ) compared to control subjects. Subjects with JIA also demonstrated decreased knee extensor moments during take-off ( 𝑃 = . 0 2 8 ) and ankle plantar flexor moments during landing ( 𝑃 = . 0 2 4 ) and take-off ( 𝑃 = . 0 0 4 ). In the JIA group, increased hip extensor moments were predictive of increased disability ( 𝑅 2 = . 4 7 7 , 𝑆 𝐸 𝐸 = . 1 3 1 ). Conclusions. Patients with JIA may demonstrate underlying biomechanical deviations compared to controls. In addition, biomechanical assessment of hip extensor mechanics during dynamic tasks may provide an objective assessment tool to determine overall function in patients with JIA.