The aim of the study is to get insight in these mechanisms and thereby contributing to a clear understanding of the limitations in handwriting of children with JIA, which is necessary to develop optimal non-pharmacological treatment, including…
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Swelling, tenderness and Range of motion (ROM) of the wrist and finger joints,
maximal isometric grip force.
Handwriting parameters: velocity, pen pressure, variability of letters.
Questionnaire: writing quality, speed, pain.
Children with JIA will be compared with control group.
Secondary outcome
no
Background summary
Juvenile Idiopathic Arthritis (JIA) is the most common form of arthritis in
childhood. JIA is arthritis of unknown etiology that begins before the 16th
birthday and persists for at least 6 weeks. The involvement of hand and wrist
is common, effecting function and activities of daily living of the children. A
frequently reported problem is handwriting.
Assessment of handwriting and hand function in children with JIA is a standard
procedure in the rehabilitation setting. It contains subjective measurements
(questionnaires) as well as objective ones (hand writing tests and hand
function measurements). Nevertheless the nature of self reported limitations
in handwriting is not completely clear. Furthermore, the relation of
limitations in handwriting to kinematic handwriting parameters (velocity,
variability of letters and pen pressure) as well as to body functions (pain,
swelling) and to impairments (range of motion and strength) is not known.
Study objective
The aim of the study is to get insight in these mechanisms and thereby
contributing to a clear understanding of the limitations in handwriting of
children with JIA, which is necessary to develop optimal non-pharmacological
treatment, including training and supplying with aids.
The research questions, that will be addressed, are:
(1) Which limitations in handwriting occur in children with JIA?
(2) What is the relationship of reported and observed limitations in
handwriting?
(3) What is the relationship between hand functions and hand impairments
(tenderness, swelling, limited range of motion and strength) and limitations in
handwriting (reported and observed)?
Study design
The study is designed as a case-control study. Fifteen children with JIA and
self reported handwriting difficulties will be examined once in the time and
compared with 15 children in a healthy age and gender matched control group.
Study burden and risks
Data will be partly collected from the patient records and through measurements
by the researcher. The measurement will take about 45 minutes, containing the
following parts
(1) two test to assess speed and quality of handwriting,
(2) measurements of the grip force
(3) measurements of the range of motion
(4) assessing pain and swelling of the wrist and finger joints
(5) ten questions for child and parent of handwriting.
Dr Jan van Breemenstraat 2
1056 AB Amsterdam
Nederland
Dr Jan van Breemenstraat 2
1056 AB Amsterdam
Nederland
Listed location countries
Age
Inclusion criteria
(1) diagnosis: JIA classified conforming the ILAR criteria (Petty et al., 2004),
(2) self reported handwriting difficulties
(3) at least one year of handwriting education
(4) attending a regular Dutch elementary school (aged 7 to 12 years)
(5) informed consent from parents and children,
(6) ability of the child to accomplish questionnaires
(7) a regular visit of the child for treatment in the JBI in the period of the assessment.
Exclusion criteria
uveitis or other not corrected visual problems
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL27418.048.09 |