Pediatric Escola Paulista de Medicina Range of Motion scale: A reduced joint count scale for general use in juvenile rheumatoid arthritis

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dc.contributor.authorLen, Claudio Arnaldo [UNIFESP]
dc.contributor.authorFerraz, M. B.
dc.contributor.authorGoldenberg, J.
dc.contributor.authorOliveira, L. M.
dc.contributor.authorAraujo, P. P.
dc.contributor.authorQuaresma, M. R.
dc.contributor.authorTerreri, Maria Teresa [UNIFESP]
dc.contributor.authorHilário, Maria Odete Esteves [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T18:11:21Z
dc.date.available2018-06-15T18:11:21Z
dc.date.issued1999-04-01
dc.description.abstractObjective, Different instruments are available to measure functional status in juvenile rheumatoid arthritis (JRA); however, none is based on the evaluation of joint range of motion (ROM). We designed and evaluated a ROM scale to be used as a complementary instrument in daily practice with JRA as well as in trials.Methods. The 10 joint movements of the Pediatric Escola Paulista de Medicina Range of Motion scale (Pediatric EPM-ROM) were derived from 25 initial movements. The selection was based on 2 criteria: (I) consensus among 3 pediatric rheumatologists, one physical therapist, and one occupational therapist; and (2) choice of movements that presented the highest scores in a pilot study involving patients with JRA. The score for each joint ranges from 0 (full movement) to 3 (severe limitation) and the cutoff degrees of motion are, in general, based on the lack of ability to perform some activities of daily living. The test-retest reliability was assessed by administering the scale twice by the same observer, 4 to 10 days apart, always in the morning, The interobserver reliability was evaluated on the same day by 2 independent observers. Cross sectional construct validity was also assessed by correlating the values of some clinical variables with the scores of the Pediatric EPM-ROM scale.Results. The instrument was applied to 34 patients with JRA, 11 systemic, 11 polyarticular, and 12 pauciarticular. The mean EPM-ROM score was 0.57 (SD 0.54, min 0, max 2.05). The test-retest and interobserver correlation coefficients were 0.96 and 0.98, respectively. The Pearson correlation coefficients comparing scores of the Pediatric EPM-ROM scale and other variables were satisfactory: Childhood Health Assessment Questionnaire, r = 0.55 (p < 0.001); American College of Rheumatology global functional class, r = 0.56 (p < 0.001); and number of limited joints, r = 0.65 (p < 0.001).Conclusion. Our results provide evidence that the Pediatric EPM-ROM scale is a valid instrument to measure joint ROM in JRA.en
dc.description.affiliationDept Pediat, Div Allergy Clin Immunol & Rheumatol, BR-01451908 Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Med, Div Rheumatol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Med, Div Rheumatol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent909-913
dc.identifier.citationJournal Of Rheumatology. Toronto: J Rheumatol Publ Co, v. 26, n. 4, p. 909-913, 1999.
dc.identifier.issn0315-162X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/44658
dc.identifier.wosWOS:000079667000024
dc.language.isoeng
dc.publisherJ Rheumatol Publ Co
dc.relation.ispartofJournal Of Rheumatology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectjuvenile rheumatoid arthritisen
dc.subjectoutcome assessmenten
dc.subjectrange of motionen
dc.subjectfunctional abilityen
dc.titlePediatric Escola Paulista de Medicina Range of Motion scale: A reduced joint count scale for general use in juvenile rheumatoid arthritisen
dc.typeinfo:eu-repo/semantics/article
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