{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T15:49:30Z","timestamp":1779292170974,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T00:00:00Z","timestamp":1448323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009389","name":"Promobilia Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009389","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Karolinska Institutet Foundations and Funds"},{"name":"Swedish Rheumatism Foundation"},{"DOI":"10.13039\/501100004875","name":"Norrbacka-Eugenia Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004875","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Skobranchens Foundation"},{"name":"Samariten Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate gait dynamics and self\u2010reported foot\u2010related disability before and after treatment with intraarticular corticosteroid injections (IACI) in children with juvenile idiopathic arthritis (JIA) and foot involvement, and determined whether children with polyarticular and oligoarticular disease responded similarly to IACI treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010three children (35 girls and 8 boys) with JIA were consecutively recruited (mean\u2009\u00b1\u2009SD age 11.1\u2009\u00b1\u20094.2 years, mean disease duration 4.5\u2009\u00b1\u20093.6 years). Sixty\u2010five percent were diagnosed with polyarthritis. All children received IACI treatment for ankle and\/or foot joint synovitis. Fifty\u2010eight percent received additional injections in the knee and\/or hip joint. Forty healthy children, matched by age and sex, comprised the control group. Gait dynamics and foot\u2010related disability were assessed before IACI treatment and at 3 weeks and 3 months following the injections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Foot\u2010related disability and inflammatory joint symptoms improved following treatment. Gait dynamics were compromised before treatment and did not improve following treatment (mean\u2009\u00b1\u2009SD nondimensional walking speed 0.49\u2009\u00b1\u20090.05 in the control group; 0.44\u2009\u00b1\u20090.07 in the JIA group pretreatment; 0.43\u2009\u00b1\u20090.10 in the JIA group 3 weeks following treatment; and 0.43\u2009\u00b1\u20090.07 in the JIA group 3 months following treatment) (<jats:italic>P<\/jats:italic>\u2009=\u20090.001 in controls versus pretreatment JIA group, <jats:italic>P<\/jats:italic>\u2009=\u20090.45 JIA over time). Mean\u2009\u00b1\u2009SD ankle power was 3.81\u2009\u00b1\u20090.67 in the control group; 3.01\u2009\u00b1\u20091.19 in the JIA group pretreatment; 3.19\u2009\u00b1\u20091.30 in the JIA group 3 weeks after treatment; and 3.22\u2009\u00b1\u20091.03 in the JIA group 3 months after treatment (<jats:italic>P<\/jats:italic> &lt; 0.001 in controls versus pretreatment JIA group, <jats:italic>P<\/jats:italic>\u2009=\u20090.51 JIA over time). The ankle power to hip power ratio was reduced (<jats:italic>P<\/jats:italic>\u2009=\u20090.01 in controls versus pretreatment JIA group), indicating a power shift from the ankles to the hips, which was more prominent in children with polyarthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As a result of IACI treatment, improvements were found in self\u2010reported foot\u2010related disability and inflammatory joint symptoms, but gait dynamics were unchanged. Children with polyarticular disease and those with greater self\u2010reported walking difficulties prior to IACI treatment demonstrated worse outcomes, and children in these groups should be monitored carefully after treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.22624","type":"journal-article","created":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T14:06:55Z","timestamp":1432735615000},"page":"1693-1701","source":"Crossref","is-referenced-by-count":12,"title":["Effect of Intraarticular Corticosteroid Foot Injections on Walking Function in Children With Juvenile Idiopathic Arthritis"],"prefix":"10.1002","volume":"67","author":[{"given":"Anna\u2010Clara","family":"Esbj\u00f6rnsson","sequence":"first","affiliation":[{"name":"Karolinska Institutet and Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maura D.","family":"Iversen","sequence":"additional","affiliation":[{"name":"Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden, and Brigham and Women's Hospital, Harvard Medical School, and Northeastern University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Andr\u00e9","sequence":"additional","affiliation":[{"name":"Karolinska Institutet and Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Hagelberg","sequence":"additional","affiliation":[{"name":"Karolinska Institutet and Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Gillette Children's Specialty Healthcare and the University of Minnesota, St. Paul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva W.","family":"Brostr\u00f6m","sequence":"additional","affiliation":[{"name":"Karolinska Institutet and Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.134"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.080432"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.10544"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.22181"},{"key":"e_1_2_7_6_1","first-page":"905","article-title":"Strong relationships between disease activity, foot\u2010related impairments, activity limitations and participation restrictions in children with juvenile idiopathic arthritis","volume":"28","author":"Dekker M","year":"2010","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24102"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e328335d1a2"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.130734"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.11.017"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1123\/pes.25.2.221"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2004.tb02688.x"},{"key":"e_1_2_7_13_1","first-page":"774","article-title":"A reappraisal of intra\u2010articular corticosteroid therapy in juvenile idiopathic arthritis","volume":"28","author":"Scott C","year":"2010","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_7_14_1","first-page":"390","article-title":"International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001","volume":"31","author":"Petty RE","year":"2004","journal-title":"J Rheumatol"},{"key":"e_1_2_7_15_1","unstructured":"AndreM.Patient education and foot disability in juvenile idiopathic arthritis: a physiotherapy perspective [thesis]. 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