Gait in children with juvenile chronic arthritis. Timing and force parameters

Scand J Rheumatol. 2002;31(6):317-23. doi: 10.1080/030097402320817022.


Objectives: To examine gait in children with juvenile chronic arthritis (JCA) with reference to velocity, ground reaction forces and temporal parameters.

Methods: Fifteen children with JCA were assigned into two groups (uni- and bilateral involvement and classified as pauci- or polyarticular arthritis). Fourteen healthy children participated in the control group. Light-beams were used to determine walking velocity and the children with JCA rated their pain on a visual analogue scale. Two force plates registered the ground reaction forces and foot-switches were used to obtain temporal parameters.

Results: The mean velocity for the children with JCA was significantly less than for the healthy controls. Velocity normalized to height showed a tendency for the children with JCA to walk slower than controls. Differences between JCA children and healthy controls were observed for peak vertical forces during heel contact and push-off. No temporal differences were observed between the groups.

Conclusions: Such kinetic and temporal information may provide the clinician with a sensitive tool for pre- and post assessment of intra-articular steroid injections and/or physical therapy.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Arthritis, Juvenile / complications*
  • Arthritis, Juvenile / pathology
  • Biomechanical Phenomena
  • Child
  • Female
  • Gait / physiology*
  • Humans
  • Kinetics
  • Male
  • Patient Care Planning
  • Physical Therapy Modalities
  • Steroids / therapeutic use


  • Steroids