Scoliosis and Functional Outcomes in Children With Juvenile Idiopathic Arthritis

ConditionScoliosis
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age8-18
SponsorIstanbul University

About this trial

Juvenile idiopathic arthritis (JIA) is a chronic inflammatory disease that may affect musculoskeletal development and posture in children. Spinal involvement, including scoliosis, is not routinely evaluated in clinical practice despite its potential impact on functional status and quality of life.

This cross-sectional study aims to assess the presence of scoliosis in children with JIA and to investigate its association with functional status, postural alignment, and disease activity. Clinical and functional parameters will be analyzed to better understand the impact of spinal deformities in this population.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age between 8 and 18 years at the time of enrollment

Diagnosis of juvenile idiopathic arthritis (JIA) according to ILAR criteria

Written informed consent obtained from parent/legal guardian and assent from the child/adolescent, when appropriate

Disqualifiers

Known scoliosis due to non-JIA causes (e.g., congenital vertebral anomalies, neuromuscular disorders, or syndromic scoliosis)

History of prior spinal surgery or current brace treatment for scoliosis

History of significant spinal trauma or spinal infection/tumor affecting spinal alignment

Presence of coexisting chronic conditions that significantly affect posture, gait, or functional testing (e.g., severe neurologic impairment) and may confound assessments

Trial population

The study population consists of children and adolescents aged 8-18 years diagnosed with juvenile idiopathic arthritis (JIA) according to ILAR criteria and followed up at a tertiary pediatric rheumatology center. Participants will be recruited consecutively during routine outpatient visits. The aim of the study is to evaluate the prevalence and severity of scoliosis, as defined by Cobb angle measurements on physical examination and, if necessary, standing spinal radiographs, and to examine its relationship with clinical and functional parameters. Both patients with and without scoliosis will be included in the study.

Trial design

Design model

Cohort

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

200 Participants
are grouped into 2 trial groups
Group A: JIA Patients With Scoliosis
Group B: JIA Patients Without Scoliosis

Trial outcomes

Primary outcomes

1

Prevalence of Scoliosis in Children With Juvenile Idiopathic Arthritis

Proportion of participants with scoliosis, defined as a Cobb angle ≥10° measured on standing spinal radiographs.

Time frame
At baseline (single study visit)

Secondary outcomes

1

Scoliosis Severity (Cobb Angle)

Cobb angle (degrees) measured on standing spinal radiographs. Scoliosis defined as Cobb angle ≥10°.

Time frame
At baseline (single study visit)
2

Health-Related Quality of Life (PedsQL)

Health-related quality of life assessed using the Pediatric Quality of Life Inventory (PedsQL) total score (and physical and psychosocial subscale scores, if available). Scores are transformed to a 0-100 scale (range: 0-100), with higher scores indicating better health-related quality of life.

Time frame
At baseline (single study visit)

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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