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Musculoskeletal Care

Gretl A McHugh, Philip G Conaghan, Mary McConville, Ailish Cullen, Muhammad A Hadi, Sarah R Kingsbury
No abstract text is available yet for this article.
July 9, 2018: Musculoskeletal Care
Keigo Ikeda, Naoya Sekiguchi, Takuya Hirai, Kana Tanji, Atsuko Zushi, Mayumi Inoue, Masayuki Takasago, Takaaki Komatsu, Shinji Morimoto, Ken Yamaji, Kenji Takamori, Naoto Tamura, Iwao Sekigawa
AIM: A challenge to the medical care of patients with rheumatoid arthritis (RA) is the management of the wide variety of information, including medication history and disease status, obtained from multiple sources to inform treatment decisions. To address this important clinical issue, we developed a data management system, based on smart device technology, and evaluated the benefit of this information to medical experts in helping them to form an impression of patients' health and disease, and treatment status before examination...
June 28, 2018: Musculoskeletal Care
Orna Fennelly, Catherine Blake, Oliver FitzGerald, Roisin Breen, Cliona O'Sullivan, Marie O'Mir, François Desmeules, Caitriona Cunningham
BACKGROUND: Since 2011, advanced practice physiotherapists (APPs) have triaged the care of patients awaiting orthopaedic and rheumatology consultant/specialist doctor appointments in Ireland. APP services have evolved across the major hospitals (n = 16) and, after 5 years, profiling and evaluation of APP services was warranted. The present study profiled the national musculoskeletal APP services, focusing on service, clinician and patient outcome factors. METHODS: An online survey of physiotherapists in the allocated APP posts (n = 25) explored: service organization; clinician profile and experience of the advanced role; and patient wait times and outcome measures...
June 21, 2018: Musculoskeletal Care
Niamh Moloney, Darren Beales, Roxanne Azoory, Markus Hübscher, Robert Waller, Rebekah Gibbons, Trudy Rebbeck
OBJECTIVES: Pain sensitivity and psychosocial issues are prognostic of poor outcome in acute neck disorders. However, knowledge of associations between pain sensitivity and ongoing pain and disability in chronic neck pain are lacking. We aimed to investigate associations of pain sensitivity with pain and disability at the 12-month follow-up in people with chronic neck pain. METHODS: The predictor variables were: clinical and quantitative sensory testing (cold, pressure); neural tissue sensitivity; neuropathic symptoms; comorbidities; sleep; psychological distress; pain catastrophizing; pain intensity (for the model explaining disability at 12 months only); and disability (for the model explaining pain at 12 months only)...
June 14, 2018: Musculoskeletal Care
Shea Palmer, Sue Barnett, Mary Cramp, Alice Berry, Amanda Thomas, Emma M Clark
OBJECTIVE: Osteoporotic vertebral fractures (OVFs) are common and present a significant burden to patients and healthcare services. Poor posture can increase vertebral pressure, pain and the risk of further fractures. The aim of the present study was to investigate the effects of postural taping on pain, function and quality of life when used in addition to usual care. METHODS: A feasibility randomized, controlled trial was carried out in men and women with at least one clinically diagnosed painful OVF...
May 28, 2018: Musculoskeletal Care
Simon Décary, Debbie Feldman, Pierre Frémont, Jean-Pierre Pelletier, Johanne Martel-Pelletier, Michel Fallaha, Bruno Pelletier, Sylvain Belzile, Marie-Pierre Sylvestre, Pascal-André Vendittoli, François Desmeules
INTRODUCTION: The aim of the present study was to assess the validity of clusters combining history elements and physical examination tests to diagnose symptomatic knee osteoarthritis (SOA) compared with other knee disorders. METHODS: This was a prospective diagnostic accuracy study, in which 279 consecutive patients consulting for a knee complaint were assessed. History elements and standardized physical examination tests were obtained independently by a physiotherapist and compared with an expert physician's composite diagnosis, including clinical examination and imaging...
May 21, 2018: Musculoskeletal Care
W F Peter, H C W de Vet, C B Terwee
OBJECTIVE: The aim of the study was to determine the internal consistency, test-retest reliability and measurement error of the Animated Activity Questionnaire (AAQ) for assessing activity limitations in hip and knee osteoarthritis (HKOA) patients. METHODS: A total of 1,177 patients, from six countries (the Netherlands, UK, France, Denmark, Italy and Spain), completed the AAQ, a questionnaire consisting of videos displaying 17 activities with 3-5 levels of performance, from which patients choose the video that best matches their own performance...
May 17, 2018: Musculoskeletal Care
Chris Drake, Adrian Mallows, Chris Littlewood
OBJECTIVE: Plantar heel pain (PHP) is often disabling, and persistent symptoms are common. Psychosocial variables are known to affect pain and disability but the association of these factors with PHP has yet to be established. The purpose of the present systematic review was to determine if psychosocial variables are associated with the presence, severity and prognosis of PHP. METHODS: A systematic review of the literature and qualitative synthesis was carried out...
May 15, 2018: Musculoskeletal Care
Ann-Sofi Sjö, Ulrika Bergsten
BACKGROUND: Rheumatoid arthritis (RA) is a chronic inflammatory disease that is treated with both pharmacological and nonpharmacological methods. The treatment works well for patients who are knowledgeable about their disease and situation. However, this may be different for others as, among other things, it depends on how well informed the patients are in relation to their condition. Available research primarily focuses on patients in remission. One way of supporting and strengthening the group who experience a lack of well-being due to their disease and providing them with increased knowledge about their situation can be to give them access to a nurse-led clinic based on person-centred care...
June 2018: Musculoskeletal Care
Lauren A Barnett, Mark G Pritchard, John J Edwards, Ebenezer K Afolabi, Kelvin P Jordan, Emma L Healey, Andrew G Finney, Carolyn A Chew-Graham, Christian D Mallen, Krysia S Dziedzic
OBJECTIVES: The aims of the present study was to examine the associations between the severity of pain and anxiety in a community population reporting joint pain, and to investigate the management of joint pain in the presence of comorbid anxiety. METHODS: A population survey was carried out of people aged ≥45 years, registered with eight general practices in Cheshire, Shropshire and Staffordshire, UK. Respondents were asked to report pain intensity in their hands, hips, knees and feet (on a numerical rating scale), anxiety symptoms (Generalized Anxiety Disorder seven-item [GAD-7] scale) and guideline-recommended treatments used to manage pain...
April 20, 2018: Musculoskeletal Care
Line Traumer, Erik Elgaard Sørensen, Kathrine Hoffmann Kusk, Søren Thorgaard Skou
No abstract text is available yet for this article.
April 15, 2018: Musculoskeletal Care
Róisín C McCormack, Finbar O'Shea, Michele Doran, Deirdre Connolly
INTRODUCTION: Work disability and job loss are serious consequences of rheumatic diseases (RDs), and fatigue is a symptom of RDs commonly reported to have an impact on work performance. A FAtigue ManagEment in Work (FAME-W) programme was developed to facilitate the self-management of fatigue in work. The present pilot study explored if FAME-W could facilitate individuals with RDs to manage fatigue in work and improve their ability to meet work demands. METHODS: Twenty-seven individuals with a variety of rheumatic diagnoses completed a 4-week, 2-h occupational therapy-led self-management programme...
March 25, 2018: Musculoskeletal Care
L B Meade, L M Bearne, E L Godfrey
No abstract text is available yet for this article.
March 25, 2018: Musculoskeletal Care
Watchareewan Sontichai, Soamarat Vilaiyuk
BACKGROUND: The Childhood Health Assessment Questionnaire (CHAQ) has been adapted from the Stanford Health Assessment Questionnaire for assessing functional ability in children. The present study aimed to determine the correlation between CHAQ and disease activity in juvenile idiopathic arthritis (JIA) during active and inactive disease. METHODS: JIA patients in the Pediatric Department, Ramathibodi Hospital, between January 2011 and December 2013, were included in the study...
March 24, 2018: Musculoskeletal Care
Pauline Kjelsvik Holøyen, Ann-Katrin Stensdotter
OBJECTIVE: International guidelines recommend that patients with spondyloarthritis (SpA) have lifelong physiotherapy, as physical activity and exercise are essential for optimizing health throughout the course of the disease. The aim of the present study was to investigate if a physiotherapy-led outpatient clinic specializing in SpA could provide satisfactory follow-up as an alternative to standard visits with a rheumatologist (RT). We hypothesized that satisfaction would be similar in patients followed by a physiotherapist (PT) or an RT...
March 24, 2018: Musculoskeletal Care
Panos Sarigiovannis, Steve Cropper
BACKGROUND: Physiotherapy assistants account for approximately 20% of the physiotherapy workforce across a community health service in North Staffordshire. Although their job descriptions state that the post is primarily clinical, their role depends heavily on the qualified physiotherapists and how they utilize their clinical skills. METHODS: An audit of the physiotherapy assistants' tasks was carried out to reveal whether the physiotherapy assistants' time spent on clinical tasks complied with their job descriptions...
March 13, 2018: Musculoskeletal Care
Gro Opseth, Astrid Klopstad Wahl, Gustav Bjørke, Anne Marit Mengshoel
BACKGROUND: There is growing concern that an ageing population and increasing number of patients with chronic illnesses in the future will foster a need for health services beyond the resources available in society. Patients with chronic illnesses are reported to be frequent users of physicians' services in the primary health sector. Therapies for patients with chronic musculoskeletal illnesses are delivered by physiotherapists in this sector. However, we know little about the use of physiotherapy services and the factors that may explain their use...
March 2018: Musculoskeletal Care
Megan E Gath, Lisa K Stamp, Pip Aimer, Simon Stebbings, Gareth J Treharne
OBJECTIVES: Smokers with rheumatoid arthritis (RA) may have different motivations for, and barriers to, quitting. Understanding the motivations of smokers and ex-smokers with RA will help in the design and implementation of targeted smoking cessation interventions for people with RA that are not based solely on extrapolation from the general population or populations with other chronic illnesses. METHODS: Twenty-nine smokers and 10 recent ex-smokers with RA participated in semi-structured interviews via telephone 18 months after being offered a smoking cessation intervention in Aotearoa/New Zealand...
March 2018: Musculoskeletal Care
Daniel G Fernández-Ávila, Álvaro J Ruiz, Fabián Gil, Sergio A Mora, Carlos Tobar, Juan M Gutiérrez, Diego Rosselli
OBJECTIVE: The aim of the present study was to evaluate the effectiveness of an educational tool for general physicians, based on rheumatological clinical simulation, for the diagnosis of rheumatoid arthritis and osteoarthritis. METHODS: A randomized clinical study was carried out, in which the physician research subjects were assigned to one of two groups: the experimental group (educational intervention for rheumatoid arthritis with clinical simulation) or the control group (educational intervention for the basic aspects of the diagnosis and treatment of osteoporosis)...
March 2018: Musculoskeletal Care
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