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Musculoskeletal Care

Kenichiro Tokunaga, Atsushi Shiraishi, Noboru Hagino, Hideto Oshikawa, Jinju Nishino, Shigeto Tohma
No abstract text is available yet for this article.
November 12, 2018: Musculoskeletal Care
Sylvia Gautreau, Odette N Gould, Catherine Aquino-Russell, Michael E Forsythe
BACKGROUND: Total knee arthroplasty (TKA) is a well-established surgical procedure with high rates of clinical success, yet up to 20% of patients are dissatisfied with their outcomes. Surgeon-patient communication is an important contributor to patient satisfaction, particularly in the area of setting or resetting postoperative expectations that are reasonable and achievable for individual patients. OBJECTIVE: The goal of the present research was to develop a communication checklist for surgeons to use with their patients, to enhance communication in order better to manage postoperative expectations and increase patient satisfaction with TKA...
November 12, 2018: Musculoskeletal Care
Lynne Gaskell, Anita E Williams
INTRODUCTION: The aim of the present study was to explore the experiences and perceptions of adult patients with chronic musculoskeletal conditions following a Pilates exercise programme. A qualitative approach was taken to both data collection and analysis, with alignment to the philosophy of interpretive phenomenology. Participants included 15 women and seven men with a range of chronic musculoskeletal conditions, including nonspecific low back pain, peripheral joint osteoarthritis and a range of postsurgical conditions...
November 6, 2018: Musculoskeletal Care
Sarah Hewlett, Andrew Haig-Ferguson, Emily Rose-Parfitt, Serena Halls, Samuel Freke, Paul Creamer
OBJECTIVE: Successful biologic disease-modifying anti-rheumatic drug (bDMARD) dose reduction appears increasingly possible from clinical trials. The present study aimed to understand the patient perspective of bDMARD dose reduction. METHODS: Patients with rheumatoid arthritis, ankylosing spondylitis or psoriatic arthritis who were self-administering subcutaneous bDMARDs therapy at two National Health Service trusts participated in semi-structured interviews. To capture multiple experiences, patients were purposefully sampled for a range of age, gender, disease duration, reducing/not reducing bDMARDs and either within 3-12 months of bDMARD initiation or ≥12 months and in remission/low disease activity...
November 6, 2018: Musculoskeletal Care
Daniela Ribeiro, Anabela G Silva
INTRODUCTION: Chronic pain is associated with cortical reorganization, and interventions targeting cortical remapping, such as visual feedback of the painful body segment, seem promising. The primary aim of the present study was to evaluate the impact of visual feedback of the neck, using mirrors on pain intensity. Secondary aims were to evaluate the impact of visual feedback on neck range of motion and unadjusted cognitive processes. METHODS: Pain intensity, range of motion, fear of movement, catastrophizing and anxiety were assessed before and after 10 repetitions of each of the neck movements, with (experimental group; n = 21) and without (control group; n = 21) visual feedback of the neck...
October 31, 2018: Musculoskeletal Care
Jennifer J Crawford, Sebastian Harenberg, Scott Bishop, Terra Hayes, Lilyans Zelada, James Fraser
BACKGROUND AND PURPOSE: Total knee arthroplasty (TKA) is one of the most frequently performed orthopaedic procedures in Canada. Despite the frequency at which TKAs are performed, few studies have examined the association between postoperative outcomes and long-term functional outcomes following group-based rehabilitation in Canada. The primary objective of the present study was to examine changes in flexion and extension from intake to discharge from rehabilitation in patients in Saskatchewan, Canada...
October 25, 2018: Musculoskeletal Care
Isabelle Yoong, Christian D Mallen, Helen Smith
No abstract text is available yet for this article.
October 23, 2018: Musculoskeletal Care
Sheryl Bourgaize, Imtisal Janjua, Kent Murnaghan, Silvano Mior, John Srbely, Genevieve Newton
OBJECTIVE: Consistent terminology to describe the diagnostic criteria for fibromyalgia (FM) and myofascial pain syndrome (MPS) is required to address the reported inadequacies in diagnosis. The present review investigated intervention studies in FM and MPS populations to determine the lexicon of the current diagnostic criteria used to identify chronic musculoskeletal pain patients. METHODS: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a scoping review to review systematically the literature obtained from five scientific databases between 1997 and February 2017...
October 23, 2018: Musculoskeletal Care
Jan Brijs, Seher Arat, Rene Westhovens, Jan Leo Lenaerts, Ellen De Langhe
BACKGROUND: Treatment adherence is an important medical and pharmaco-economical phenomenon, influenced by multiple variables. Treatment adherence in systemic sclerosis (SSc) has been poorly studied. OBJECTIVE: The aim of the present study was to assess treatment adherence in SSc patients and to identify factors associated with good and poor adherence. METHODS: We conducted a monocentric, cross-sectional, observational study. Treatment adherence was evaluated by the Compliance Questionnaire of Rheumatology (CQR)...
October 9, 2018: Musculoskeletal Care
Kelsey J Picha, Kate N Jochimsen, Nicholas R Heebner, John P Abt, Ellen L Usher, Gilson Capilouto, Tim L Uhl
OBJECTIVES: Low self-efficacy is a barrier to rehabilitation adherence. Before an intervention can be implemented to improve self-efficacy, assessment is required. It is currently unknown if a standard measure of self-efficacy has been used to assess this in patients with musculoskeletal conditions, specifically for home exercise programmes (HEPs). The aim of the present study was to determine which self-efficacy scales are being used in conjunction with exercise adherence, identify if any scale has been developed to evaluate self-efficacy for HEPs and evaluate their psychometric properties...
September 20, 2018: Musculoskeletal Care
Toby O Smith, Andrew Kemp, Michael J Twigg
OBJECTIVES: Osteoarthritis (OA) is a highly prevalent condition seen across primary care services. Although evidence-based guidelines have encouraged the prescription of medications, including analgesics, for this population, there remains uncertainty as to which types of individuals actually take prescribed or over-the-counter medications. The purpose of the present study was to determine whether there is a difference in characteristics between people who take medicines for OA compared with those who do not...
August 30, 2018: Musculoskeletal Care
Sandra M Robinson, Sarah Ryan, Nicola Adams, Andrew Hassell, David Walker
OBJECTIVES: Methotrexate is commonly used to treat patients with inflammatory arthritis. A key role of a rheumatology nurse is to educate patients on how to take this drug safely prior to the commencement of treatment. The objective of the present study was to explore the experiences of rheumatology nurses conducting this role, focusing on the content of the consultation and training received to perform the role. METHODS: A qualitative phenomenological approach was used...
August 30, 2018: Musculoskeletal Care
Heather J Roberts, Dafang Zhang, Brandon E Earp, Philip Blazar, George S M Dyer
OBJECTIVE: Online patient education materials in orthopaedic surgery are consistently written above the recommended grade level. However, no algorithmic measure of readability has been validated in a medical context. The primary objective of the present study was to determine whether Flesch-Kincaid readability scores correlate with patient self-reported utility of online education materials from the American Society for Surgery of the Hand (ASSH). METHODS: This was a prospective survey study of 35 patients with one of five common upper extremity diagnoses...
August 30, 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...
September 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...
September 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...
September 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...
September 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...
September 2018: Musculoskeletal Care
Line Traumer, Erik Elgaard Sørensen, Kathrine Hoffmann Kusk, Søren Thorgaard Skou
No abstract text is available yet for this article.
September 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...
September 2018: Musculoskeletal Care
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