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Musculoskeletal Care

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https://www.readbyqxmd.com/read/28493453/a-survey-to-establish-current-practice-in-addressing-work-participation-with-inflammatory-arthritis-in-the-irish-clinical-setting
#1
Yvonne Codd, Tadhg Stapleton, David Kane, Ronan Mullan
No abstract text is available yet for this article.
May 11, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28471034/ultrasonography-detected-subclinical-inflammation-in-patients-with-hand-osteoarthritis-and-established-rheumatoid-arthritis-a-comparison-between-two-different-pathologies-using-the-same-ultrasound-examination-protocol
#2
Sidra Hussain, Priyanka Sivakumaran, Anna Gill, Delfin Dhas, Coziana Ciurtin
OBJECTIVES: A recent review of ultrasound (US) studies in osteoarthritis (OA) showed very limited data about hand OA. Previous US studies in patients with OA described a degree of overlap between the US appearance of rheumatoid arthritis (RA) and OA joints. The present study aimed to assess the US features of subclinical inflammation in RA and hand OA, using the same US examination protocol. METHODS: A retrospective, cohort study compared patients with established RA (n = 224) and hand OA (n = 73), with respect to several demographic, clinical, laboratory and US parameters...
May 4, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28471033/the-decision-making-threshold-and-the-factors-that-affect-it-a-qualitative-study-of-patients-decision-making-in-knee-replacement-surgery
#3
T Barlow, P Scott, L Thomson, D Griffin, A Realpe
BACKGROUND: Osteoarthritis is a significant cause of burden to the ageing population and knee replacement is a common operation for treatment of end-stage disease. We aimed to explore these factors to help understand patients' decision-making, which is critical in informing patient-centred care. These can be used to enhance decision-making and dialogue between clinicians and patients, allowing a more informed choice. METHODS: The study consisted of two focus groups, in a patient cohort after total knee replacement followed by more in-depth interviews to further test and explore themes from the focus groups, in patients in either the deliberation stage or the decision-making stage...
May 4, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28417529/cardiovascular-risk-management-in-rheumatoid-arthritis-a-large-gap-to-close
#4
Karim Ladak, Jomana Hashim, Matthew Clifford-Rashotte, Vikas Tandon, Mark Matsos, Ameen Patel
OBJECTIVE: Rheumatoid arthritis (RA) portends significant cardiovascular morbidity and mortality. We therefore determined how often rheumatologists screened for and managed cardiovascular risk factors in RA patients, and the barriers to doing so. METHODS: We examined 300 patient charts from 10 university-affiliated rheumatology practices, to ascertain if they had been screened, treated and/or referred over a 3-year period. We subsequently distributed a national survey to Canadian rheumatologists to elucidate challenges in performing optimal cardiovascular risk modification...
April 18, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28401689/progressive-resistance-training-prt-improves-rheumatoid-arthritis-outcomes-a-district-general-hospital-dgh-model
#5
Klara Morsley, Berna Berntzen, Lisa Erwood, Toby Bellerby, Lyn Williamson
OBJECTIVE: Rheumatoid cachexia is common in rheumatoid arthritis (RA) patients and develops soon after diagnosis, despite adequate drug therapy. It is associated with multiple adverse effects on body composition, function and mortality. Progressive resistance training (PRT) improves these outcomes but is not widely prescribed outside of a research setting. The aim of the present study was to explore the practicality and effectiveness of providing PRT to patients in a district general hospital within the constraints of existing resources...
April 12, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28401666/a-model-to-increase-rehabilitation-adherence-to-home-exercise-programmes-in-patients-with-varying-levels-of-self-efficacy
#6
Kelsey J Picha, Dana M Howell
Patient adherence to rehabilitation programmes is frequently low - particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic-based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self-efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self-efficacy is defined as a person's confidence in their ability to perform a task...
April 12, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28401656/improving-access-to-better-care-for-people-with-knee-and-or-hip-pain-service-evaluation-of-allied-health-professional-led-primary-care
#7
A Walker, R Williams, F Sibley, D Stamp, A Carter, M Hurley
INTRODUCTION: Chronic knee and hip pain is prevalent, impairing mobility, function and quality of life. Allied health professions (AHPs) are better trained and have more time than general practitioners in primary care to advise and support people to adopt healthier lifestyles (maintain healthy weight, increase physical activity) that reduce joint pain. We evaluated whether AHP-led primary care delivering person-centred, practical lifestyle coaching was a feasible, effective way to manage chronic knee and/or hip pain...
April 12, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28394082/changes-in-disability-in-older-adults-with-generalized-radiographic-osteoarthritis-a-complex-relationship-with-physical-activity
#8
E C P M Tak, J B van Meurs, S M A Bierma-Zeinstra, A Hofman, M Hopman-Rock
OBJECTIVE: The aim of the present study was to report on factors associated with changes in disability after 5 years, with a focus on physical activity (PA) in community-dwelling older adults with generalized radiographic osteoarthritis (GROA). METHODS: Assessment of GROA (hand, knee, hip) and disability (Health Assessment Questionnaire) in the Rotterdam Study (cohort RS-1, N = 7,983; with GROA, n = 821). A good outcome at follow-up was defined as improved or mild disability, and a poor outcome as worsened or severe disability...
April 10, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28394033/recovery-stress-patterns-and-low-back-pain-differences-in-pain-intensity-and-disability
#9
Jahan Heidari, Tobias Mierswa, Monika Hasenbring, Jens Kleinert, Claudia Levenig, Johanna Belz, Michael Kellmann
BACKGROUND: Recovery describes a restoring process influencing the health conditions of individuals but a potential link to low back pain (LBP) has not been scrutinized so far. Psychological strategies to deal with LBP have been considered within the biopsychosocial approach but substantial evidence regarding specific psychological underpinnings remains elusive. The current study aimed to compare individuals with different recovery-stress patterns (i.e. specific combinations of recovery/stress) regarding their pain and disability in the lower back...
April 10, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28394018/protocol-for-follow-up-of-hip-arthroplasty-in-the-long-term-effect-on-revision-whistler-study
#10
Lindsay K Smith, Erik Lenguerrand, Ashley Blom, Jane Powell, Shea Palmer
Total hip arthroplasty (THA) is highly successful for reducing pain and improving function, providing health-related quality of life benefit. Demand for THA is increasing with associated increase in revision hip surgery. Hip arthroplasty surveillance (long-term follow up) can identify asymptomatically failing THA to prepare for revision surgery, reducing potential for complications or complexity of surgery. However, it is unknown whether the surveillance of THA can be shown to improve the patient outcomes or reduce costs around revision surgery...
April 10, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28378937/aerobic-and-resistance-exercise-in-systemic-sclerosis-state-of-the-art
#11
Natália Cristina de Oliveira, Leslie Andrews Portes, Henrik Pettersson, Helene Alexanderson, Carina Boström
INTRODUCTION: Patients with systemic sclerosis (SSc) experience reduced exercise capacity and muscle strength compared with healthy subjects. There are also indications of reduced levels of physical activity. OBJECTIVE: To present the current knowledge of physical exercise in SSc. RESULTS: Most studies presently available [three case studies, one single subject experimental design, one study comparing patients with healthy controls, one quasi experimental design (pre-post), two clinical trials and two random controlled trials] have included small samples of patients, mostly composed of patients with and without pulmonary involvement...
April 5, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28371175/exercise-for-chronic-musculoskeletal-pain-a-biopsychosocial-approach
#12
John Booth, G Lorimer Moseley, Marcus Schiltenwolf, Aidan Cashin, Michael Davies, Markus Hübscher
Chronic musculoskeletal pain (CMP) refers to ongoing pain felt in the bones, joints and tissues of the body that persists longer than 3 months. For these conditions, it is widely accepted that secondary pathologies or the consequences of persistent pain, including fear of movement, pain catastrophizing, anxiety and nervous system sensitization appear to be the main contributors to pain and disability. While exercise is a primary treatment modality for CMP, the intent is often to improve physical function with less attention to secondary pathologies...
March 30, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28332761/a-uk-national-survey-of-care-pathways-and-support-offered-to-patients-receiving-revision-surgery-for-prosthetic-joint-infection-in-the-highest-volume-nhs-orthopaedic-centres
#13
Andrew J Moore, Michael R Whitehouse, Rachael Gooberman-Hill, Jason Heddington, Andrew D Beswick, Ashley W Blom, Tim J Peters
BACKGROUND: Deep prosthetic joint infection (PJI) is a devastating complication of joint replacement surgery. It is difficult to treat, and patients often require multiple major revision surgeries to eradicate the infection. Treatment can have negative and long-term impact on patients' quality of life. Understanding current service provision provides valuable information needed to design and evaluate support interventions for patients. AIM: This survey aimed to identify usual care pathways and support in UK National Health Service (NHS) orthopaedic centres for patients receiving revision surgery for PJI after hip or knee replacement...
March 23, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28317249/getting-back-to-the-dissecting-room-an-evaluation-of-an-innovative-course-in-musculoskeletal-anatomy-for-uk-based-rheumatology-training
#14
Tim Blake, Debbi Marais, Andrew B Hassell, Kay Stevenson, Zoe Paskins
BACKGROUND: The rheumatologist relies heavily on clinical skills to diagnose diverse conditions, something that is correlated with one's knowledge of clinical anatomy. More recently, rheumatology has offered further career flexibility with opportunities to develop skills such as joint injection and musculoskeletal (MSK) ultrasound, both of which require a sound understanding of anatomy. Currently, there are no formal strategies to support competency-based anatomy learning in rheumatology in the UK...
March 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28317236/rehabilitation-of-revision-total-hip-replacement-a-multi-centre-survey-of-current-practice
#15
Meredith Newman, Karen Barker
BACKGROUND: Demand for revision total hip replacement (RTHR) is increasing. Outcomes after RTHR are varied, with reasonable pain relief but smaller gains in function and mobility. Whether sub-optimal rehabilitation contributes to poorer functional outcomes is unclear. Current rehabilitation is not well defined and there is little research into RTHR rehabilitation. AIMS AND OBJECTIVES: To gather information about the current rehabilitation of patients undergoing planned, single-stage revision or re-revision THR surgery...
March 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28105706/smartphone-use-addiction-can-cause-neck-disability
#16
Sami S AlAbdulwahab, Shaji John Kachanathu, Mohammed Saleh AlMotairi
No abstract text is available yet for this article.
March 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/26833593/qualitative-exploration-of-illness-perceptions-of-rheumatoid-arthritis-in-the-general-public
#17
Gwenda Simons, Anna Mason, Marie Falahee, Kanta Kumar, Christian D Mallen, Karim Raza, Rebecca J Stack
Treating patients with rheumatoid arthritis (RA) within three months of symptom onset leads to significantly improved outcomes. However, many people delay seeking medical attention. In order to understand the reasons for this delay, it is important to have a thorough understanding of public perceptions about RA. The current study investigated these perceptions using the Self-Regulation Model (SRM) as a framework to explain how health behaviour is influenced by illness perceptions (prototypes) through qualitative interviews with 15 members of the public without RA...
March 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28156062/an-observational-study-of-australian-private-practice-physiotherapy-consultations-to-explore-the-prescription-of-self-management-strategies
#18
Kerry Peek, Mariko Carey, Lisa Mackenzie, Robert Sanson-Fisher
OBJECTIVE: The aim of the study was to explore the types of self-management strategies prescribed; the number of strategies and the overall length of time allocated to self-management prescription, by consultation type and by injury location, in physiotherapy consultations. METHODS: A cross-sectional, observational study of 113 physiotherapist-patient consultations was undertaken. Regression analyses were used to determine whether consultation type and injury location were associated with the number of strategies prescribed and the length/fraction of time spent on self-management...
February 3, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28101996/aquatic-therapy-for-people-with-persistent-knee-pain-a-feasibility-study
#19
Suzanne McIlroy, Lesley Sayliss, Paul Browning, Lindsay M Bearne
No abstract text is available yet for this article.
January 19, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28078816/smoking-and-orthopaedic-surgery-does-the-evidence-support-rationing-of-care
#20
Kunal Kulkarni, St John Karssiens, Holly Massie, Hemant Pandit
No abstract text is available yet for this article.
January 12, 2017: Musculoskeletal Care
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