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Musculoskeletal Care

Jennifer D Skillen
Complex rheumatological syndromes such as Systemic lupus erythematosus, Sjogren's Syndrome and many connective tissue disorders can be a challenge to classify and diagnose, due to their wide-ranging signs and symptoms, not all of which will necessarily be present in all patients. This can result in difficulties for the clinician, patient and researcher if signs and symptoms are either overlooked or are incorrectly included in the nosology or classification of diseases. This article presents a formalism-based approach to describing syndromes...
December 1, 2016: Musculoskeletal Care
Sylvia Gautreau, Catherine Aquino-Russell, Odette N Gould, Michael E Forsythe
No abstract text is available yet for this article.
November 24, 2016: Musculoskeletal Care
Ruth I Hart, Wan-Fai Ng, Julia L Newton, Katie L Hackett, Richard P Lee, Ben Thompson
OBJECTIVES: Although fatigue is a common symptom for people with rheumatic diseases, limited support is available. This study explored the impact of written information about fatigue, focusing on a booklet, Fatigue and arthritis. METHODS: Thirteen patients with rheumatic disease and fatigue were recruited purposively from a rheumatology outpatient service. They were interviewed before and after receiving the fatigue booklet. Two patients, plus six professionals with relevant interests, participated in a focus group...
November 18, 2016: Musculoskeletal Care
Paul Salamh, Chad Cook, Michael P Reiman, Charles Sheets
Manual therapy (MT) is a commonly used treatment for knee osteoarthritis (OA) but to date only one systematic review has explored its effectiveness. The purpos e of the present study was to perform a systematic review and meta-analysis of the literature, to determine the effectiveness and fidelity of studies using MT techniques in individuals with knee OA. Relevant studies were assessed for inclusion. Effectiveness was measured using effect sizes, and methodological bias and treatment fidelity were both explored...
November 18, 2016: Musculoskeletal Care
Pattanasin Areeudomwong, Witchayut Wongrat, Nertnapa Neammesri, Thanaporn Thongsakul
BACKGROUND: The role of exercise therapy in improving pain-related clinical outcomes and trunk muscle activity in patients with chronic low back pain (CLBP) has been widely reported. There is little information on the effect of proprioceptive neuromuscular facilitation (PNF) training in patients with CLBP. The purpose of the present study was therefore to investigate the persistence of the effects of PNF training on pain intensity, functional disability, patient satisfaction, health-related quality of life (HRQOL) and lower back muscle activity in patients with CLBP...
October 28, 2016: Musculoskeletal Care
Vandit Sardana, Joanna Burzynski, Paul Zalzal
PURPOSE: Topical ketoprofen in Transfersome gel has been used for the alleviation of symptoms in osteoarthritis. Non-steroidal anti-inflammatory drugs (NSAIDs) are associated with various side effects. Topical NSAIDs are known to have a lower side-effect profile when compared with systemic administration. The present systematic review aimed to determine the safety and efficacy of topical ketoprofen in Transfersome gel in knee osteoarthritis (OA). METHODS: A systematic literature review was performed...
October 24, 2016: Musculoskeletal Care
Anne Marit Mengshoel, Åse Skarbø
OBJECTIVE: The aim of the present study was to examine the characteristics of patients referred to occupational therapists (OTs), physiotherapists (PTs) and social workers (SWs) at a rehabilitation unit in a hospital specializing in rheumatology, and the rehabilitation needs that clinicians and patients agreed should be addressed in the encounters with the particular health professional groups. METHODS: Consecutive hospitalized patients at a rheumatism hospital were recruited by the health professionals...
October 17, 2016: Musculoskeletal Care
Serena Halls, Rebecca-Jane Law, Jeremy G Jones, David A Markland, Peter J Maddison, Jeanette M Thom
OBJECTIVES: Although exercise is an important factor in the management of rheumatoid arthritis (RA), research indicates that patients perceive that health professionals (HPs) are uncertain about the place of exercise in treatment and its relationship with joint damage. The present study investigated the perceptions of HPs regarding the effects of exercise on joint health in RA patients. METHODS: A questionnaire investigating perceptions of exercise and joint health was distributed via professional networks and websites...
October 6, 2016: Musculoskeletal Care
Jill J Hall, Steven J Katz, M Ken Cor
OBJECTIVES: Patient satisfaction is known to increase with pharmacist intervention in general outpatient clinics and with nurse-led care in rheumatology clinics. The aim of the present study was to describe and compare patient satisfaction with two different types of care: a pharmacist physician collaborative model and a traditional physician model in a rheumatology clinic setting. METHODS: A cross-sectional survey of inflammatory arthritis patients seen during a follow-up visit in Edmonton, Alberta, Canada, was conducted over a ten-week period...
September 30, 2016: Musculoskeletal Care
Emma Dures, Isobel Fraser, Celia Almeida, Alice Peterson, Judy Caesley, Jon Pollock, Nicholas Ambler, Marianne Morris, Sarah Hewlett
OBJECTIVES: Psychological support for inflammatory arthritis is recommended in rheumatology treatment guidelines. Previous research found that high numbers of patients would access such support but that provision is often inconsistent and inadequate. The present study explored patients' perspectives on the nature of the psychological impact of inflammatory arthritis and how to meet the associated support needs. METHODS: A cross-sectional survey was conducted, using questionnaires which included three open-ended questions about helpful and unhelpful psychological support...
September 8, 2016: Musculoskeletal Care
Carol McCrum
The use of an intra-articular methylprednisolone acetate (MPA) injection has been shown to have benefits for symptoms of knee osteoarthritis (OA). However, considerations beyond drug efficacy can influence the appropriateness, clinical effectiveness and potential harm of an injection. A review of research evidence and published literature on clinical and procedural factors influencing the effectiveness and safety of a knee injection has been undertaken. Factors include dose, frequency, contraindications, precautions, drug interactions, side-effects, and procedural and patient-related considerations...
December 2016: Musculoskeletal Care
B V Nair, R Schuler, S Stewart, R M Taylor-Gjevre
OBJECTIVES: The aim of the present study was to identify potential barriers for access to medical and allied health services from the perspective of rural and Northern Saskatchewan rheumatoid arthritis (RA) patients. METHODS: A total of 100 adults with established RA, residing in rural and Northern Saskatchewan, were recruited from two rheumatology practices. Structured interviews with standardized scripts solicited patient perspectives on appointment waiting times, travel required to access medical services and satisfaction with healthcare provision...
December 2016: Musculoskeletal Care
Gonzalo Rojas-Alcayaga, Andrea Herrera Ronda, Iris Espinoza Santander, Claudia Bustos Reydet, Matías Ríos Erazo, Pamela Wurmann, Francisca Sabugo, Rinie Geenen
BACKGROUND: Sjögren's syndrome and the associated dryness can have multiple consequences. The aim of the present qualitative study was to give an in-depth account of the life experiences of women with primary Sjögren's syndrome (pSS) and health-related behaviours, and to summarize these experiences in an integrated model. METHODS: Twelve women diagnosed with pSS who regularly attended the Hospital of the University of Chile participated in detailed interviews...
December 2016: Musculoskeletal Care
Gunnel Östlund, Ingrid Thyberg, Eva Valtersson, Mathilda Björk, Sverker Annette
OBJECTIVES: Living with a chronic disease means learning to live under new circumstances and involves a continuous adaptation to new ways of living. There is increasing knowledge about how people cope with stressful life events and adapt to new life situations. Approximately a third of patients diagnosed with rheumatoid arthritis (RA) are men; however, few studies have described the needs and experiences of men living with RA. The aim of the present study was to explore men's strategies for handling challenges related to participation in everyday life...
December 2016: Musculoskeletal Care
W F Peter, E J Hurkmans, P J van der Wees, E J M Hendriks, L van Bodegom-Vos, T P M Vliet Vlieland
OBJECTIVES: The aim of the present study was to develop healthcare quality indicators (HCQIs) for the physiotherapy (PT) management of patients with hip or knee osteoarthritis (HKOA) or rheumatoid arthritis (RA) in the Netherlands. METHODS: Two multidisciplinary expert panels, including patients, were instituted. A draft HCQI set was derived from recommendations included in two existing Dutch PT guidelines for HKOA and RA. The panels suggested additional topics, after which a Delphi procedure was performed...
December 2016: Musculoskeletal Care
Shannon Petersen, Nathan Domino, Christopher Postma, Cody Wells, Chad Cook
INTRODUCTION: Scapulothoracic muscle weakness has been associated with neck pain (NP). Little evidence exists regarding lower trapezius (LT), middle trapezius (MT) and serratus anterior (SA) strength in this population. LT strength changes have been observed following thoracic manipulation in healthy subjects. The purpose of the present study was to examine scapulothoracic strength changes following cervical manipulation in subjects with NP. METHODS: Twenty-two subjects with NP and 17 asymptomatic control (AC) subjects underwent strength testing of the LT, MT and SA using a hand-held dynamometer...
December 2016: Musculoskeletal Care
Anna-Maija Jäppinen, Harri Hämäläinen, Tarja Kettunen, Arja Piirainen
The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little-studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA METHODS: The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio-recorded and analysed by using a phenomenographic method RESULTS: Four different categories of postoperative patient education in physiotherapy after hip arthroplasty were produced: trust while in hospital; preparing for going home; managing at home; and regaining physical fitness...
September 4, 2016: Musculoskeletal Care
Elizabeth Candy, Sam Haworth-Booth, Mark Knight-Davis
OBJECTIVE: The present service evaluation aimed to assess patients' experience of the musculoskeletal interface (MSKI) team, evaluate the outcomes of referrals to secondary care and determine if patients returned to secondary musculoskeletal (MSK) care following discharge from the MSKI team. METHODS: Excel spreadsheets were designed for data capture. The survey was undertaken in June 2012. Patients were invited to complete and return the questionnaire. Data were collated and reported...
September 2016: Musculoskeletal Care
Sam Nahas, Edmund Ieong, Kartik Logishetty, Piyush Mahapatra, Dinesh Nathwani
No abstract text is available yet for this article.
September 2016: Musculoskeletal Care
Lilian H D van Tuyl, Rebecca J Stack, Maurits Sloots, Lotte A van de Stadt, Wijnanda Hoogland, Bertha Maat, Karim Raza, Dirkjan van Schaardenburg
No abstract text is available yet for this article.
September 2016: Musculoskeletal Care
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