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Musculoskeletal Care

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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
#1
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
#2
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
#3
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/28156062/an-observational-study-of-australian-private-practice-physiotherapy-consultations-to-explore-the-prescription-of-self-management-strategies
#4
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
#5
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
#6
Kunal Kulkarni, St John Karssiens, Holly Massie, Hemant Pandit
No abstract text is available yet for this article.
January 12, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28052563/self-reported-use-of-natural-health-products-among-rheumatology-patients-a-cross-sectional-survey
#7
Jill J Hall, Tharindri D Dissanayake, Darren Lau, Steven J Katz
OBJECTIVES: To describe the self-reported use of natural health products (NHPs) and identify characteristics that predict selected NHP use in rheumatology patients. METHODS: We conducted a cross-sectional survey of consecutive rheumatology patients in two major clinics in Edmonton, Alberta. Survey items included demographic data, rheumatologic diagnoses, prescribed medications, NHPs, and information regarding patients' use of NHPs. Selected NHPs of interest - defined to include joint-specific products, oils with putative joint benefits, and other non-vitamin, non-mineral products - were classified by 2 reviewers...
January 4, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28052489/preoperative-education-prior-to-elective-knee-arthroplasty-surgery-does-not-change-patient-outcomes
#8
Lawrence Stephen Moulton, Peter A Evans, Ian Starks, Tony Smith
Enhanced recovery programmes have improved outcomes following elective arthroplasty surgery. There are few studies assessing the role of patient education. In our enhanced recovery programme, all patients are offered the chance to attend a preoperative education class. Not all patients attend, enabling a comparison of outcomes. We have published data demonstrating that patients undergoing hip arthroplasty have improved outcomes. In the present article, we present data for total knee arthroplasty. Using a prospectively collected database, we identified all patients undergoing elective primary total knee arthroplasty...
January 4, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28105706/smartphone-use-addiction-can-cause-neck-disability
#9
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
#10
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/28032439/a-narrative-review-of-musculoskeletal-problems-of-the-lower-extremity-and-back-associated-with-the-interface-between-occupational-tasks-feet-footwear-and-flooring
#11
REVIEW
Jennifer Anderson, Anita E Williams, Christopher J Nester
At least 50% of workers are exposed to the risk of musculoskeletal disorders (MSD) due to spending prolonged hours standing at work. There is a lack of information regarding issues with the feet, solutions to the problem, and links between MSD, feet, footwear and flooring. The present article provides a narrative review of the research in this area, based on 31 papers. Workers who stand for large proportions of the working day had a level of MSD considerably greater than a normal population. Muscle co-activation, blood pooling, muscle fatigue and individual characteristics are all associated with MSD...
December 29, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/28009092/arthritis-management-in-primary-care-a-study-of-physiotherapists-current-practice-educational-needs-and-adherence-to-national-guidelines
#12
Siv Folkhammar Andersson, Stefan Bergman, Elisabet Welin Henriksson, Ann Bremander
BACKGROUND: With an increasing number of patients with osteoarthritis (OA) and rheumatoid arthritis (RA) in primary care, our aim was to investigate arthritis-related practice in physiotherapy and to study adherence to evidence-based care. METHODS: Seventy physiotherapists (PTs) working in primary care were emailed a questionnaire to investigate current practice and the number of roles assumed by PTs, the degree of confidence, educational needs and adherence to national guidelines in managing patients with OA or RA...
December 23, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27982541/patient-and-researcher-perspectives-on-facilitating-patient-and-public-involvement-in-rheumatology-research
#13
Judith Pollock, Karim Raza, Arthur G Pratt, Helen Hanson, Stefan Siebert, Andrew Filer, John D Isaacs, Christopher D Buckley, Iain B McInnes, Marie Falahee
No abstract text is available yet for this article.
December 16, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27976535/patient-goals-in-rheumatoid-arthritis-care-a-systematic-review-and-qualitative-synthesis
#14
REVIEW
Elizabeth Hulen, Ayla Ervin, Allison Schue, Gina Evans-Young, Somnath Saha, Edward H Yelin, Jennifer L Barton
OBJECTIVE: During the clinical encounter, rheumatoid arthritis (RA) patient goals for care often go unexplored. The aim of the present systematic review was to identify needs, goals and expectations of RA patients in order better to guide systematic elicitation of patient goals in clinical encounters. METHODS: An academic librarian searched MEDLINE, PsychINFO and the Cochrane Library using a specialized algorithm developed to identify articles about patient goals for RA care...
December 14, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27925419/are-fear-of-movement-self-efficacy-beliefs-and-fear-of-falling-associated-with-levels-of-disability-in-people-with-osteoarthritis-of-the-knee-a-cross-sectional-study
#15
Dave P Thompson, Katerina Moula, Steve R Woby
INTRODUCTION: Osteoarthritis of the knee (OAK) can result in significant disability and previous authors have suggested that cognitive and falls-related factors may be significant determinants of function. However, no previous studies have considered the relative influence of these factors when the effects of symptoms related to OAK are also considered. Additionally, it is plausible that falls-related factors exert a greater influence in patients who have previously fallen. METHODS: Fifty-eight patients were recruited from an outpatient physiotherapy department...
December 7, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27925376/animated-activity-questionnaire-aaq-a-new-method-of-self-reporting-activity-limitations-in-patients-with-hip-and-knee-osteoarthritis-comparisons-with-observation-by-spouses-for-construct-validity
#16
W F Peter, H S Dagfinrud, N Østerås, C B Terwee
OBJECTIVE: The aim of the present study was to evaluate the construct validity of the Animated Activity Questionnaire (AAQ) for measuring activity limitations of patients with hip and knee osteoarthritis (HKOA). DESIGN: In a psychometric design, data from HKOA patients and their spouses in Norway and the Netherlands were collected independently of each other, using the AAQ, the Function of Daily Living (FDL) subscale from the Hip disability or Knee injury Osteoarthritis Outcome Scale (H/KOOS) and the Numerical Rating Scale for pain (NRS-pain)...
December 7, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27925370/the-role-of-enjoyment-in-exercise-for-people-with-arthritis-four-different-viewpoints-from-a-q-methodology-study
#17
Julia R Kibblewhite, Roisin S M Hegarty, Simon Stebbings, Gareth J Treharne
PURPOSE: There is limited research on the role of enjoyment of exercise among people with arthritis. The aim of the present study was to determine distinct viewpoints on exercise held by people with arthritis, and how enjoyment features in these viewpoints. METHODS: A Q-methodology study was conducted, which involved two interviews with people with rheumatoid arthritis, osteoarthritis or ankylosing spondylitis (aged 20-85 years). In the first interviews, 11 participants helped to create the Q-set, a set of statements reflecting a range of existing views on exercising...
December 7, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27905201/the-symptom-matrix-using-a-formalism-based-approach-to-address-complex-syndromes-systematically
#18
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
https://www.readbyqxmd.com/read/27297723/therapeutic-review-of-methylprednisolone-acetate-intra-articular-injection-in-the-management-of-osteoarthritis-of-the-knee-part-2-clinical-and-procedural-considerations
#19
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
https://www.readbyqxmd.com/read/27136756/self-reported-barriers-to-healthcare-access-for-rheumatoid-arthritis-patients-in-rural-and-northern-saskatchewan-a-mixed-methods-study
#20
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
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