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Rheumatology,Rehabilitation

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https://www.readbyqxmd.com/read/27906949/pulsed-compared-to-thermal-radiofrequency-to-the-medial-calcaneal-nerve-for-management-of-chronic-refractory-plantar-fasciitis-a-prospective-comparative-study
#1
Ayman M Osman, Dina H El-Hammady, Mohamed M Kotb
BACKGROUND: Radiofrequency (RF) treatment is a minimally invasive procedure that has been used for more than 3 decades in treating various chronic pain syndromes. Conventional (continuous) RF treatment occasionally results in worsening or even initiating a new type of pain. The use of pulsed radiofrequency (PRF), which has a non- or minimally neurodestructive neuromodulatory effect, serves as an alternative to conventional RF therapy in many medical situations. OBJECTIVES: To evaluate the effect of applying PRF for 6 minutes vs...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27823901/comparison-of-effects-of-eccentric-training-eccentric-concentric-training-and-eccentric-concentric-training-combined-with-isometric-contraction-in-the-treatment-of-lateral-elbow-tendinopathy
#2
Dimitrios Stasinopoulos, Ioannis Stasinopoulos
STUDY DESIGN: RCT. INTRODUCTION: Lateral elbow tendinopathy is a common clinical condition. eccentric exercises. eccentric-concentric loading and, isometric exercises are indicated to reduce and manage tendon pain. PURPOSE OF THE STUDY: To compare the effectiveness of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. METHODS: A randomized clinical trial was carried out in a rheumatology and rehabilitation center...
November 4, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27748577/rehabilitation-needs-approached-by-health-professionals-at-a-rheumatism-hospital
#3
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
https://www.readbyqxmd.com/read/27676727/subjects-with-fibromyalgia-syndrome-have-a-reduction-of-balance-performance
#4
Jacques Vaillant, Sophie Pissety, Silvia Martinez, Robert Juvin
OBJECTIVE: If subjects with fibromyalgia syndrome (FMS) firstly describe painful and fatigue syndromes, secondly some of them described latent postural disorders or frailty. If decrease of postural performance has been described on osteoarthritis diseases of lower limb, it is unknown on fibromyalgia. The aim of this study was to assess clinical perform on balance and gait of patients with FMS. MATERIAL/PATIENTS AND METHODS: The sample was selected in-patients or in consultation in the rheumatology department and from those patients participating in a programme of rehabilitation...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27576331/how-is-the-ultrasound-in-rheumatology-used-implemented-and-applied-in-latin-american-centers-results-from-a-multicenter-study
#5
Marwin Gutierrez, Cristina Hernandez-Diaz, Lucio Ventura-Rios, Lina María Saldarriaga-Rivera, Santiago Ruta, Magaly Alva, Claudia Mora -Trujillo, Wilkerson Pérez, Henry Terrazas, Rodolfo Del Carmen Arape Toyo, Maritza Quintero, Carla Solano, Oscar Sedano Santiago, Janet Grisel Huamán Sotomayor, Cesar Cefferino, Guillermo E Py, Marcelo J Audisio, Walter Javier Spindler, Horacio Berman, Carla Airoldi, Rómulo Wong, Ana Laura Álvarez Del Castillo Araujo, Mario E Díaz, Carmen Cerón Villaquiran, Rubén Darío Mantilla, José Alexandre Mendonça, Inês Guimarães da Silveira, Aline Defaveri do Prado, Melissa Cláudia Bisi, Violeta Rosario, Jeannette Medrano-Sánchez, Roberto Muñoz-Louis, Ana Cecilia Lozada-Navarro, Araceli Bernal, Maribel Lozano, Carlos Pineda
This study aimed to perform an overview of how ultrasound (US) is being used, implemented, and applied in rheumatologic centers in Latin America (LA). A retrospective, multicenter 1-year experience study was undertaken. Eighteen centers from eight countries were involved. The following information were collected: demographic data, indication to perform an US examination, physician that required the examination, and the anatomical region required for the examination. A total of 7167 patients underwent an US examination...
August 30, 2016: Clinical Rheumatology
https://www.readbyqxmd.com/read/27483704/anatomical-and-clinical-orbservations-on-structural-changes-of-the-hip-joint
#6
Luana-Andreea Macovei, Elena Rezus
UNLABELLED: The hip, the second largest joint of the human body, with its primary contribution to locomotion, is exposed to numerous traumatic or non-traumatic risks. Regardless of the initial pathology, there is always almost the same result: diminution of range of motion, onset of pain and functional impotence, as well as change of biomechanics of walking. Through its high frequency, morpho-functional imbalance (clinically expressed both imagistic and biologically, in one or several joints), osteoarthritis is a disease with a multifactorial etiology and a complex pathogeny...
April 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/27455823/survey-of-thai-physicians-regarding-recognition-and-management-of-inflammatory-back-pain-and-spondyloarthritis
#7
Mintra Tangrungruengkit, Varalak Srinonprasert, Praveena Chiowchanwisawakit
OBJECTIVE: To assess recognition and management of inflammatory back pain (IBP) and spondyloarthritis (SpA) among non-rheumatologists (NRs) and rheumatologists in Thailand. MATERIAL AND METHOD: A cross-sectional survey was conducted among physicians in Thailand A questionnaire designed to evaluate knowledge regarding IBP and SpA was sent to 1,336 NRs. A different questionnaire regarding SpA management in practice was sent to 112 rheumatologists. RESULTS: Of 1,448 questionnaires distributed, 367 (25...
January 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27375686/the-effect-of-fibromyalgia-syndrome-to-gravidity-parity-and-duration-of-breastfeeding-a-prospective-study-from-turkey
#8
Koca Tuba Tulay, Tanrikut Emrullah, Arslan Aydin, Ozdemir Filiz Ciledag
OBJECTIVES: Fibromyalgia syndrome (FS) is a chronic pain disorder usually affecting women in their fertile period of life. However, the relationship between FS and pregnancy has not been studied in depth. The effect of FS on the course of pregnancy is poorly investigated in the current literature. Here we aimed to investigate the effects of FS to menarche age, gravidity, parity and duration of breastfeeding. METHODS: One hundred and eighty-seven non-pregnant females attending between March 2015-June 2015, to Malatya State Hospital Physical Medicine and Rehabilitation Outpatient Clinic, were included in this prospective study...
May 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27321860/evaluation-of-the-implementation-of-an-integrated-program-for-musculoskeletal-system-care
#9
Igor Larrañaga, Myriam Soto-Gordoa, Arantzazu Arrospide, María Luz Jauregi, Jesús Millas, Ricardo San Vicente, Jabier Aguirrebeña, Javier Mar
INTRODUCTION: The chronic nature of musculoskeletal diseases requires an integrated care which involves the Primary Care and the specialities of Rheumatology, Traumatology and Rehabilitation. The aim of this study was to assess the implementation of an integrated organizational model in osteoporosis, low back pain, shoulder disease and knee disease using Deming's continuous improvement process and considering referrals and resource consumption. MATERIAL AND METHODS: A simulation model was used in the planning to predict the evolution of musculoskeletal diseases resource consumption and to carry out a Budget Impact Analysis from 2012 to 2020 in the Goierri-Alto Urola region...
June 16, 2016: Reumatología Clinica
https://www.readbyqxmd.com/read/27311182/-guidelines-for-the-management-of-rheumatoid-arthritis
#10
REVIEW
Yutaka Kawahito
In 2014, guidelines for the management of rheumatoid arthritis, was announced from Japan College of Rheumatology. This guideline was made by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) method with a concept of "treat to target" led for European and American recommendation of rheumatoid arthritis. It assesses not only evidences but also the balance of desirable and undesirable consequences, values and preferences of the patient, and resource use. It is constructed by evidence summary of 88 clinical questions and 37 recommendations about medication, orthopaedic surgery and rehabilitation...
June 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/27137120/perceived-functional-impairment-and-spirituality-religiosity-as-predictors-of-depression-in-a-sri-lankan-spinal-cord-injury-patient-population
#11
S Xue, S Arya, A Embuldeniya, H Narammalage, T da Silva, S Williams, A Ravindran
STUDY DESIGN: Cross-sectional, questionnaire-based study. OBJECTIVES: To test the hypothesis that self-perceived functional impairment and religiosity/spirituality (S/R) predict depression among traumatic spinal cord injury (SCI) patients in Sri Lanka. SETTING: Ragama Rheumatology and Rehabilitation Hospital, Ragama, Sri Lanka. METHODS: The Spinal Cord Independence Measure, Benefit Through Spirituality/Religiosity Scale, Sheehan Disability Inventory and Beck Depression Inventory-II (BDI-II) were administered to 61 consenting in-patients with traumatic SCI between June and July 2014...
May 3, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27125075/cervical-spine-lesions-in-rheumatoid-arthritis-patients
#12
Luana-Andreea Macovei, Elena Rezuş
AIM OF THE STUDY: to gather clinical and laboratory data on rheumatoid arthritis patients with cervical spine damage (incidence and prevalence, correlation between duration of disease and the time of lesion onset, to assess signs and symptoms and the role of laboratory investigations). The spine is an axial organ with an important role in support and resistance. It is a pillar with a very complex morphological and functional structure. The vertebral column is crossed by many kinematic chains...
January 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/27025863/how-to-treat-ankylosing-spondylitis-and-nonradiographic-axial-spondyloarthritis-key-practical-messages-from-the-2015-american-college-of-rheumatology-recommendations
#13
COMMENT
Imad Uthman, Mohammad Hassan A Noureldine, Thurayya Arayssi, Nathalie E Chalhoub, Elie A Akl
A panel of experts commissioned by the American College of Rheumatology have recently reviewed the literature related to the treatment of patients with ankylosing spondylitis and nonradiographic axial spondyloarthritis. They published a set of recommendations for the management of common clinical questions for both active and stable disease, including the appropriate use of nonsteroidal anti-inflammatory drugs, tumor necrosis factor inhibitors, rehabilitation, education, and preventive care. This article summarizes these recommendations and provides key practical messages for physicians taking care of these patients...
March 24, 2016: Polskie Archiwum Medycyny Wewnętrznej
https://www.readbyqxmd.com/read/27013221/evaluation-of-a-group-acceptance-commitment-therapy-intervention-for-people-with-knee-or-hip-osteoarthritis-a-pilot-randomized-controlled-trial
#14
Simon P Clarke, Nektaria Poulis, Bryan J Moreton, Dave A Walsh, Nadina B Lincoln
OBJECTIVES: The aim was to evaluate an Acceptance commitment therapy (ACT) intervention for people with knee or hip osteoarthritis; a related aim was to compare treatment effects from Rasch-transformed and standard scales. METHODS: Participants were recruited from a research database and outpatient rheumatology and orthopaedic clinics at two hospitals. Eligible participants were randomly allocated to either intervention or usual care. Intervention comprised six-sessions of group ACT...
March 25, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/26869774/japanese-physicians-preferences-for-decision-making-in-rheumatoid-arthritis-treatment
#15
Akiko Aoki, Sadayoshi Ohbu
BACKGROUND: Rheumatoid arthritis (RA) is a complex chronic illness requiring continued medical care. During the past decade, the therapeutic options for RA have increased significantly; these often have a higher risk of adverse effects and are more expensive than traditional drugs. Rheumatologists may hence face difficulties when deciding on the optimal modality in initiating or changing treatment. The aim of this study was to explore the Japanese physicians' usual style of and preferences for decision making regarding RA treatment...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/26852499/-rehabilitation-of-the-patients-with-osteoarthritis
#16
V D Sidorov, S B Pershin
Under the term "osteoarthritis" (OA) is currently meant a clinical syndrome resulting from the combined effect of articular pain and disordered functional activity leading to the deterioration of the quality of life of the patients. The principal objective of rehabilitation of the patients presenting with GA in which all patients with this condition are in need practically after each next aggravation of the pathological process is to relive pain syndrome and restore the functional ability of the joints lost or deteriorated after each exacerbation in order to eventually improve the quality of life of the patients experiencing the constantly progressing degenerative process in the musculoskeletal system...
September 2015: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/26762160/involvement-of-the-multidisciplinary-team-and-outcomes-in-inpatient-rehabilitation-among-patients-with-inflammatory-rheumatic-disease
#17
MULTICENTER STUDY
Till Uhlig, Olav Bjørneboe, Frode Krøll, Øyvind Palm, Inge Christoffer Olsen, Margreth Grotle
BACKGROUND: The last decades have for patients with inflammatory rheumatic diseases seen a shift towards more physically active rehabilitation programs, often provided as out-patients with less use of inpatient facilities. There is little research on which effect the multidisciplinary team has on health outcomes for patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and connective tissue disease. This study examined patient reported outcomes for patients with inflammatory rheumatic diseases receiving rehabilitation care as inpatients in departments of rheumatology, and studied how number of consultations with the multidisciplinary team affected these clinical outcomes...
January 13, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26748645/survey-of-current-trends-in-postgraduate-musculoskeletal-ultrasound-education-in-the-united-states
#18
Netanel S Berko, Shlomit Goldberg-Stein, Beverly A Thornhill, Mordecai Koenigsberg
OBJECTIVE: To determine current trends in postgraduate musculoskeletal ultrasound education across various medical specialties in the United States. MATERIALS AND METHODS: A survey regarding musculoskeletal ultrasound education was sent to all program directors for diagnostic radiology and physical medicine rehabilitation residency programs, as well as adult rheumatology and sports medicine fellowship programs in the United States. The survey, sent in July 2015, queried the presence of formal musculoskeletal ultrasound training, the components of such training and case volume for trainees...
April 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26733185/coping-strategies-used-by-traumatic-spinal-cord-injury-patients-in-sri-lanka-a-focus-group-study
#19
Sumedha Arya, Siqi Xue, Amanda Embuldeniya, Harsha Narammalage, Tricia da Silva, Shehan Williams, Arun Ravindran
PURPOSE: Psychosocial consequences of traumatic spinal cord injury (SCI) have been well documented in Western populations, but there is no published literature on such incidence in the Sri Lankan population. The purpose of this study was to explore the psychosocial impact of SCI in a Sri Lankan population and to examine this population's coping mechanisms. METHODS: Participants were recruited purposively at the Ragama Rheumatology and Rehabilitation Hospital, the sole rehabilitation facility for SCI patients in Sri Lanka...
October 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/26643793/favorable-effect-of-rehabilitation-on-balance-in-ankylosing-spondylitis-a-quasi-randomized-controlled-clinical-trial
#20
Alessandra Demontis, Sabina Trainito, Alessandra Del Felice, Stefano Masiero
Balance impairment is a frequent and undertreated manifestation in ankylosing spondylitis, leading to increased risk of falls and lower quality of life. Our aim was to assess supervised training and home-based rehabilitation efficacy on balance improvement in ankylosing spondylitis subjects on biologic agents. This was a single-blinded, quasi-randomized parallel study in a single outpatient Rehabilitation Clinic of a tertiary referral center. Subjects with ankylosing spondylitis on biologic agents were assigned either to supervised training and home-based rehabilitation program (rehabilitation group) plus educational-behavioral therapy, or to educational-behavioral therapy alone (educational groups)...
March 2016: Rheumatology International
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