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Gizińska, Małgorzata, Radosław Rutkowski, Wojciech Romanowski, Jacek Lewandowski, and Anna Straburzyńska-Lupa. "Effects of Whole-Body Cryotherapy in Comparison with Other Physical Modalities Used with Kinesitherapy in Rheumatoid Arthritis." BioMed Research International 2015 (2015): 1–7. http://dx.doi.org/10.1155/2015/409174.
Повний текст джерелаАнотація:
Whole-body cryotherapy (WBC) has been frequently used to supplement the rehabilitation of patients with rheumatoid arthritis (RA). The aim of this study was to compare the effect of WBC and traditional rehabilitation (TR) on clinical parameters and systemic levels of IL-6, TNF-αin patients with RA. The study group comprised 25 patients who were subjected to WBC (−110°C) and 19 patients who underwent a traditional rehabilitation program. Some clinical variables and levels of interleukin-6 (IL-6) and tumor necrosis factor-α(TNF-α) were used to assess the outcomes. After therapy both groups exhibited similar improvement in pain, disease activity, fatigue, time of walking, and the number of steps over a distance of 50 m. Only significantly better results were observed in HAQ in TR group (p< 0.05). However, similar significant reduction in IL-6 and TNF-αlevel was observed. The results showed positive effects of a 2-week rehabilitation program for patients with RA regardless of the kind of the applied physical procedure.
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Kuliński, Włodzisław, and Jakub Skuza. "Physical Therapy in Rheumatoid Arthritis." Acta Balneologica 63, no. 2 (2021): 81–87. http://dx.doi.org/10.36740/abal202102101.
Повний текст джерелаАнотація:
Introduction: Rheumatoid arthritis (RA) is a chronic and progressive inflammatory process resulting in the destruction of articular and periarticular tissues and leading to the development of functional impairment, permanent deformities and disability. RA affects approximately 1% of the global population and is more common in women than men. Aim: To assess the effects of physical therapy in RA patients. Material and Methods: The study assessed 21 patients with stage III/IV RA. They were managed with physical therapy, including thermotherapy, electrotherapy, laser therapy, magnetic field therapy and light therapy. The data collected in the study were statistically analysed. Results: After treatment, all study patients showed pain reduction, improved well-being, reduced duration of morning joint stiffness, improved ranges of motion in the joints and a better quality of life. Conclusions: 1. Rheumatoid arthritis is a difficult clinical and social problem. 2. The physical therapy used in the study reduced the pain experienced by the patients and the duration of morning joint stiffness and improved the ranges of motion and quality of life. 3. Physical therapy and rehabilitation constitute the main method of treatment of this disorder.
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Oppenauer, C., E. Böttcher, G. Eberl, A. Falkenbach, W. Habelsberger, J. Kirchheimer, W. Kullich, et al. "THU0570 EXPERTS’ VIEWS ON THE IMPACT OF REHABILITATION FOR PATIENTS WITH RHEUMATOID ARTHRITIS IN AUSTRIA." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 526.1–527. http://dx.doi.org/10.1136/annrheumdis-2020-eular.2093.
Повний текст джерелаАнотація:
Background:Rehabilitation methods and standards for patients with rheumatoid arthritis (RA) have significantly changed due to more efficient medication improving the course of the disease. Therefore, physical activity, participation, disease management and patient education are most important goals in rehabilitation of patients with RA.Objectives:Aim of this study was to evaluate the significance and impact of rehabilitation methods according to the subjective attitudes and views of experts and professionals in the field of RA. Opinions of members of the task force (TF) “Rehabilitation” of the Austrian Society of Rheumatology (ÖGR) were compared to the estimation of the other members of the ÖGR.Methods:All members of the ÖGR were invited to participate in an online survey to rate the impact of rehabilitation for patients with RA between 0 (no impact) and 10 (high impact). Besides sociodemographic and experience related data about the experts and professionals, two main issues were investigated: (1) Impact of rehabilitation related to specific interventions (2) Impact of rehabilitation methods for patients with RA according to different disease and treatment points.Results:129 members (50% male, 50% female) of the ÖGR participated in the online survey. 12 persons were members of the TF “Rehabilitation” of the ÖGR. 11 (8.6%) respondents were general physicians, 66 (51.6%) specialists in internal medicine with further expertise in rheumatology, 15 (11.5%) specialists in internal medicine, 14 (10.9%) specialists for physical medicine with further expertise in rheumatology, 2 (1.6%) specialists in orthopaedics, 13 (10.2%) health professionals and 7 (5.5%) persons were from other profession categories such as researchers for example. The majority of respondents (80%) worked already more than five years with patients with RA in a stationary setting. Results of the online survey demonstrate that the ranking of the impact of specific rehabilitation interventions did only marginally differ between the two person groups: Both groups ranked the importance of occupational and physical therapy the highest. Only the subjective importance of splints and assistive technologies was higher assessed by the general members of the ÖGR. Further, the ranking about the estimated impact of rehabilitation methods for patients with RA was very similar between the two person groups: The importance of rehabilitation for patients with functionality restrictions and for patients with RA in the first years of their disease was ranked the highest by both groups.Conclusion:Results of the online survey demonstrate that ratings related to the impact of rehabilitation interventions for RA patients do only slightly differ between the investigated member groups of the ÖGR. Finally, the results indicate that rehabilitation methods for RA patients and rehabilitation related knowledge are well accepted and successfully transferred into disease management of patients with RA by professionals and experts in rheumatology in Austria.Disclosure of Interests:Claudia Oppenauer: None declared, Elke Böttcher Grant/research support from: UCB,Roche, MSD, Speakers bureau: UCB, Pfizer, BMS,MSD,Roche,Amgen, Lilly, Gabriele Eberl: None declared, Albrecht Falkenbach: None declared, Winfried Habelsberger: None declared, Johannes Kirchheimer: None declared, Werner Kullich Shareholder of: Roche Stocks, Grant/research support from: MedTec Company, Germany - MedizinTechnik, Erich Mur: None declared, Christa Oliveira-Sittenthaler: None declared, Georg Stummvoll Speakers bureau: Lilly, Roche, gsk, Christian Wiederer Consultant of: Firma Grünenthal, Thema Capsaicin, Dezember 2019, Harald Zeindler: None declared, Valerie Nell-Duxneuner Speakers bureau: MSD, Pfizer, Jansen, Abbvie, Lilly, Novartis
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Alfenas, Bruna Fernandes Moreira, Kelly Machado de Andrade, Talita Malini Carletti, and Renata Cunha Matheus Rodrigues Garcia. "Removable prostheses improve OHRQL and satisfaction of elderly people with rheumatoid arthritis." Brazilian Journal of Oral Sciences 19 (January 28, 2020): e206652. http://dx.doi.org/10.20396/bjos.v19i0.8656652.
Повний текст джерелаАнотація:
Rheumatoid arthritis (RA) is an autoimmune disease that affects joint tissues and causes severe physical and functional impairments on quality of life due to muscular and articular pain. The involvement of temporomandibular joint in RA interferes with mouth opening and masticatory process. However, no studies addressed the impact of RA on oral health-related quality of life (OHRQoL) and satisfaction with prostheses use in elderly people. Aim: This study assessed the impact of oral rehabilitation with conventional dentures on the OHRQoL and prostheses satisfaction in elderly patients with RA, associated or not with temporomandibular disorder (TMD). Methods: Forty-five elderly were enrolled and divided into three groups: (1) RA and TMD (n=15, experimental), (2) RA without TMD (n=15, experimental), and (3) without RA and without TMD (n=15, control). The OHRQoL and the prostheses satisfaction were evaluated before and after new oral rehabilitation with partial and/or complete dentures. The OHRQoL and prosthesis satisfaction were assessed and verified through OHIP-14 questionnaire and visual analogue scale, respectively. Results: TMD group exhibited the worst mean values (P<0.05) for all OHIP-14 domains before insertion of new dentures. Group 2 showed worst means (P<0.05) compared to controls for functional limitation and physical pain domains of the OHIP-14, but not in the general score. Patients showed better outcomes of satisfaction with prostheses use only after the new rehabilitation. Conclusion: The use of new and well-fitted dentures improves all domains of OHRQoL in patients with RA and TMD and all groups were satisfied with prostheses use after the new rehabilitation with conventional dentures.
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Mustur, Dusan, and Nada Vujasinovic-Stupar. "The impact of physical therapy on the quality of life of patients with rheumatoid and psoriatic arthritis." Medical review 60, no. 5-6 (2007): 241–46. http://dx.doi.org/10.2298/mpns0706241m.
Повний текст джерелаАнотація:
Introduction: This open, uncontrolled study examined the effects of physical therapy and rehabilitation on the quality of life in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA). Material and methods: The study included a total of 109 patients (69 with RA and 40 with PsA). Patients came from Norway for a four-week rehabilitation period at the Institute of Physical Medicine, Rehabilitation & Rheumatology - Igalo from June till October, 2003. This was a self-controlled, pretest/posttest study. All patients had six days of physical therapy per week, during a four-week stay, which made a total of 24 therapy days. Basic therapy included mud packs/baths, kinesitherapy, hydrokinesitherapy and electrotherapy with analgesic effects. Quality of Life measurements were conducted two times (on admission and discharge) using questionnaire EuroQoL (EQ-5D). The research also included evaluation of ACR improvement. Results: Pain/disability scale and the well being scale showed that quality of life in patients with PsA was significantly lower in comparison with RA patients. However, after 4 weeks, quality of life was much better in most dimensions of the EuroQoL questionnaire. Patients showed no improvement in self-care activities (in both groups) and daily activities (in group with PsA). Significant improvement was measured also in ACR improvement criteria (around 30%). Conclusions: Physical therapy at the Igalo Institute and good climate conditions have significantly improved the Health-Related-Quality-of-Life in both groups of patients. ACR index showed great improvement after a four-week rehabilitation period.
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Henderson, Jeffrey, Joan Condell, James Connolly, Daniel Kelly, and Kevin Curran. "Review of Wearable Sensor-Based Health Monitoring Glove Devices for Rheumatoid Arthritis." Sensors 21, no. 5 (February 24, 2021): 1576. http://dx.doi.org/10.3390/s21051576.
Повний текст джерелаАнотація:
Early detection of Rheumatoid Arthritis (RA) and other neurological conditions is vital for effective treatment. Existing methods of detecting RA rely on observation, questionnaires, and physical measurement, each with their own weaknesses. Pharmaceutical medications and procedures aim to reduce the debilitating effect, preventing the progression of the illness and bringing the condition into remission. There is still a great deal of ambiguity around patient diagnosis, as the difficulty of measurement has reduced the importance that joint stiffness plays as an RA identifier. The research areas of medical rehabilitation and clinical assessment indicate high impact applications for wearable sensing devices. As a result, the overall aim of this research is to review current sensor technologies that could be used to measure an individual’s RA severity. Other research teams within RA have previously developed objective measuring devices to assess the physical symptoms of hand steadiness through to joint stiffness. Unfamiliar physical effects of these sensory devices restricted their introduction into clinical practice. This paper provides an updated review among the sensor and glove types proposed in the literature to assist with the diagnosis and rehabilitation activities of RA. Consequently, the main goal of this paper is to review contact systems and to outline their potentialities and limitations. Considerable attention has been paid to gloved based devices as they have been extensively researched for medical practice in recent years. Such technologies are reviewed to determine whether they are suitable measuring tools.
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Mustur, Dusan, Vladislava Vesovic-Potic, Nada Vujasinovic-Stupar, and Tatjana Ille. "Beneficial effects of spa treatment on functional status and quality of life of patients with rheumatoid arthritis." Srpski arhiv za celokupno lekarstvo 136, no. 7-8 (2008): 391–96. http://dx.doi.org/10.2298/sarh0808391m.
Повний текст джерелаАнотація:
INTRODUCTION Rheumatoid arthritis (RA) is a chronic constantly deteriorating disease of unpredictable clinical course, with exacerbations, remissions and damaged joints. It leads to the loss of self-sufficiency, independence in performing many daily activities, decrease of working ability and invalidity. Beside physical factors, which are regarded as most responsible for the poorer quality of life of RA patients, psychological changes are also significant, such as the feeling of helplessness, hopelessness and depression. The goal of the treatment of patients with RA is to decrease illness symptoms, slow down the development of illness progression, improvement of physical functioning and provision of expert help to the RA patients to adapt to life. OBJECTIVE The aim of the study was to assess the influence of spa therapy on the functional condition and life quality of RA patients. METHODS The study involved 69 patients with RA (51 female and 18 male, on average aged 55.2?11.4 years, with illness duration 12.5?7.5 years), and were a part of a cohort from Norway, suffering of inflammatory rheumatism. All the patients came for four-week rehabilitation at the Institute for Physical Medicine, Rehabilitation and Rheumatology "Dr. Simo Milosevic" in Igalo, Montenegro. The RA patients underwent treatment with mud compresses, mud, mineral and pearl baths, as well as with underwater shower massage (balneotherapy) kinesitherapy and certain forms of electrotherapy with analgesic effects. The evaluation was done on admission and after completed physical therapy when we assessed RA patients' functional condition and quality of life. The functional condition was determined using the Modified Health Assessment Questionnaire (MHAQ), and the quality of life using the Medical Outcomes Study Short Form 36-item Questionnaire (SF-36), which encompassed eight life domains. RESULTS After completion of 28-dayspa therapy, RA patients showed a significant improvement in functional condition. Their quality of life was significantly improved in all dimensions of SF-36 Questionnaire (p<0.01), and the functional status (MHAQ score) was also significantly better (p<0.01). CONCLUSION Balneotherapy, together with climatic factors in Igalo, leads to a significant improvement of functional status and quality of life in patients suffering from RA.
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Oppus, Anne Mariquit D., and Frances Mae C. Trabajo. "The Juvenile Justice and Welfare Act Of 2006: Does It Rehabilitate?" ACADEME University of Bohol, Graduate School and Professional Studies 14, no. 1 (March 22, 2019): 58–80. http://dx.doi.org/10.15631/aubgsps.v14i1.140.
Повний текст джерелаАнотація:
This study was conducted to record the perception of the Children-in-conflict with the Law (CICL). The services assessed the following: Physical, Moral, Spiritual, Intellectual, and Social Well-being; it further assesses the effectiveness delivered by the RRCY and whether RA 9344 rehabilitates. The methods used are qualitative through interview methods on implementing the Juvenile Justice and Welfare Act of 2006 (RA 9344), as amended by RA 10630, at the Regional Rehabilitation Center for the Youth (RRCY) in Argao, Cebu. The study participants were then identified as Children-in-conflict with the law (CICL) who come from the Province of Bohol. A researcher-made semi-structured questionnaire was used to guide the face-to-face interviews conducted and supported by a focused-group discussion. It was, however, a short-term interview with the participants, limited to the perception of the CICL, their parents, and the staff while the CICL were undergoing rehabilitation thereat. The study revealed the effectiveness of the services delivered by the RRCY and the narrative of the respondents, RA 9344 rehabilitates. Thus, continuity in the services rendered by the rehabilitation center and that of the community shall be reintegrated. Therefore, a Barangay-based Reintegration Program is recommended.
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Cruz, Anna R., and Kenneth Mautner. "Rectus Abdominis Injury in Elite Volleyball Players." International Journal of Athletic Therapy and Training 21, no. 4 (July 2016): 18–22. http://dx.doi.org/10.1123/ijatt.2014-0120.
Повний текст джерелаАнотація:
In this case series, three elite college-level female volleyball players between 21 and 22 years old experienced acute abdominal pain during an overhead swinging motion. All three athletes were diagnosed with acute rectus abdominis (RA) muscle strain using musculoskeletal ultrasound, without the need for MRI. Each athlete sustained severe RA injury resulting in substantial loss of playing time and warranted a focused rehabilitation program, which emphasized core strengthening, physical modalities, and altering athletes’ hitting technique. RA muscle strain is a relatively infrequent, yet potentially severe, injury in elite volleyball players that necessitates early diagnosis and treatment to avoid prolonged or incomplete recovery.
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Kirchberger, Inge, Andrea Glaessel, Gerold Stucki, and Alarcos Cieza. "Validation of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Rheumatoid Arthritis: The Perspective of Physical Therapists." Physical Therapy 87, no. 4 (April 1, 2007): 368–84. http://dx.doi.org/10.2522/ptj.20050237.
Повний текст джерелаАнотація:
Background and PurposeThe Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Rheumatoid Arthritis (RA) represents the typical spectrum of problems in the functioning of patients with RA. The objective of this study was to validate this ICF Core Set from the perspective of physical therapists.MethodsPhysical therapists were asked about their intervention goals in a 3-round Delphi survey. Intervention goals were compiled, and the physical therapists were asked whether they considered the goal classes to be relevant. The goal classes then were linked to the ICF.ResultsA total of 82 physical therapists in 12 countries named 562 intervention goals. A total of 45 goal classes covering all ICF components were identified. The goal classes addressing muscle tone, balance and coordination, and psychological distress were not represented in the ICF Core Set for RA.Discussion and ConclusionThe validity of the ICF Core Set for RA was largely supported. However, some categories currently not covered by the ICF Core Set for RA will need to be investigated further.
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Piva, Sara R., Edward A. Goodnite, Koichiro Azuma, Jason D. Woollard, Bret H. Goodpaster, Mary Chester Wasko, and G. Kelley Fitzgerald. "Neuromuscular Electrical Stimulation and Volitional Exercise for Individuals With Rheumatoid Arthritis: A Multiple-Patient Case Report." Physical Therapy 87, no. 8 (August 1, 2007): 1064–77. http://dx.doi.org/10.2522/ptj.20060123.
Повний текст джерелаАнотація:
Background and Purpose: Muscle atrophy is common in patients with rheumatoid arthritis (RA). Although neuromuscular electrical stimulation (NMES) is a viable treatment for muscle atrophy, there is no evidence about the use of NMES in patients with RA. The purposes of this multiple-patient case report are: (1) to describe the use of NMES applied to the quadriceps femoris muscles in conjunction with an exercise program in patients with RA; (2) to report on patient tolerance and changes in lean muscle mass, quadriceps femoris muscle strength (force-producing capacity), and physical function; and (3) to explore how changes in muscle mass relate to changes in quadriceps femoris muscle strength, measures of physical function, and patient adherence.Case Description: Seven patients with RA (median age=61 years, range=39–80 years) underwent 16 weeks of NMES and volitional exercises. Lean muscle mass and strength of the quadriceps femoris muscle and physical function were measured before and after treatment.Outcomes: One patient did not tolerate the NMES treatment, and 2 patients did not complete at least half of the proposed treatment. Patients who completed the NMES and volitional exercise program increased their lean muscle mass, muscle strength, and physical function.Discussion: Because of the small sample, whether NMES combined with exercises is better than exercise alone or NMES alone could not be determined. However, the outcomes from this multiple-patient case report indicate that NMES is a viable treatment option to address muscle atrophy and weakness in patients with RA. Strategies to increase tolerance and adherence to NMES are warranted.
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Simonsen Lentz, Pia, Anna Havelund Rasmussen, Aysun Yurtsever, and Dorte Melgaard. "Missing Diagnosis, Pain, and Loss of Function in Older Adults with Rheumatoid Arthritis and Insufficiency Fractures: A Qualitative Study of the Patient’s Perspective." Geriatrics 5, no. 4 (November 17, 2020): 94. http://dx.doi.org/10.3390/geriatrics5040094.
Повний текст джерелаАнотація:
Rheumatoid arthritis (RA) is characterised by a chronic, progressive inflammation in the joints and leads to substantial pain, disability, and other morbidities. Few studies document the occurrence of insufficiency fractures, but no studies document the patient’s perspective on incurring an insufficiency fracture. The aim of this qualitative study was to explore the patients’ perspective on how insufficiency fractures influence their level of activity and to detect their need for rehabilitation. Two focus-group interviews were performed with 10 patients diagnosed with RA and insufficiency fractures. The data from the focus-group interviews were subjected to thematic analysis to provide a sense of the important themes. The 10 patients were all females, aged 57–88 years. Magnetic resonance imaging were performed at a mean of six months and seven days. All patients identified the delayed diagnosis of fracture as a significant burden. They experienced pain but did not receive a diagnosis. When the patients were immobilised, some of them were offered aids such as crutches, which they were unable to use due to their RA. The patients needed a focus on diagnosis and individually customised rehabilitation, taking into account RA and including guidance concerning daily activities, aids, and the regain of physical function.
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Larkin, Louise, Birgitta Nordgren, Helen Purtill, Charles Brand, Alexander Fraser, and Norelee Kennedy. "Criterion Validity of the activPAL Activity Monitor for Sedentary and Physical Activity Patterns in People Who Have Rheumatoid Arthritis." Physical Therapy 96, no. 7 (July 1, 2016): 1093–101. http://dx.doi.org/10.2522/ptj.20150281.
Повний текст джерелаАнотація:
Abstract Background Accurate measurement of physical activity and sedentary behavior is an important consideration for health care professionals. The activPAL activity monitor has not been validated against a criterion measure for people with rheumatoid arthritis (RA). Objective The objective of this study was to determine the criterion validity of the activPAL activity monitor for measuring step counts, transition counts, and time spent in sedentary, standing, and walking behaviors in people with RA. Design A laboratory-based criterion validation study was conducted. Methods Participants with a confirmed medical diagnosis of RA were recruited from 2 outpatient rheumatology clinics. The testing procedure consisted of standardized testing components and tasks related to activities of daily living. Participants wore an activPAL activity monitor and were video recorded throughout the testing procedure. Direct observation was used as the criterion measure. Data analysis consisted of validation analysis of the activPAL activity monitor data and the criterion measure data. Results Twenty-four people participated in the study. Data from 20 participants were included in the final analysis. The activPAL significantly underestimated step counts by 26% and transition counts by 36%. There was no significant difference between the activPAL activity monitor and the criterion measure for time spent in sedentary, standing or light activity, and walking behaviors. Limitations Validation of activities of daily living in a laboratory environment is a limitation of this study. Conclusions The activPAL activity monitor underestimated step and transition counts and, therefore, is not valid for measuring these outcomes in people with RA. Relative to direct observation, the activPAL activity monitor is valid for measuring time spent in sedentary, standing, and walking behaviors in people with RA.
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Ribeiro, Paula Godinho, Gabriel Caixeta Martins, Markus Gastauer, Ediu Carlos da Silva Junior, Diogo Corrêa Santos, Cecílio Frois Caldeira Júnior, Rosane Barbosa Lopes Cavalcante, et al. "Spectral and Soil Quality Index for Monitoring Environmental Rehabilitation and Soil Carbon Stock in an Amazonian Sandstone Mine." Sustainability 14, no. 2 (January 6, 2022): 597. http://dx.doi.org/10.3390/su14020597.
Повний текст джерелаАнотація:
Rehabilitation is the key factor for improving soil quality and soil carbon stock after mining operations. Monitoring is necessary to evaluate the progress of rehabilitation and its success, but the use of repeated field surveys is costly and time-consuming at a large scale. This study aimed to monitor the environmental/soil rehabilitation process of an Amazonian sandstone mine by applying spectral indices for predicting soil organic carbon (SOC) stock and comparing them to soil quality index. The studied area has different chronological rehabilitation stages: initial, intermediate, and advanced with 2, 10, and 12 years of onset rehabilitation activities, respectively. Non-rehabilitated (NR) and two native forest areas (RA) were used as controls. Soil samples were analyzed for physical, chemical, and biological attributes. After determination of Normalized Difference Vegetation Index and Bare Soil Index, simple regression analysis comparing these indices with SOC stock showed a good fit (R2 = 0.82). Rehabilitated areas presented higher soil quality index (~1.50-fold) and SOC stock (~10.6-fold) than NR; however, they did not differ of RA. The use of spectral indices was effective for monitoring the soil quality in this study, with a positive correlation between the predicted SOC stock and the calculated soil quality index.
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Iversen, Maura D., Ritu K. Chhabriya, and Nancy Shadick. "Predictors of the Use of Physical Therapy Services Among Patients With Rheumatoid Arthritis." Physical Therapy 91, no. 1 (January 1, 2011): 65–76. http://dx.doi.org/10.2522/ptj.20090179.
Повний текст джерелаАнотація:
Background Although physical therapy is a proven and recommended intervention for managing rheumatoid arthritis (RA), few studies have explored correlates of physical therapy service use among people with RA. Objective The purposes of this study were: (1) to describe physical therapy use among people with RA and (2) to identify biopsychosocial factors associated with physical therapy use. It was expected that use of physical therapy services would be lower than previously reported, considering recent medical advancements, and that including contextual factors may lead to identification of new factors associated with physical therapy use. Design This was a cohort study. Methods Of 1,032 patients prospectively recruited from a large hospital registry, 772 completed baseline and laboratory assessments, received a physical examination, and completed a 1-year follow-up survey regarding physical therapy service use. Measures included: demographics (ie, age, sex, marital status, race, employment, disability status, insurance, income, comorbidities, and education), disease duration, RA medications, self-efficacy (assessed with the Arthritis Self-Efficacy Scale), social support (assessed with the Berkman-Syme Social Network Index), function (assessed with the Multi-Dimensional Health Assessment Questionnaire), and disease activity (assessed with the Rheumatoid Arthritis Disease Activity Index). Self-reported use of physical therapy (yes/no) was assessed at the 1-year follow-up. A staged regression approach, based on a theoretical model, was used to select and enter variables into the regression to develop a parsimonious set of predictors. Results The patients were well educated and had modestly high incomes, and most had health insurance. Approximately 15.3% of the patients used physical therapy services during the designated follow-up period. Using multivariable modeling, the most significant predictors of physical therapy service use were moderate to high disease activity (odds ratio [OR]=1.4, 95% confidence interval [CI]=1.1–1.8), less than a college education (OR=0.5, 95% CI=0.2–0.8), greater social networks (OR=2.1, 95% CI=1.3–3.5), and being on disability (OR=2.4, 95% CI=1.3–4.6). Limitations The limitations of this study were use of a convenience sample and the potential for misclassification of physical therapy service use. Conclusions Patients with less than college education were less likely to receive physical therapy services, and those with more active disease, those who were on disability, and those who had greater social networks were more likely to receive physical therapy services.
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MacSween, Alasdair. "Measurement of Aerobic Power in Patients with RA." Physiotherapy 87, no. 4 (April 2001): 224. http://dx.doi.org/10.1016/s0031-9406(05)60624-4.
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Greene, Brenda L., Gina F. Haldeman, Ashley Kaminski, Kerryn Neal, S. Sam Lim, and Doyt L. Conn. "Factors Affecting Physical Activity Behavior in Urban Adults With Arthritis Who Are Predominantly African-American and Female." Physical Therapy 86, no. 4 (April 1, 2006): 510–19. http://dx.doi.org/10.1093/ptj/86.4.510.
Повний текст джерелаАнотація:
Abstract Background and Purpose. Physical activity and exercise play a critical role in the management of arthritis. Understanding the factors affecting physical activity and exercise behavior is a necessary first step toward identifying the needs of, and intervention strategies for, people with arthritis. The purpose of this study was to identify factors affecting physical activity and exercise behavior in urban subjects with osteoarthritis (OA) and rheumatoid arthritis (RA). Subjects. Seventy-two consecutive subjects were recruited from the rheumatology clinic at a large urban public hospital. The sample was predominantly African American (92%), female (87%), and not working (90%). The subjects’ average age was 60.9 years (SD=13.9, range=30–90). Methods. Time per day spent sitting or lying down and time per week spent in exercise, leisure, and household activities were determined by individual interview. Self-efficacy, outcome expectations, disability, pain, body mass index, and social support were measured as possible explanatory factors. Results. The average daily total activity time was 3.1 hours. Household and leisure activities accounted for 85% of that time. Explanatory factors for physical activity behavior were not the same for subjects with OA and RA, despite similar between-group characteristics. Self-efficacy was present in all of the significant explanatory models. Discussion and Conclusion. The results indicate that factors that affect physical activity behavior among urban and predominantly African-American adults are dependent upon the type of physical activity and are different for people with OA and RA. Self-efficacy was the most consistent explanatory factor. [Greene BL, Haldeman GF, Kaminski A, et al. Factors affecting physical activity behavior in urban adults with arthritis who are predominantly African-American and female.
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Kalçık Ünan, Mehtap, Özge Ardıçoğlu, Nevsun Pıhtılı Taş, Rabia Aydoğan Baykara, and Ayhan Kamanlı. "Assessment of the frequency of tarsal tunnel syndrome in rheumatoid arthritis." Turkish Journal of Physical Medicine and Rehabilitation 67, no. 4 (December 1, 2021): 421–27. http://dx.doi.org/10.5606/tftrd.2021.6797.
Повний текст джерелаАнотація:
Objectives: In this study, we aimed to determine the frequency of tarsal tunnel syndrome (TTS) in rheumatoid arthritis (RA) patients. Patients and methods: Thirty RA patients (1 male, 29 females; mean age: 41.9±10.1 years; range, 26 to 65 years) who met the American College Rheumatology (ACR) classification criteria and 20 healthy volunteers (1 male, 19 females; mean age: 39.3±10.8 years; range, 26 to 60 years) without any complaints between August 2006 and October 2007 were included in the study. Demographic characteristics of the study group were assessed and neurological examinations were performed. The Tinel’s sign was checked to provoke the TTS symptoms. Disease severity was measured using Visual Analog Scale (VAS), Disease Activity Score-28 (DAS28), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). The health-related quality of life and disability status were determined using the Health Assessment Questionnaire (HAQ), Short Form 36 (SF-36), Foot Function Index (FFI), and VAS (0-100 mm). The positional relationship of the foot pain was questioned with VAS. The 100-m walking distance of the patient and control groups were calculated. Results: Bilateral TTS was detected in 10 of the patients (33.3%) with rheumatoid arthritis. No relationship with the TTS disease duration, seropositivity, rheumatoid nodule, joint deformities, corticosteroid use, and DAS28 score were found. In correlation with TTS, foot and ankle joint were the first involved joints at the beginning of RA disease (p<0.005). The Tinel’s sign was found to be 45% positive in patients with TTS. The 100-m walking time was significantly longer in RA patients compared to the control group (p<0.0001). Conclusion: Tarsal tunnel syndrome is commonly seen in RA and its incidence increases in patients with primary foot involvement. Therefore, caution should be taken against the entrapment neuropathies in these patients, and they should be supported by electrophysiological practices, when the diagnosis is necessary.
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Swärdh, Emma, Birgitta Nordgren, Christina H. Opava, and Ingrid Demmelmaier. "“A Necessary Investment in Future Health”: Perceptions of Physical Activity Maintenance Among People With Rheumatoid Arthritis." Physical Therapy 100, no. 12 (September 24, 2020): 2144–53. http://dx.doi.org/10.1093/ptj/pzaa176.
Повний текст джерелаАнотація:
Abstract Objective A few studies with a qualitative design have addressed physical activity (PA) maintenance in people with rheumatoid arthritis (RA), but none of them focused specifically on maintenance of PA according to public health recommendations. The purpose of this study was to describe perceptions of PA maintenance during the second year of an outsourced 2-year support program among people with RA. Methods For this descriptive design with a qualitative inductive approach, semi-structured interviews were conducted with 18 participants with RA (3 men and 15 women). Variation in age, disease duration, activity limitation, pain, levels of PA, and PA maintenance was targeted through strategic sampling. Qualitative content analysis was used, and a pattern of theme, subthemes, and categories was constructed based on the participants’ perceptions of PA maintenance. Results A main overarching theme, “A necessary investment in future health”—with 3 subthemes of dedication, awareness, and affinity—was identified as participants’ perceptions of PA maintenance. Eight categories further described are a changed mindset, habits, commitments, monitoring, insights in PA, health gains, social support, and PA context. Conclusions PA according to public health recommendations was perceived as a true investment in future health and wellness requiring dedication, awareness, and affinity. To promote PA maintenance, physical therapists working with people with chronic conditions should consider strengthening these prerequisites by targeting patients’ negative attitudes to PA, supporting their creation of PA habits to incorporate in daily routines, introducing monitoring of PA intensity, supporting development of PA self-regulation skills, and providing suitable gym facilities with the possibility of peer support.
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Shrader, Joseph A., John M. Popovich, G. Chris Gracey, and Jerome V. Danoff. "Navicular Drop Measurement in People With Rheumatoid Arthritis: Interrater and Intrarater Reliability." Physical Therapy 85, no. 7 (July 1, 2005): 656–64. http://dx.doi.org/10.1093/ptj/85.7.656.
Повний текст джерелаАнотація:
Abstract Background and Purpose. Navicular drop (ND) measurement may be a valuable examination technique for patients with rheumatoid arthritis (RA). However, no data exist on reliability for this technique in patients with RA. The purposes of this study were: (1) to determine interrater and intrarater reliability of ND measurements in people with RA, (2) to compare ND values of people with RA with published normative data, and (3) to investigate ND measurement error associated with the use of skin markings. Subjects. Ten women (20 feet) with RA consented to participate. Methods. Patients completed demographic and function questionnaires. Navicular height (NH) measurements were taken by 2 physical therapists and 1 physical therapist student, following four 1-hour training sessions, using standardized methods and a digital height gauge. Four different NH measurements were taken 3 times on each foot by each of the 3 examiners during a morning session and then repeated during an afternoon session on the same day. Navicular drop values were calculated, including ND1 (as reported in the literature), ND2 (compensating for skin error), and ND3 (single-limb stance). Intraclass correlation coefficients (ICCs) and standard errors of measurement (SEMs) were used to establish reliability. Results. Means (±SD) for each ND measure for sessions 1 and 2, respectively, were as follows: ND1=8.36±5.29 mm and 8.29±5.24 mm, ND2=9.95±5.44 mm and 9.57±5.37 mm. The ICCs (2,1 and 2,k, respectively) for all interrater measurements ranged from .67 to .92 (SEM=2.0–3.3 mm) and from .85 to .97 (SEM=1.1–2.0 mm). The ICCs (2,1 and 2,k, respectively) for intrarater measurements ranged from .73 to .95 (SEM=1.3–2.8 mm) and from .90 to .98 (SEM=0.7–1.6 mm). Paired t tests showed the means of ND1 and ND2 for each examiner and for both sessions were significantly different. Discussion and Conclusion. The results suggest that ND measurements for people with RA can be taken reliably by clinicians with varied experience. The ND values for our subjects were slightly greater than reported normal values of 6 to 8 mm. Error associated with skin markings was statistically significant for all sessions and examiners.
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&NA;, &NA;. "Waylonis GW, Perkins RA: POST TRAUMATIC FIBROMYALGIA: A LONG TERM FOLLOW UP." American Journal of Physical Medicine & Rehabilitation 73, no. 2 (April 1994): 141. http://dx.doi.org/10.1097/00002060-199404000-00014.
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Holm, Bente, Soren Jacobsen, Henrik Skjodt, Mette Klarlund, Trine Jensen, Merete Lund Hetland, and Mikkel Ostergaard. "Keitel Functional Test for Patients With Rheumatoid Arthritis: Translation, Reliability, Validity, and Responsiveness." Physical Therapy 88, no. 5 (May 1, 2008): 664–78. http://dx.doi.org/10.2522/ptj.20070119.
Повний текст джерелаАнотація:
Background and Purpose The purpose of this study was to translate the German Keitel Functional Test (KFT) into Danish and test it for reliability, concurrent and predictive validity, and responsiveness in patients with rheumatoid arthritis (RA). Methods Translation of the KFT was performed according to international recommendations, and the translated version was tested twice by 2 observers for intraobserver and interobserver reliability, with a 1-week interval between assessments, in 20 patients with RA with stable disease activity. Validity was investigated by studying 2 patient groups: (1) 15 patients with long-lasting (median=6 years) active RA, tested before and after 2, 6, and 14 weeks of anti-tumor necrosis factor alpha (TNF-α) inhibitor therapy, and (2) 35 patients with early (median=0.25 year) RA, tested at years 0, 0.5, 1, and 2. Twenty-three patients in the early RA group also were tested at year 7. KFT, conventional clinical and biochemical markers of disease activity, and Health Assessment Questionnaire (HAQ) were used. Results The translated KFT showed good intraobserver reliability (intraclass correlation coefficients [ICC]=.90 and .95, coefficient of variation [CV]=3.5%) and interobserver reliability (ICC=.99 and .92, CV=3.5%), and the KFT correlated with several measures of disease activity and, most closely, with the HAQ. The KFT was, in contrast to clinical disease activity measures, not sensitive to changes over time. Only baseline KFT data were significantly related to functional changes over a long period of time as measured by the KFT, and only in the early RA group. Discussion and Conclusion The Danish translation of the KFT showed good reliability, acceptable concurrent validity, very poor responsiveness, and inconclusive results concerning predictive validity. The results of this study do not support the use of the KFT for monitoring function in clinical practice, as an outcome measure in clinical trials, or as a predictor of functional changes.
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De Andrade, Allisson José Fernandes, and Ricardo Triska. "Product design for people with Rheumatoid Arthritis and its relationship with stakeholder’s expectations." Design e Tecnologia 11, no. 23 (December 29, 2021): 13–23. http://dx.doi.org/10.23972/det2021iss23pp13-23.
Повний текст джерелаАнотація:
Approximately 6.2% of the Brazilian population has some disability, from which 1.3% declare to have some physical disability. Rheumatoid Arthritis (RA) is a systemic and autoimmune disease that affects about 0.4% to 1.3% of the world population, being more common in women. In advanced stages, the disease can cause severe impairment in small joints, limiting individuals' movements and impairing their independence and autonomy. Assistive Technology (AT) aims to promote actions that enable People with Disabilities or Reduced Mobility to execute their daily activities in the most normal and independent manner possible. However, studies show high rates of abandonment of AT devices for reasons generally related to the effectiveness of the product itself. Thus, this study aims to carry out data collection, organization, and analysis to understand the expectations of stakeholders about the development of new AT devices for individuals with RA. For this, the technical research procedures were segmented as follows: Phase 1 – Theoretical Foundation; Phase 2 – Selection of Target Audience and Sampling; Phase 3 – Data Survey; and Phase 4 – Data Organization and Analysis. Through the procedures adopted, it was possible to verify that there are significant differences between the expectations of stakeholders concerning the development of new AT products for individuals with RA, which can directly imply user satisfaction, consequently generating the abandonment of these devices if they do not meet the expectations.
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Heinze-Milne, Stefan, Volodko Bakowsky, Nicholas Giacomantonio, and Scott A. Grandy. "Effects of a 12-week cardiovascular rehabilitation programme on systemic inflammation and traditional coronary artery disease risk factors in patients with rheumatoid arthritis (CARDIA trial): a randomised controlled trial." BMJ Open 7, no. 12 (December 2017): e018540. http://dx.doi.org/10.1136/bmjopen-2017-018540.
Повний текст джерелаАнотація:
IntroductionPatients with systemic inflammatory diseases such as rheumatoid arthritis (RA) have an increased risk of cardiovascular disease (CVD) above the baseline risk attributable to traditional CVD risk factors seen in the general population. Exercise in cardiac rehabilitation (CR) is designed specifically for high-risk primary prevention and those with established CVD. Even though the European League Against Rheumatism guidelines state that exercise is safe for individuals with RA and exercise can reduce CVD risk, patients with RA rarely participate in CR. Thus, little is known about CR’s impact on inflammatory and CVD risk in the RA population. The purpose of this trial is to determine the feasibility of a 12-week CR programme for patients with RA and whether it decreases CVD risk without exacerbating RA.Methods and analysisThis is a randomised controlled trial whereby 60 participants with RA will be recruited and randomly assigned to either standard of care (SOC) treatment or SOC plus a 12-week CR programme (60 min of education plus two 60 min aerobic exercise sessions/week). Exercise will be performed at 60%–80% of heart rate reserve. Outcome measures (Framingham Risk Score, resting heart rate, blood pressure, blood lipids, markers of systemic inflammation (ie, interleukin (IL) 6 and tumour necrosis factor-α (TNF-α), Clinical Disease Assessment Index, Disease Activity Score-28, physical activity levels and peak cardiorespiratory fitness) will be assessed preintervention (week-0), postintervention (week-13) and 6 months postintervention.Ethics and disseminationEthical approval was obtained from the Nova Scotia Health Authority Research Ethics Board. Results will be submitted for publication in an appropriate peer-reviewed journal.Trial registration numberNCT01534871; Pre-results
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Martin, Joan. "Book reviews : Davies BC, Harrison RA 1988: Hydrotherapy in practice. Edinburgh: Churchill Livingstone. £12.95." Clinical Rehabilitation 4, no. 1 (February 1990): 87. http://dx.doi.org/10.1177/026921559000400120.
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Lisón, Juan Francisco, Borja Ortega-Santana, Álvaro Antón-Nogués, Palmy González-Requena, Cristina Vera-Hervás, Julio Doménech-Fernández, Daniel Sánchez-Zuriaga, and Pablo Salvador-Coloma. "Effects and underlying mechanisms of unstable shoes on chronic low back pain: a randomized controlled trial." Clinical Rehabilitation 32, no. 5 (January 14, 2018): 654–62. http://dx.doi.org/10.1177/0269215517753972.
Повний текст джерелаАнотація:
Objective: To investigate the effects that wearing unstable shoes has on disability, trunk muscle activity, and lumbar spine range of motion (ROM) in patients with chronic lower back pain (CLBP). Design: Randomized controlled trial. Setting: Orthopedic Surgery Service. Participants: We randomized 40 adults with nonspecific CLBP either to an unstable shoes group ( n = 20) or to the control group ( n = 20). Intervention: The participants in the unstable shoes group were advised to wear these shoes for a minimum of six hours a day for four weeks. Control group participants were asked to continue wearing their regular shoes. Outcome measures: Our primary outcome was measurement of back-related dysfunction, assessed using the Roland-Morris Disability Questionnaire. Secondary outcomes included changes in electromyographic (EMG) activity of erector spinae (ES), rectus abdominis (RA), internus obliquus (IO), and externus obliquus (EO) muscles, and changes in lumbar spine ROM. Results: Between-group analysis highlighted a significant decrease in disability in the unstable shoes group compared to the control (−5, 95% confidence interval (CI) = −8.4 to −1.6). Our results revealed a significant increase in the percentage of RA, ES, IO, and EO EMG activity and in lumbar spine ROM in the unstable shoes group compared to the control group. Moreover, our results showed a significant negative correlation between disability and the percentage of ES, RA, and IO muscle activity at the end of the intervention. Conclusion: This study shows that the use of unstable shoes contributes to improvements in disability, which are likely related to increased trunk muscle activity and lumbar spine ROM.
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Ammer, K. "Tai-Chi und moderates aerobes Training vermindern die Symptome von Fibromyalgie-Patienten." Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 28, no. 03 (June 2018): 140. http://dx.doi.org/10.1055/a-0573-5053.
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Referat zur Arbeit von Wang C, Schmid CH, Fielding RA, Harvey WF, Kieran F Reid KF, Price LL, Driban JB, Kalish R, Rones R, McAlindon T. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. BMJ 2018; 360: k851
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Aleksandrov, A., M. Nikitin, V. Aleksandrov, and N. Aleksandrova. "OP0263-HPR THE ROLE OF PHYSICAL EXERCISES IN REDUCING CHRONIC FATIGUE IN PATIENTS WITH RHEUMATOID ARTHRITIS." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 160–61. http://dx.doi.org/10.1136/annrheumdis-2021-eular.3211.
Повний текст джерелаАнотація:
Background:Physical activity is an important non-pharmacological intervention that has a combination of biological, physical and psycho-social benefits and can positively influence chronic fatigue in patients with rheumatoid arthritis (RA) [1, 2, 3].Objectives:Evaluation of the effectiveness of the use of aerobic exercise (walking) to reduce fatigue in RA patients.Methods:The study included 111 women with RA (mean age 54.4 ± 11.03 years old, mean duration of illness - 11.9 ± 9.3 years old). The DAS28-ESR indicator in RA patients was 2.84 [2.32; 3.05] points: low disease activity was diagnosed in 61.3% of patients, and remission in 38.7%. The average level of fatigue according to the VAS screening scale was 71.6 ± 8.93 points. Fatigue was assessed using the Bristol Rheumatoid Arthritis Fatigue Numerical Rating Scale (BRAF-NRS V2). To assess the patient’s tolerance to physical activity, a 6-minute walking distance (6MWD) test was used. A walking test at 50 meters was used to assess the functional state of patients in dynamics. The rehabilitation program (RP) of patients (for 21 days) included morning hygienic gymnastics, dosed walking (daily, duration 30-60 minutes) and walking in the air up to 3-3.5 hours a day. Vigorous movements “through pain” were contraindicated.Results:No association was found between the duration of RA and all of the used numerical fatigue scales (p> 0.05), but there was a weak positive relationship between VAS and NRS-overcoming with age (r = 0.21 and r = 0.28). An association between DAS28-ESR and numerical fatigue scales VAS (r = 0.21), NRS effect (r = 0.25) and NRS - overcoming (r = 0.24) was found, despite the fact that this study did not include patients with moderate and high RA activity.There was a significant correlation between the walking time and the number of steps during the 50-meter test (r = 0.6, p <0.001), as well as an association between the fatigue and the walking time (r = 0.33, p = 0.001 for VAS and r = 0.41, p <0.001 for NRS-severity) and the number of steps (r = 0.39, p <0.001 for VAS; r = 0.47, p <0.001 for NRS-severity; r = 0.44, p <0.001 for NRS-bridging).Table 1.Dynamics of fatigue levels and physical indicators in RA patientsBefore RPIn the end of RPрVAS fatigue level71,2 ± 9,08 (71,5; 64–78)70,4 ± 9,15 (70; 64–78)p>0,05BRAF-NRS: severity6,83 ± 1,21 (7; 6–8)6,51 ± 1,18 (7; 6–7)p<0,01BRAF-NRS: effect6,24 ± 1,07 (5; 4–6)5,95 ± 1,08 (6; 5–7)p<0,05BRAF-NRS: overcoming5,0 ± 1,7 (7; 6–8)7,76 ± 1,37 (5; 4–5)p>0,0550 meter test, number of steps79,3 ± 8,64 (78; 73–84)78,91 ± 8,15 (78; 73–83)p>0,0550-meter test, walking time, seconds56,7 ± 8,72 (57; 50–63)55,9 ± 8,59 (56; 51–60)р=0,01* The data are presented as mean ± standard deviation (median; interquartile range)After the completion of RP (Table), RA patients showed a significant reduction in the aspects of fatigue according to the NRS-severity (Z = 2.98, p = 0.003) and NRS-effect (Z = 2.08, p = 0.037) scales. There was also a decrease in the time spent by patients performing the 50 m walking test (t = 2.63, p = 0.01), but the total number of steps did not change (t = 1.44, p = 0.154). Fatigue and pain are important barriers to physical activity, but it is severe fatigue that reduces physical activity in patients with RA [4]. At the same time, physical activity itself can become a factor in reducing fatigue [5], including by reducing the activity of the disease [6].Conclusion:The severity of fatigue in RA patients can be reduced by actively using non-pharmacological treatment strategies. Walking is a simple and effective solution to increase physical activity and it has a significant effect on fatigue in RA.References:[1]Rongen-van Dartel SA et al. Arthritis Care Res (Hoboken). 2015;67:1054–1062.[2]Brosseau L et al. PLoS One. 2014;9(5):e95369.[3]Cherkashina IV et al. Vopr Kurortol Fizioter Lech Fiz Kult. 2016;93(2):13-16.[4]Loppenthin K et al. Rheumatol Int. 2015;35:1655–1664.[5]Cramp F et al. Cochrane Database Syst Rev. 2013;8:CD008322.[6]Sveaas SH et al. Br J Sports Med. 2017;51:1065–1072.Disclosure of Interests:None declared
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Khan, Aminuddin A., Md Zahangir Alam Chowdhury, Mohammad Moin Uddin, Nusrat Sultana, and Ahsanul Hoque Chowdhury. "Clinical Profile of Indoor Patients in the Department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital." Chattagram Maa-O-Shishu Hospital Medical College Journal 13, no. 1 (July 6, 2014): 36–38. http://dx.doi.org/10.3329/cmoshmcj.v13i1.19416.
Повний текст джерелаАнотація:
Background: This observational study done on the indoor patients of department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, admitted during the year 2011. The objective of this study was to see the most prevalent diseases admitted in our department.Methods: Participants (225) were all the patients admitted during the period of 2011. Patients admitted more than once were recorded once only. Patients data were taken from hospital records.Results: Spondyloarthropathies (SpA) comprised 18.66% of the patients. Total patient of SpA was 42. Among them AS was 47.62%. Prolapsed lumbar disk (PLID) patients constituted 12.44% (28) of hospital admission. Twenty one (9.33%) patients suffered from other causes lumbago-sciatica. Admitted RA patient number were 12 (5.33%) during this year. Total twelve patients with bone TB (5.33%) were admitted during 2011. Nine TB patients (75% of bone TB) had TB in the hip. Total Stroke patients admitted in that year were 9 (4%). Among them 8 (88.89%) were ischemic.Conclusion: SpA, PLID and other lumbago-sciatica patients comprised the major bulk of the patients in inpatient department of PM&R. Musculoskeletal diseases were the commonest cause of hospital admission for rehabilitation. Neurological causes were next common. Inflammatory musculoskeletal diseases also formed a good number of patients.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19416
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Faruk Özcelep, Ömer, Işıl Üstün, and Z. Candan Algun. "Effect of task-oriented training on pain, functionality, and quality of life in rheumatoid arthritis." Turkish Journal of Physical Medicine and Rehabilitation 68, no. 1 (March 1, 2022): 76–83. http://dx.doi.org/10.5606/tftrd.2022.6666.
Повний текст джерелаАнотація:
Objectives: The aim of this study was to demonstrate additional effects of task-oriented training (TOT) in patients with rheumatoid arthritis (RA) regarding pain, dexterity, muscle strength, and ability to perform activities of daily living (ADLs) within five weeks. Patients and methods: Between June 2016 and February 2018, a total of 46 female RA patients (mean age: 51.17±7.9 years; range, 29 to 68 years) who were volunteer for participating in the study were randomized into two groups as follows: conventional exercise group (Group 1) and conventional + TOT group (Group 2). The exercises of Group 1 included passive range of motion (PROM), isometric grip strength exercises, and mobilization of metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints. In Group 2, in addition to conventional exercises, the patients completed an exercise program consisting of washing their faces, using forks, drinking water from a glass, sitting up, and putting on a shirt. Exercises were performed twice a week for a five-week period. Before and after the exercise programs, hand grip strength was assessed with a Jamar hand dynamometer, hand dexterity with Nine Hole Peg Test (NHPT), pain with Visual Analog Scale (VAS), and ADLs with Health Assessment Questionnaire (HAQ) and Duruöz Hand Index (DHI). Results: There was no significant difference in NHPT and Jamar in both groups (p>0.05). Although a significant decrease was observed within the groups in VAS and HAQ scores before and after the exercise programs in both groups (p<0.05), no significant difference was found between the groups (p>0.05). The DHI showed a significant improvement in Group 2 and a significant difference was observed between the two groups (p<0.05). Conclusion: This study shows that exercise programs may be beneficial in alleviating pain and performing daily activities. Also, adding task-oriented training to a program may facilitate ADLs in RA patients.
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Swärdh, Emma, Gabriele Biguet, and Christina H. Opava. "Views on Exercise Maintenance: Variations Among Patients With Rheumatoid Arthritis." Physical Therapy 88, no. 9 (September 1, 2008): 1049–60. http://dx.doi.org/10.2522/ptj.20070178.
Повний текст джерелаАнотація:
Background and Purpose Individuals with rheumatoid arthritis (RA) often have to make changes in exercise behavior in order to gain and sustain health benefits. The purpose of this study was to explore and describe ways of understanding exercise maintenance among individuals with RA who had already started to exercise. Participants Fourteen women and 4 men with RA of at least 2 years’ duration, selected from 4 hospitals or primary health care physical therapy clinics, participated. They had exercised regularly at least twice weekly during the previous 2 months with various levels of support from a physical therapist, and they had attempted to exercise without support outside of the health care environment during the previous year. Method A phenomenographic approach was used to analyze semistructured interviews. A pattern of categories of descriptions was constructed based on the participants’ conceptions and ways of understanding the phenomenon of exercise maintenance. Results Five categories were identified: “external control,” “sticks and carrots,” “a joint venture,” “the easy way,” and “on one's own terms.” The categories became clear by elucidating 2 aspects related to exercise maintenance: (1) the way the participants talked about and experienced the type of support needed and (2) personal factors. Discussion and Conclusion The results highlight the importance of finding the proper context and support for each patient's needs. Furthermore, preparing for exercise maintenance by strengthening the patient's beliefs in his or her ability to exercise in different settings, by discussing pros and cons of exercise, and by exploiting the patient's ability to adapt and continue exercise outside of the health care environment might be valuable.
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Kostro, Amanda Maria, Agnieszka Dakowicz, Diana Moskal-Jasińska, and Anna Kuryliszyn-Moskal. "The Influence of Laser Therapy and Magnetotherapy on the Function and Quality of Life Patients with Rheumatoid Artritis of Hand Joints." Acta Balneologica 62, no. 3 (September 2020): 149–53. http://dx.doi.org/10.36740/abal202003103.
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Introduction: Rheumatoid arthritis is a chronic, inflammatory, systemic complex disease involving joints and periarticular tissues, leading to disability and premature death. The most common and earliest locations of the inflammatory process involves hands. In addition to pharmacotherapy, therapeutic management includes physiotherapy, psychotherapy and patient education. Among the physical therapy methods, the role of laser therapy and magnetotherapy in achieving analgesic effects and improving functions is emphasized. AIM: The aim of the study was to compare the impact of low frequency magnetic field and laser therapy on pain reduction, quality of life and function improvement as well as range of motion hands joints in patients with RA. Material and Methods: The study involved 30 outpatient in the Rehabilitation Clinic of the University Clinical Hospital in Bialystok. Among all patients they were selected into two groups in which they were applied accordingly in the first group a laser stimulation and in the second group a low frequency magnetic field. There were performed 10 treatments in each group with a Saturday - Sunday break. Before and after rehabilitation was conducted a physical and subjective examination, which used: pain examination (VAS scale, Laitinen questionnaire), examination of hand range of motion and functional evaluation according to questionnaires: bMHQ, DASH, AIMS-2. Results: After used of physical therapy in both groups the results were obtained that pain was decreased. Moreover, the magnetotherapy improved the range of motion as well as the quality of life and functionality of patients measured according to the questionnaires: Laitinen, Breif MHQ, DASH, AIMS-2 more favorably than laser therapy. Conclusions: Both treatment: laser therapy and magnetotherapy provide an analgesic effect in patients with RA. It has been shown that magnetotherapy is more effective in improving hand joints mobility and patient’s quality of live.
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Sobhan, Fauzia, Khaza Moiz, Naima Siddiquee, Aditi Debnath, Fazlul Haque, and Zanifar Rahman. "Effect of low dose Methotrexate in newly diagnosed Rheumatoid arthritis case." Bangladesh Critical Care Journal 9, no. 1 (April 18, 2021): 34–37. http://dx.doi.org/10.3329/bccj.v9i1.53054.
Повний текст джерелаАнотація:
Rheumatoid arthritis is a painful debilitating joint disease with the proliferation of the synovium and progressive erosion of cartilage and bone. Methotrexate (MTX) has been used for the treatment of Rheumatoid Arthritis (RA) for about 3 decades. It is most effective and commonly used Disease Modifying Antirheumatic Drugs (DMARDS) because it improves symptoms, signs, disease activity and functions. This study was done from January 2016 to December 2016 for a period of 1 year under Physical Medicine and Rehabilitation department, Jalalabad Ragib-Rabeya Medical College (JRRMC), Sylhet. Here we treated the patients with low dose methotrexate. Study was done to see the effect of low dose MTX in newly diagnosed RA patients by clinical examination and DAS 28. DAS stands for disease activity score and 28 joints that are examined in this assessment. The result concluded low dose MTX improves the symptoms, signs, disease activity and functions of the patients.
Bangladesh Crit Care J March 2021; 9(1): 34-37
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Valdes, Pablo, and Javier Yanci Irigoyen. "Análisis de la condición física, tipo de actividad física realizada y rendimiento académico en estudiantes de educación secundaria (Analysis of physical fitness, type of physical activity and academic performance in secondary school students)." Retos, no. 30 (April 28, 2016): 64–69. http://dx.doi.org/10.47197/retos.v0i30.36862.
Повний текст джерелаАнотація:
El objetivo principal de este estudio fue analizar las diferencias en la condición física, los hábitos de práctica de actividad física y el expediente académico de alumnos/as de 4º curso de Educación Secundaria Obligatoria en función del sexo y del tipo de actividad física practicada. En esta investigación participaron 156 alumnos/as (15.34 ± .58 años, 1.69 ± .09 cm, 58.97 ± 9.36 kg, 20.51 ± 2.10 kg/m2), 79 de sexo masculino (MASC) y 77 de sexo femenino (FEM). La condición física de los participantes se evaluó a partir de una batería de test físicos. La tipología de la AF fue analizada a través de las respuestas a distintos cuestionarios sobre los hábitos de práctica de actividad física en adolescentes (Enkid, Fitnessgram, Pace o el PAQ-A). El rendimiento académico (RA) se valoró mediante la media aritmética de las calificaciones del expediente académico de los alumnos/as desde su entrada al instituto. Los resultados obtenidos en nuestro estudio muestran que las chicas y los alumnos/as que practican actividad física extraescolar no competitiva (AF-NoCOMP) obtienen peores niveles (p < .05) de condición física en todas las cualidades excepto flexibilidad, pero mayores niveles de RA que los alumnos/as que practicaban AF competitiva (AF-COMP). Por el contrario, los chicos y los alumnos/as que practican AFCOMP tenían mejor condición física pero un menor RA. En conclusión, se observa de forma general que los chicos y los alumnos/as que realizan actividad física de carácter competitivo realizan una mayor frecuencia de AF por la tarde, obtienen mejores resultados en los test de condición física, pero sus niveles de RA son menores. Abstract. The aim of this study is to analyse the differences between physical fitness, the practise of physical activity (PA) and the academic performance (AP) of students of 4th grade of Secondary School. These differences are analysed as a function of gender and PA. 156 students took part in this study (15.34 ± .58 age, 1.69 ± .09 cm, 58.97 ± 9.36 kg, 20.51 ± 2.10 kg/m2), 56 male and 77 female. The participants’ physical fitness was evaluated by means of physical tests. PA was analyzed using different questionnaires (Enkid, Fitnessgram, Pace, or PAQ-A) assessing the teenagers’ physical activity habits. AP was evaluated using the arithmetic mean from the students’ high school academic records. The results of this study showed that girls and students who practise non-competitive PA have worse levels (p < .05) of physical fitness in every component analysed except flexibility, but their AP is higher. On the other hand, boys and students who practise competitive PA have better physical fitness and worse AP. To sum up, boys and students who participate in competitive PA show generally a higher frequency of PA practice during the afternoon. Furthermore, they obtain better results in physical fitness tests, even though their AP is worse.
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Ruiz-Ariza, Alberto, Manuel J. De la Torre-Cruz, Sara Suárez-Manzano, and Emilio J. Martínez-López. "Apoyo hacia la actividad física y rendimiento académico independientemente del estatus socioeducativo parental (Support towards physical activity and academic performance regardless of parental socio-educational status)." Retos, no. 35 (September 28, 2018): 208–12. http://dx.doi.org/10.47197/retos.v0i35.60545.
Повний текст джерелаАнотація:
El objetivo fue determinar si la influencia que los padres ejercen hacia la actividad física (AF) de los hijos está relacionada con el rendimiento académico (RA) en las asignaturas de Matemáticas y Lengua. Participaron 570 díadas padres-hijos/as. Se usó el cuestionario “The Parental Influence on Physical Activity®” y las calificaciones en Matemáticas y Lengua facilitadas por los Centros Educativos. Se emplearon análisis de regresión lineal y análisis ANCOVA controlando por edad, IMC, capacidad cardiovascular de los adolescentes, y estatus socioeducativo familiar. Los resultados mostraron que los chicos/as que reciben un mayor apoyo parental instrumental hacia la práctica de AF, y las chicas de padres más activos físicamente, tienen mejor RA en Lengua, independientemente del estatus socioeducativo familiar. El apoyo parental hacia la práctica de AF de los hijos podría ser un factor más a tener en cuenta para mejorar el RA de los adolescentes. Se sugiere a los padres la práctica habitual y conjunta de AF dentro del entorno familiar y procurar un apoyo instrumental sistemático hacia la AF de los hijos/as.Abstract: The aim was to determine if parental influence on adolescent children’s physical activity (PA) is related with academic performance (AP) in Mathematics and Spanish Language. A sample of 570 pairs of parents and children participated in this study. The Parental Influence on Physical Activity® questionnaire was used. Numerical marks in Mathematics and Spanish Language were requested from high schools. Linear regression and ANCOVA analysis were used for control of the variables (age, BMI, cardiovascular capacity of adolescents, and family socio-educational status). The results showed that adolescents with a higher parental instrumental support towards PA, and girls with higher physically active parents, have better AP in Spanish Language, regardless of family socio-educational status. Parental support towards children’s PA may thus be another important factor in the promotion of AP in adolescents. It is suggested that parents practice PA within family context and provide systematic instrumental support towards their children’s PA.
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NISHIDA, Yusuke, Katuhiro OHSHIMA, and Hyuma MAKIZAKO. "Assessment of Physical Activity Using the Time Study Method for a Patient with RA Disease Attending Day-care Services." Rigakuryoho kagaku 18, no. 4 (2003): 241–45. http://dx.doi.org/10.1589/rika.18.241.
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Dang, Andrew, Derek Schirmer, Russell Arellanes, and Barth Wright. "Impact of SLE/RA on In-Hospital Outcomes in Patients with Myasthenia Gravis Undergoing PLEX vs. IVIG." Archives of Physical Medicine and Rehabilitation 100, no. 10 (October 2019): e88. http://dx.doi.org/10.1016/j.apmr.2019.08.255.
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Almeida, Gustavo J., Samannaaz S. Khoja, and Sara R. Piva. "Dose-Response Relationship Between Neuromuscular Electrical Stimulation and Muscle Function in People With Rheumatoid Arthritis." Physical Therapy 99, no. 9 (June 13, 2019): 1167–76. http://dx.doi.org/10.1093/ptj/pzz079.
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Abstract Background Neuromuscular electrical stimulation (NMES) is a viable intervention for improving impaired muscle function in individuals with rheumatoid arthritis (RA). However, there is limited evidence about the dose-response relationship between NMES and muscle function in these individuals. Objective The objectives of this study were to investigate the dose-response relationship between NMES and muscle function in individuals with RA and to establish the minimal NMES training intensity for promoting improvements. Design This study was a secondary analysis of data obtained before and after an NMES intervention in a randomized study. Methods The study took place at a research clinic. Only adults diagnosed with RA were included. The intervention consisted of 36 NMES treatment sessions for the quadriceps muscles over 16 weeks. Muscle function was measured before and after the intervention; quadriceps cross-sectional area and muscle quality were assessed using computed tomography, and strength was measured with an isokinetic dynamometer. NMES training intensity was calculated as a percentage by dividing NMES-elicited quadriceps muscle torque by the maximum voluntary isometric contraction. Improvements in muscle function were calculated using paired-sample t tests. The dose-response relationship was determined using curve estimation regression statistics. The minimum NMES training intensity was defined as that sufficient to significantly improve all muscle function measures. Results Twenty-four people (48 legs) participated (75% women; mean [SD] age = 58 [8] years; mean body mass index = 32 [7] kg/m2). Quadriceps cross-sectional area, muscle quality, and strength improved after the intervention. Associations between NMES training intensity and muscle quality (r2 = 0.20) and strength (r2 = 0.23) were statistically significant, but that between NMES training intensity and muscle cross-sectional area was not (r2 = 0.02). The minimum NMES training intensity necessary to improve all measures of muscle function ranged from 11% to 20% of the maximum voluntary isometric contraction. Limitations The relatively small sample size was a limitation. Conclusions The minimum NMES training intensity for significant gains in muscle function was ∼15%. Higher NMES intensities may promote better muscle quality and strength in individuals with RA.
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Haas, Janet. "Chubon RA: Development of a quality-of-life rating scale for use in health care evaluation." Journal of Head Trauma Rehabilitation 3, no. 3 (September 1988): 91–92. http://dx.doi.org/10.1097/00001199-198809000-00015.
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Ajeganova, S., M. Wörnert, and I. Hafström. "SAT0612 TEAM-REHABILITATION BENEFITS BODY COMPOSITION AND FUNCTIONAL OUTCOME BEYOND TIME OF THE REHABILITATION PERIOD IN INFLAMMATORY ARTHRITIS, OF WHICH BODY COMPOSITION IS LINKED TO CHANGE IN LEVEL OF CARDIORESPIRATORY FITNESS, WHEREAS MUSCLE MASS AND STRENGTH ARE LINKED TO PHYSICAL FUNCTIONING." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1266.1–1267. http://dx.doi.org/10.1136/annrheumdis-2020-eular.3722.
Повний текст джерелаАнотація:
Background:Low physical activity, accumulated disability and disease chronicity contribute to adverse body composition and reduced cardiorespiratory fitness in patients with chronic inflammatory diseases. In the general population, physical exercise improves body composition, muscle strength and aerobic capacity but in inflammatory diseases it is not well established.Objectives:To investigate whether 1) exercise intervention in patients with arthritis affects body composition, physical and aerobic capacity, and whether 2) body composition and physical capacity could explain outcomes as HAQ and aerobic capacity.Methods:Consecutive patients with inflammatory arthritis and a clinical need for rehabilitation, ages 18-80 years, participated in a team-rehabilitation program for 4 weeks. Anthropometry, body composition assessed with bioelectrical impedance analysis, muscle force with hand grip strength and Times sit-to-stand test (TST), activity limitation with the HAQ score and cardiorespiratory fitness with the Åstrand 6-minute cycle test for VO2 max were measured pre-rehabilitation and after 3 and 12 months. The ANOVA model with Bonferroni correction, adjusted for age, sex and baseline measures, was used for the pairwise comparisons of repeated measures overtime. Association between body composition, physical functioning, and the course of HAQ and cardiorespiratory fitness for 12 months was determined with linear mixed models adjusted for age, gender and comorbidity.Results:The study evaluated 149 patients with rheumatoid arthritis (RA), psoriasis arthritis, spondylarthritis and juvenile idiopathic arthritis, aged mean (SD) 53(13) years, 74% women, disease duration 21(13) years, HAQ 1.1(0.6) at inclusion and DAS28 4.1(1.3) for those with RA.There was a statistically significant reduction of BMI between pre-rehabilitation and after 3 months, reduction of waist circumference, body fat, fat mass and the fat mass index after 3 and 12 months, adjusted p<0.05. The muscle mass of total body, arms and legs did not change significantly post-rehabilitation compared to pre-rehabilitation. Hand grip strength and TST improved together with reduction of HAQ and increased VO2 max after 3 and 12 months, adjusted p<0.05 adjusted for age, sex and baseline measures.The HAQ overtime was independently associated with total body muscle mass, legs muscle mass, hand grip strength, and TST pre-rehabilitation, but not to the change of body composition overtime.The course of VO2 max overtime was independently associated with pre-rehabilitation BMI, waist circumference, muscle mass of total body, arms and legs, fat mass, body fat, the fat mass index and TST, as well as with change of BMI, waist circumference, fat mass and the fat mass index between pre-rehabilitation and after 3 and 12 months.Conclusion:We observed benefits of intervention with a team-rehabilitation program for 4 weeks on body composition profile, functioning, physical limitation and cardiorespiratory fitness, which were presented beyond the time of the rehabilitation period for up to 12 months. Different aspects of body composition and physical capacity were associated with levels of disability measured with HAQ and with cardiorespiratory fitness. This study indicates that in patients with inflammatory arthritis, muscle mass and strength were linked to HAQ over time, whereas the measures of body composition could be more linked to cardiorespiratory fitness than to HAQ.Disclosure of Interests:None declared
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Hirano, Y., A. Morisaka, H. Kosugiyama, S. Inuzuka, T. Kamiya, H. Mori, N. Morishima, and T. Ishikawa. "FRI0097 EFFECTS OF BIOLOGICAL DISEASE-MODIFYING ANTI-RHEUMATIC DRUG TREATMENT ON PHYSICAL ACTIVITY, MUSCLE POWER, AGILITY AND INHIBITION OF FALL IN PATIENTS WITH RHEUMATOID ARTHRITIS -THE 2-YEAR RESULTS." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 627–28. http://dx.doi.org/10.1136/annrheumdis-2020-eular.2306.
Повний текст джерелаАнотація:
Background:Treatment with biological DMARDs (bDMARDs) rapidly improves signs and symptoms in patients with rheumatoid arthritis (RA). The efficacy of these bDMARDs was evaluated using composite measures or biomarkers used in daily clinical practice or clinical studies. Although a rapid improvement in composite measures or biomarkers is important in the treatment of RA, the primary goal of treatment is improvement of long-term health-related quality of life (HR-QOL) [1]. HR-QOL is evaluated based on physical functions (PF) such as muscle power and agility. We reported the 1-year results of our study presented at EULAR 2019 [2]. The present study was conducted to investigate the 2-year results of our study by including more patents than those included in the previous one.Objectives:This study was aimed at investigating the efficacy of bDMARDs with respect to PF and fall risk in RA patients.Methods:At our institute, in addition to routine rheumatology evaluation, periodic evaluation of physical function is performed by staff members in our rehabilitation center in RA patients in whom the first bDMARD treatment was initiated in Oct. 2015–Feb. 2018. In total, 41 cases were registered in this study. Evaluation of PF included evaluation of muscle power [grasping power (GP) and knee extension power (KEP)]; agility [time up and go test (TUG) and 10-m walking time (10 mW)]; and a questionnaire using modified HAQ, portable fall risk index [3], and the 25-question geriatric locomotive function scale (locomo25) [4] at baseline (BL), which implies the time at the initiation of bDMARD treatment, i.e., 1, 3, 6, 12, and 24 months. Disease activity of RA was evaluated at the same time points. Although 2 years had elapsed from BL in 37 patients, 13 patients dropped out from the evaluation of physical function owing to cessation of bDMARD treatment, rejection of evaluation for physical function, or major joint surgery performed in a patient. The results of 24 patients who completed the evaluation at 24 months were investigated in this study.Results:Baseline characteristics of the 24 patients were as follows: mean age 60.8 years, RA duration 12.3 years, mean SDAI 19.0, and mean CRP level 2.1 mg/dl. The bDMARDs used in the study were abatacept in 7 patients, adalimumab in 4 patients, tocilizumab in 4 patients, golimumab in 4 patients, etanercept in 3 patients, certolizumab in 1 patient, and an infliximab biosimilar in 1 patients. Data are presented as mean values at BL and at 1, 3, 6, 12, and 24 months (Fig.1). SDAI and CRP levels were significantly improved at and after 1 month. GP and KEP were significantly improved at and after 3 and 6 months. TUG and 10 mW results were significantly improved at and after 3 and 6 months. Modified HAQ results were significantly improved at and after 3 months. Locomo25 scores were significantly improved at and after 1 month. Portable fall risk index values were significantly improved at and after 12 months.Conclusion:Although there was a rapid improvement in the signs and symptoms of RA after the initiation of bDMARD treatment, improvement in PF was slightly delayed. Significant improvement of muscle power and agility was achieved after 3–6 months onward. Inhibition of fall risk was achieved at and after 12 months after the initiation of bDMARD treatment. These results suggest that physiotherapy plays a vital role in RA patients who undergo treatment with bDMARDs to gain more rapid improvement of PF.References:[1]Smolen JS et al. Ann Rheum Dis, 2016.[2]Hirano Y et al. Ann Rheum Dis, suppl. 2, 2019.[3]Toba K et al. Jpn J Geriat, 2005.[4]Seichi A at al. J Orthop Sci, 2012.Disclosure of Interests:Yuji Hirano Speakers bureau: Tanabe-Mitsubishi, Pfizer, Eisai, Abbie, Chugai, Bristol-Meyers, Jansen, Astellas, UCB, Eli-Lilly, Asahikasei, Daiichi-Sankyo, Amgen, Ayako Morisaka: None declared, Hironobu Kosugiyama: None declared, Shiori Inuzuka: None declared, Takeshi Kamiya: None declared, Hiroyuki Mori: None declared, Naohito Morishima: None declared, Tomoji Ishikawa: None declared
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A. Elsayed, Dalia, Samy E. Egila, Yaser A. Abd El-Hammed, Rasha A. Elsayed, and Noha Hosni Ibrahim. "Study of Serum and Synovial Fluid Levels of Calprotectin of Rheumatoid Arthritis Patients in Correlation with Disease Activity and Severity." Egyptian Journal of Medical Microbiology 29, no. 3 (July 1, 2020): 47–51. http://dx.doi.org/10.51429/ejmm29306.
Повний текст джерелаАнотація:
inflammatory autoimmune disease with a frequency of 0.5–1.0% between the adult population of developed countries. It is marked by chronic inflammation of synovial tissue and accompianed by damage of the articular cartilage and adjecent bone, leading to substantial disability. Objectives: The aim of this study is to determine serum and synovial fluid levels of calprotectin in rheumatoid arthritis patients and to determine its relation with disease activity and severity. Methodology: This study was carried out on 40 rheumatoid arthritis patients who were admitted to Rheumatology, Rehabilitation and Physical Medicine Outpatient’ clinic and Inpatient Department of Benha University Hospital .Also Thirty age and sex matched( 28 females and 2 males ) apparently healthy volunteers were included in the study as a control group . All patients were assessed by full medical history, clinical examination, functional assessment, laboratory investigations including CBC, ESR ,CRP, liver functions, RF, Anticcp antibody, and Xrays were done to both hands. Serum and synovial levels of calprotectien were measured using the ELISA technique. Results: Serum levels of calprotectien were significantly higher in RA patients than healthy subjects [p<0.001], also there was a highly statistically significant increase in the mean synovial fluid calprotectin levels than mean serum calprotectien levels [p<0.001]. Local and systemic levels of calprotectin correlate with clinical, immunological and instrumental assessments of disease activity and the inflammatory degree of the joint. Conclusion: Calprotectin could be used as a new biomarker for monitoring the disease activity and severity of RA. Larger sets are needed to confirm the diagnostic and prognostic accuracy of calprotectin in RA
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Seher Özalp Ateş, Funda, Derya Gökmen, Şehim Kutlay, Atilla Halil Elhan, and Ayşe Adile Küçükdeveci. "Is it possible to develop a new measurement tool to assess the functional status in patients with rheumatoid arthritis?" Turkish Journal of Physical Medicine and Rehabilitation 67, no. 2 (May 25, 2021): 233–41. http://dx.doi.org/10.5606/tftrd.2021.6887.
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Objectives: This study aims to develop measurement tools for assessing patients’ functional status with rheumatoid arthritis (RA) in terms of upper and lower extremity function and to evaluate the tools’ construct validities with classical and modern psychometric approaches. Patients and methods: Between April 2010 and April 2012, a total of 300 patients with RA (77 males, 223 females; mean age: 52.3±11.5 years; range, 18 to 82 years) who answered items from a range of widely used instruments were included. After examining initial dimensionality with exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and Rasch analysis were used to evaluate the tools’ construct validities. The data-model fit was evaluated with goodness-of-fit (GoF) statistics in CFA, while the tools were examined in terms of item and person fit, unidimensionality and differential item functioning (DIF) from the perspective of Rasch analysis. Results: According to EFA, two dimensions were identified and named as “self-care-mobility-household activities related to lower extremity” and “self-care-mobility-household activities related to upper extremity” taking into account the factor loadings and the clinical classifications. While the clinical classification was tested with CFA, all items were loaded on their pre-defined dimensions with the factor loadings of ≥0.40 and GoF statistics were within the acceptable ranges. When the “self-care-mobility-household activities related to upper extremity” and “self-care-mobility-household activities related to lower extremity” tools were evaluated via the Rasch analysis, both tools were found to fit the Rasch model expectations, with a mean item fit statistics of -0.528 logit (standard deviation [SD]: 1.365) and -0.213 (SD: 1.168; mean person fit statistics of -0.412 logit (SD: 1.160) and -0.303 logit (SD: 0.859), respectively. Conclusion: For the evaluation of a scale’s construct validity, it is recommended to use the Rasch analysis in tandem with factor analytic methods, as the Rasch analysis explores a scale’s construct validity in terms of item and person fit, DIF and unidimensionality which is the only aspect of the factor analysis.
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O’Keeffe, Brendan T., Alan E. Donnelly, and Ciaran MacDonncha. "Test–Retest Reliability of Student-Administered Health-Related Fitness Tests in School Settings." Pediatric Exercise Science 32, no. 1 (February 1, 2020): 48–57. http://dx.doi.org/10.1123/pes.2019-0166.
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Purpose: To examine the test–retest reliability of student-administered (SA) health-related fitness tests in school settings and to compare indices of reliability with those taken by trained research-assistants. Methods: Participants (n = 86; age: 13.43 [0.33] y) were divided into 2 groups, SA (n = 45, girls = 26) or research-assistant administered (RA; n = 41, girls = 21). The SA group had their measures taken by 8 students (age: 15.59 [0.56] y, girls = 4), and the RA group had their measures taken by 8 research-assistants (age: 21.21 [1.38], girls = 5). Tests were administered twice by both groups, 1 week apart. Tests included body mass index, handgrip strength, standing broad jump, isometric plank hold, 90° push-up, 4 × 10-m shuttle run, back-saver sit and reach, and blood pressure. Results: Intraclass correlation coefficients for SA (≥.797) and RA (≥.866) groups were high, and the observed systematic error (Bland–Altman plot) between test 1 and test 2 was close to 0 for all tests. The coefficient of variation was less than 10% for all tests in the SA group, aside from the 90° push-up (24.3%). The SA group had a marginally lower combined mean coefficient of variation across all tests (6.5%) in comparison with the RA group (6.8%). Conclusion: This study demonstrates that, following familiarization training, SA health-related fitness tests in school-based physical education programs can be considered reliable.
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Pouls, Bart PH, Charlotte L. Bekker, Sandra van Dulmen, Johanna E. Vriezekolk, and Bart JF van den Bemt. "A Serious Puzzle Game to Enhance Adherence to Antirheumatic Drugs in Patients With Rheumatoid Arthritis: Systematic Development Using Intervention Mapping." JMIR Serious Games 10, no. 1 (February 18, 2022): e31570. http://dx.doi.org/10.2196/31570.
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Background Patients’ implicit attitudes toward medication need and concerns may influence their adherence. Targeting these implicit attitudes by combining game-entertainment with medication-related triggers might improve medication adherence in patients with rheumatoid arthritis (RA). Objective The aim of this study was to describe the systematic development of a serious game to enhance adherence to antirheumatic drugs by using intervention mapping. Methods A serious game was developed using the intervention mapping framework guided by a multidisciplinary expert group, which proceeded along 6 steps: (1) exploring the problem by assessing the relationship between medication adherence and implicit attitudes, (2) defining change objectives, (3) selecting evidence-based behavior change techniques that focused on adjusting implicit attitudes, (4) designing the intervention, (5) guaranteeing implementation by focusing on intrinsic motivation, and (6) planning a scientific evaluation. Results Based on the problem assessment and guided by the Dual-Attitude Model, implicit negative and illness-related attitudes of patients with RA were defined as the main target for the intervention. Consequently, the change objective was “after the intervention, participants have a more positive attitude toward antirheumatic drugs.” Attention bias modification, evaluative conditioning, and goal priming were the techniques chosen to implicitly target medication needs. These techniques were redesigned into medication-related triggers and built in the serious puzzle game. Thirty-seven patients with RA tested the game at several stages. Intrinsic motivation was led by the self-determination theory and addressed the 3 needs, that is, competence, autonomy, and relatedness. The intervention will be evaluated in a randomized clinical trial that assesses the effect of playing the serious game on antirheumatic drug adherence. Conclusions We systematically developed a serious game app to enhance adherence to antirheumatic drugs among patients with RA by using the intervention mapping framework. This paper could serve as a guideline for other health care providers when developing similar interventions.
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Ha, Sun-Young, and DooChul Shin. "The effects of curl-up exercise in terms of posture and muscle contraction direction on muscle activity and thickness of trunk muscles." Journal of Back and Musculoskeletal Rehabilitation 33, no. 5 (September 17, 2020): 857–63. http://dx.doi.org/10.3233/bmr-191558.
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BACKGROUND: The curl-up exercise is widely used in clinical practice for strengthening abdominal muscles, but has been applied without a systematic method. OBJECTIVE: The purpose of this study was to determine the most effective method considering the angle and muscle contraction direction during the curl-up exercise. METHODS: Fourteen healthy males performed the curl-up exercise according to contraction direction (concentric and eccentric) and angle (30∘, 60∘, and 90∘). The muscle activity of the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and iliopsoas (IP) was measured using electromyography (EMG), and the muscle thickness of transversus abdominis (TrA) was measured using ultrasonography. RESULTS: The activities of the abdominal muscles (RA, EO, and IO) decreased with increasing angles (30∘, 60∘, and 90∘) (p< 0.05). There was no significant difference between eccentric and concentric contractions. The thickness ratio of TrA was the largest at an eccentric curl-up at 30∘, and the smallest at a concentric curl-up at 30∘ (p< 0.05). CONCLUSIONS: The most effective angle for curl-up was 30∘. Although there is no difference in the direction of muscle contraction, eccentric curl-up at 30∘ could be considered the most effective posture for abdominal strengthening considering the importance of TrA.
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Lourenzi, Felipe Martinelli, Anamaria Jones, Daniele Freitas Pereira, João Henrique Costa Alves dos Santos, Rita Nely Vilar Furtado, and Jamil Natour. "Effectiveness of an overall progressive resistance strength program for improving the functional capacity of patients with rheumatoid arthritis: a randomized controlled trial." Clinical Rehabilitation 31, no. 11 (March 14, 2017): 1482–91. http://dx.doi.org/10.1177/0269215517698732.
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Objective: To evaluate the effectiveness of overall progressive resistance training in patients with rheumatoid arthritis. Design: Randomized controlled clinical trial with blinded assessor and intention-to-treat analysis. Setting: Outpatient clinics. Subjects: Sixty patients with rheumatoid arthritis according to the American College of Rheumatology criteria, aged between 18 and 65 years old, under stable medication and not performing regular physical activity were randomized into two groups: intervention group (IG) and control group (CG). Interventions: IG performed the progressive resistance strength training, twice a week, during 12 weeks. The training consists of exercising various muscle groups using a load of 50% and 70% of one repetition maximum. The load was reassessed and adjusted after six weeks of baseline. Both groups remained in conventional drug treatment during the study. Main measures: Patients were evaluated at baseline and after 6, 12, and 24 weeks, using HAQ and SF-36 questionnaires and strength. Results: Thirty-three patients in the CG and 27 in the IG were evaluated. The groups were homogeneous at baseline. Statistical and clinical improvement were found with better results for the IG in the HAQ questionnaire ( P=0.030), functional capacity (0=0.022) and pain ( P=0.027) domains of SF-36; and muscle strength for flexors of right and left knee ( P=0.005 and p=0.14), abductors of shoulder ( P=0.041) and extensors of right and left wrists ( P=0.003 and P= 0.005). Conclusions: This progressive resistance strength training improves physical function as well as grip and muscular strength of knee flexors, shoulder abductors and wrist extensors in patients with RA, without adverse effects.
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Piper, Holly, Karen MJ Douglas, Gareth J. Treharne, Debbie L. Mitton, Sajjad Haider, and George D. Kitas. "Prevalence and predictors of ocular manifestations of RA: is there a need for routine screening?" Musculoskeletal Care 5, no. 2 (2007): 102–17. http://dx.doi.org/10.1002/msc.104.
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Chan, Ebby Waqqash Mohamad, Mohamad Shariff A. Hamid, Ali Md Nadzalan, and Eliza Hafiz. "Abdominal muscle activation: An EMG study of the Sahrmann five-level core stability test." Hong Kong Physiotherapy Journal 40, no. 02 (March 10, 2020): 89–97. http://dx.doi.org/10.1142/s1013702520500080.
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Background: Sahrmann five-level core stability test protocol has been used to evaluate the ability of the core muscles to stabilize the spine. However, validation studies on the Sahrmann protocol are limited. Objective: The purpose of this study was to compare the different levels of Sahrmann five-level core stability (levels 1–5) on the muscle activity of rectus abdominis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO). Methods: Twenty-two asymptomatic male participants aged 21.3[Formula: see text].59 years were recruited. Participants were instructed to perform maximum voluntary contraction (MVC) and five levels of Sahrmann five-level core stability test guided with a pressure biofeedback unit (PBU). The surface electromyography (EMG) data of each muscle during five levels of Sahrmann five-level core stability test were normalized as a percentage of MVC. Results: Results showed significant differences in the normalized EMGs of RA [[Formula: see text](4) = 64.80, [Formula: see text].001], EO [[Formula: see text](4) = 58.11, [Formula: see text].001], and TrA/IO [[Formula: see text](4) = 56.00, [Formula: see text].001] between the five levels of Sahrmann five-level core stability test. Post-hoc analysis revealed Sahrmann levels 5 and 3 have significantly higher abdominal EMG signals than levels 4, 2, and 1 ([Formula: see text].001). Conclusion: In conclusion, the Sahrmann five-level core stability test differs according to the level of Sahrmann tests. Significantly higher abdominal muscle activities were observed during levels 3 and 5. Therefore, the classification exchange in levels 3 and 4 of the Sahrmann five-level core stability test should be reconsidered in the future.
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Lee, Seung-Woong, and Jung-Hoon Lee. "Effects of Proprioceptive Neuromuscular Facilitation Stretching and Kinesiology Taping on Pelvic Compensation During Double-Knee Extension." Journal of Human Kinetics 49, no. 1 (December 1, 2015): 55–64. http://dx.doi.org/10.1515/hukin-2015-0108.
Повний текст джерелаАнотація:
Abstract Shortened hamstrings are likely to restrict the anterior pelvic tilt and induce a slumped posture due to the posterior pelvic tilt. This study was conducted to compare the effects of proprioceptive neuromuscular facilitation (PNF) stretching and modified anterior pelvic tilt taping (APTT) on hamstring shortness-associated pelvic compensation while executing seated double-knee extension. Male college students (28 healthy young adults; mean age: 21.4 ± 2.1 years) with hamstring shortness were recruited as study subjects and randomly assigned to either the PNF stretching group (control group) or the APTT group (experimental group). In all the subjects, changes in the movement distance of the centre of gluteal pressure (COGP) as well as rectus abdominis (RA) and semitendinosus (SEM) muscle activities were measured during seated double-knee extension while the respective intervention method was applied. Both groups showed significant decreases in COGP distance and RA muscle activity compared with their respective baseline values (p < 0.05), however, no significant changes were observed in SEM muscle activity. We can infer that not only a direct intervention on the hamstring, such as PNF stretching, but also a modified APTT-mediated pelvic intervention may be used as a method for reducing pelvic compensation induced by hamstring shortness.