SHOULDER ROTATIONAL STRENGTH, MOVEMENT, PAIN AND JOINT TENDERNESS AS INDICATORS OF UPPER-EXTREMITY ACTIVITY LIMITATION IN MODERATE RHEUMATOID ARTHRITIS

2000 ◽  
Vol 32 (3) ◽  
pp. 134-139 ◽  
Author(s):  
C. Boström
Keyword(s):  
Rheumatoid Arthritis ◽  
Upper Extremity ◽  
Activity Limitation ◽  
Rotational Strength ◽  
Joint Tenderness

scholarly journals FRI0612-HPR EFFECT OF THERMOFORMABLE ORTHOSES ON FOOT FUNCTION IN RHEUMATOID ARTHRITIS PATIENTS: PRELIMINARY RESULTS FROM AN OPEN CLINICAL TRIAL.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 911.2-912
Author(s):  
I. Aachari ◽  
H. Rkain ◽  
F. Safaa ◽  
L. Benzakour ◽  
T. Latifa ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Trial ◽  
Small Sample ◽  
Activity Limitation ◽  
Foot Orthoses ◽  
Functional Impact ◽  
Pain Disability ◽  
Before And After ◽  
Foot Function ◽  
The Impact

Background:Orthoses and footwear can play an important role in managing foot pathology in patients whose systemic disease is controlled. Foot orthoses are frequently prescribed in clinical practice as an intervention for people with rheumatoid arthritis (RA).Objectives:The aim of our study is to evaluate the impact of thermoformable orthoses on the functional index of the foot (FFI) in patients with rheumatoid arthritis.Methods:We conducted an open clinical trial, having consecutively included 14 patients (85.7% female, average age 54.8 ± 10 years) suffering from rheumatoid arthritis (median progression time of 9 years [5 - 12]). The average DAS28 was 2.7 ± 1.2 and the functional impact objectified by the Health Assessment Questionnaire (HAQ) was on average 0.9 ± 0.7.The median deadline from the start of RA and the onset of the foot problem was 3 years [0 – 7,75]. The foot problem was bilateral in 100% of the cases and inaugural in 85.7% of the cases.We evaluated the functional impact of foot injury for all our patients at baseline and 8 weeks after the use of thermoformable orthoses, based on the FFI (Foot function Index) measuring the impact of foot pathology on function in terms of pain, disability and activity limitation.The comparison of the FFI domains before and after the use of orthoses was carried out using parametric or nonparametric paired tests using The SPSS statistical software.Results:With the use of foot orthoses, FFI values decreased in all subscales (p=0,024) (pain, disability and activity limitation). This reduction was significant for disability (0,011) but not for pain and activity limitation.There were no significant correlations between the global FFI and the progression of RA, the duration of foot damage and the functional impact measured by the HAQ.Table 1. The comparison of the FFI domains before and after the use of orthoses.psignificatif if< 0,05; Test used: Non-parametric test for two linked samples.Conclusion:Foot orthoses were effective as an adjuvant in the management of rheumatoid foot. They significantly reduced disability as measured by the FFI. The absence of factors associated with pain and limitation of activity could possibly be related to the small sample size.Disclosure of Interests:None declared

The patient-based outcome of upper-extremity surgeries using the DASH questionnaire and the effect of disease activity of the patients with rheumatoid arthritis

2008 ◽  
Vol 27 (8) ◽  
pp. 967-973 ◽  
Author(s):  
Hajime Ishikawa ◽  
Akira Murasawa ◽  
Kiyoshi Nakazono ◽  
Asami Abe ◽  
Hiroshi Otani ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Upper Extremity ◽  
Dash Questionnaire

scholarly journals Dietary Interventions with or without Omega-3 Supplementation for the Management of Rheumatoid Arthritis: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3506
Author(s):  
Tala Raad ◽  
Anne Griffin ◽  
Elena S. George ◽  
Louise Larkin ◽  
Alexander Fraser ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Systematic Review ◽  
Cochrane Library ◽  
Omega 3 ◽  
Dietary Interventions ◽  
Randomized Controlled ◽  
Joint Tenderness ◽  
Pain Duration ◽  
Autoimmune Condition ◽  
The Cochrane Library

Rheumatoid Arthritis (RA) is a chronic autoimmune condition characterized by symptoms of inflammation and pain in the joints. RA is estimated to have a worldwide prevalence of 0.5–1%, with a predominance in females. Diet may play an important role in the symptoms of RA; however, little is known about the effects of various diets. The aim of this systematic review is to explore the effect of dietary interventions, with or without omega-3 supplementation for the management of RA. The electronic databases MEDLINE, EMBASE, CINAHL, and the Cochrane Library were systematically searched for clinical trials investigating dietary interventions, with or without omega-3 supplementation to retrieve papers from inception to April 2021. Randomized and non-randomized controlled trials of dietary interventions in adults with RA were eligible for inclusion. Twenty studies with a total of 1063 participants were included. The most frequently reported outcomes were pain, duration of morning stiffness, joint tenderness, grip strength and inflammatory markers. Dietary interventions with an anti-inflammatory basis may be an effective way for adults with RA seeking complementary treatments, potentially leading to improvements in certain parameters. However, there is a need for longer duration studies that are well-designed and sufficiently powered to investigate the influence of diet on RA.

scholarly journals The relation between upper extremity joint involvement and grip force in early rheumatoid arthritis: a retrospective study

2019 ◽  
Vol 39 (12) ◽  
pp. 2031-2041
Author(s):  
Maria Rydholm ◽  
Ingegerd Wikström ◽  
Sofia Hagel ◽  
Lennart T. H. Jacobsson ◽  
Carl Turesson
Keyword(s):  
Rheumatoid Arthritis ◽  
Retrospective Study ◽  
Upper Extremity ◽  
Early Rheumatoid Arthritis ◽  
Grip Force ◽  
Joint Involvement

Immunopathogenesis and Immunotherapeutic Strategies in Rheumatoid Arthritis

2021 ◽  
Vol 16 (8) ◽  
pp. 141-150
Author(s):  
Tooba Qamar ◽  
Sayali Mukherjee
Keyword(s):  
Rheumatoid Arthritis ◽  
Dendritic Cell ◽  
Genetic Risk ◽  
Review Article ◽  
Systemic Autoimmune Disease ◽  
Targeted Therapeutics ◽  
Cell Based Therapy ◽  
Joint Tenderness ◽  
Citrullinated Protein ◽  
Mhc Alleles

Rheumatoid Arthritis (RA) is a systemic autoimmune disease which results from failure of immune tolerance. Autoantibodies like Rheumatoid factor, Anti-Carbamylated Antibodies, Anti-Acetylated and Anti- Citrullinated Protein Antibodies keep on circulating in blood which target self-tissues. The major symptoms of RA are polyarticular inflammation of the synovial membrane, wrists and feet along with the joint tenderness and formation of nodules in the joints. There are many MHC alleles as well as non-MHC immunoregulatory genes which confer the genetic risk in Rheumatoid Arthritis. Immunotherapeutic strategies involved are dendritic cell targeted therapeutics, cell-based therapy and autoantibody-mediated refractoriness. The increase in the mortality rate of RA is recognized widely but different aspects of immunopathogenesis are not explained fully. The aim of the review article is to discuss all the factors that can contribute towards the immunopathogenesis of this disease and to screen out the most prominent immunotherapeutic strategies.

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