Kinesiophobia, fear of fall, neuropathic pain and navicular drop in rheumatoid arthritis- a correlation study

Background: Rheumatoid arthritis (RA) is one of the most common chronic health conditions and a leading cause of pain; joint damage and disability. Fear of fall and kinesiophobia are associated with activity limitations in RA patients because of pain and stiffness which affects the quality of life. Kinesiophobia and fear of fall are associated with pain. The pathogenics and chronicity of RA can lead to neuropathic pain. Hence the aim of this study was to assess pronation of foot and evaluate if there is any correlation between fear of fall, kinesiophobia and neuropathic pain in patients with rheumatoid arthritis.Methods: Subjects in the age group of 30-50 years were included after passing the EULAR criteria and were assessed for navicular drop by using the navicular drop test. Later they were assessed for fear of fall, kinesiophobia and neuropathic pain using fall efficacy scale, Tampa scale and LANSS questionnaire respectively.Results: Significant co-relation was found between kinesiophobia and fear of fall (p value =0.0046) and there were non-significant co-relations between all other factors.Conclusions: Participants with RA showed significant navicular drop where left subtalar joint was more affected than right. According to the LANSS score subjects showed lower concerns of neuropathic pain. Maximum number of subjects displayed high concerns of kinesiophobia and fear fall which proves the significant association between the factors.

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Self Management Menentukan Kualitas Hidup Pasien Diabetes Mellitus

Jurnal Endurance ◽

10.22216/jen.v4i2.4026 ◽

2019 ◽

Vol 4 (2) ◽

pp. 402

Author(s):

Iskim Luthfa ◽

Nurul Fadhilah

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Correlation Study ◽

Self Management ◽

Rank Test ◽

P Value ◽

Cross Sectional ◽

Spearman Rank ◽

Consecutive Sampling

People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus. Penderita Diabetes mellitus beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bertujuan untuk menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. Jenis penelitian ini adalah deskriptif korelasi dengan desain cross sectional. Teknik pengambilan sampel menggunakan non probability sampling dengan pendekatan consecutive sampling. Jumlah sampel sebanyak 118 responden. Instrumen penelitian untuk mengukur self management menggunakan diabetes self management questionnaire (DSMQ), dan instrumen untuk mengukur kualitas hidup menggunakan quality of life WHOQOL-BREEF. Analisis data menggunakan spearman rank dan didapatkan hasil nilai p value 0,000 dan r 0,394.Terdapat hubungan antara self management dengan kualitas hidup pasien diabetes mellitus dengan arah korelasi positif.

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The Comparison of Gabapentin and Amitriptilin Effectivity as Pain Therapy in Herniated Nucleus Pulposus

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v4i3.4738 ◽

2015 ◽

Vol 4 (3) ◽

pp. 225

Author(s):

Indriastuti Cahyaningsih ◽

Rina Handayani ◽

Setyaningsih Setyaningsih

Keyword(s):

Neuropathic Pain ◽

Nucleus Pulposus ◽

Statistical Difference ◽

Pain Therapy ◽

P Value ◽

Analog Scale ◽

Peripheral Neuropathic Pain ◽

Quasi Experimental ◽

Herniated Nucleus Pulposus

Herniated nucleus pulposus (HNP) is one of peripheral neuropathic pain. Although concensus guidelines for the treatment of neuropathic pain are based on the results of the RCT studies, there are still gaps in the literatures. This study aimed to compare the effectiveness and quality of life of gabapentin and amitriptyline for the treatment of pain in HNP. The method used a quasi experimental with consequtive sampling. This study included 30 patients in the gabapentin group and 26 patients in the amitriptyline group, and each group was evaluated for 1 month. Effectiveness was assessed using Visual Analogue Scale (VAS) every 2 weeks then analized by independent and paired sample t test. The results showed that the use of gabapentin and amitriptilin in 4 weeks showed the decrease of pain score measured by visual analog scale 3.70 ± 0.349 and 3.500 ± 0.34 although there was no statistical difference (p value = 0.704). To sum up, effectiveness of gabapentin and amitriptyline in the treatment of neuropathic pain did not have statistical difference.

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Comparisons of Body Image Perceptions of a Sample of Black and White Women with Rheumatoid Arthritis and Fibromyalgia in the US

The Open Rheumatology Journal ◽

10.2174/1874312901409010001 ◽

2015 ◽

Vol 9 (1) ◽

pp. 1-7 ◽

Cited By ~ 8

Author(s):

Josephine E.A Boyington ◽

Britta Schoster ◽

Leigh F Callahan

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Health Care ◽

Body Image ◽

White Women ◽

The Body ◽

Activity Limitations ◽

Body Parts ◽

Mental Function

Objective : To explore the disease-related, body image (BI) perceptions of women diagnosed with, rheumatoid arthritis (RA) and fibromyalgia (FM). Methods : A purposive sample of twenty-seven females participated in individual semi-structured phone interviews to elicit BI perceptions relative to pain, activity limitations and coping measures. Sessions were digitally recorded, transcribed verbatim, and content analyzed. Results : Body image perceptions relative to 5 major themes emerged in the analysis. They focused on Pain, Disease Impact on Physical and Mental Function, Weight, Diseased-Induced Fears and, Coping measures. Pain was a common experience of all participants. Other troubling factors verbalized by participants included dislike and shame of visibly affected body parts, and disease-induced social, psychological and physical limitations. RA participants thought that manifested joint changes, such as swelling and redness, undergirded their prompt diagnosis and receipt of health care. Contrarily, women with fibromyalgia perceived that the lack of visible, disease-related, physical signs led to a discounting of their disease, which led to delayed health care and subsequent frustrations and anger. All but one participant used prayer and meditation as a coping measure. Conclusion : The body image perceptions evidenced by the majority of participants were generally negative and included specific focus on their disease-affected body parts (e.g. joints), mental function, self-identity, health care experiences, activity limitations and overall quality of life. Given the global effect of RA and FM, assessment and integration of findings about the BI perceptions of individuals with FM and RA may help define suitable interdisciplinary strategies for managing these conditions and improving participants’ quality of life.

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Reverse shoulder joint replacement in rheumatoid arthritis: medium-term results in 37 patients

Modern Rheumatology Journal ◽

10.14412/1996-7012-2018-3-89-93 ◽

2018 ◽

Vol 12 (3) ◽

pp. 89-93

Author(s):

M. A. Makarov ◽

A. A. Roskidailo ◽

M. V. Panteleev

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Functional Status ◽

Upper Limb ◽

Joint Replacement ◽

Shoulder Joint ◽

Joint Damage ◽

Dash Score ◽

The Mean

Objective:to assess functional results and quality of life in patients with rheumatoid arthritis (RA) after reverse shoulder joint replacement.Patients and methods.Examinations were made in 37 patients with RA involving the shoulder joint, who underwent shoulder joint replacement using a reverse DeltaX-tend DePuy prosthesis in 2006–2017. The investigators studied the volume of movements, the level of pain using the visual analogue scale, the function of the shoulder joint using the American Shoulder and Elbow Surgeons (ASES) Shoulder Score and the upper limb as a whole by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire, a patient's functional status by the Health Assessment Questionnaire (HAQ), quality of life (QL) by EQ-5D (Euro Quolish instrument) and analyzed shoulder X-ray films before and in the late periods after surgery.Results.The volume of shoulder joint movements was found to increase. At 28.7 months postsurgery, the mean volume of flexion, abduction, and external rotation was 107.4Ѓ}15.2, 128.3Ѓ}8.5, and 46.4Ѓ}5.5°; respectively (p≤0.05). The patients experienced no pain in the late periods following surgery. Prior to surgery and at control examination, the mean ASES scores were 25.0Ѓ}4.7 and 79.4Ѓ}6.4, respectively (p≤0.05). Before surgery, the mean DASH score was 63.8Ѓ}4.2; in the late periods it decreased to 18.2Ѓ}8.6 (p ≤ 0.05). The mean preoperative HAQ score was 2.81; following surgery, it also decreased to 1.39 (p≤0.05). The postoperative EQ-5D QOL index score increased from 0.41 to 0.72. The rate of complications reached 10.8%.Conclusion.Reverse endoprosthetic replacement for end-stage shoulder joint damage (Larsen 4–5) with rotator cuff defect makes it possible to increase the volume of movements, to reduce pain, and to improve upper limb function, functional status, and quality of life in patients with RA.

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AB0336 IMPACT OF SUBJECTIVE INTOLERANCE TO METHOTREXATE ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATOID ARTHRITIS: SIDE EFFECTS AND AVOIDANCE COPING STRATEGIES THROUGH SELF-ADMINISTRATION IN THE EVENING OR DURING THE WEEKEND

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.4242 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 1466.1-1467

Author(s):

G. Cavalli ◽

M. Biggioggero ◽

A. Cariddi ◽

G. De Luca ◽

E. Agape ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Side Effects ◽

Social Participation ◽

Disease Duration ◽

P Value ◽

Self Administration ◽

Cross Sectional ◽

The Impact

Background:Methotrexate (MTX) represents theanchor drugfor the treatment of rheumatoid arthritis (RA), as well as other rheumatological diseases such as psoriatic arthritis (PsA) and spondyloarthritides (SpA). Despite consolidated clinical efficacy, the use of MTX suffers from relevant limitations. Common issues include subjective intolerance, nausea, malaise, and fatigue, which negatively impact on quality of life and work/social participation.Objectives:In this study, we evaluated the frequency with which patients on MTX therapy opt for self-administration over the weekend or in the evening hours, in order to minimize interference with daily activities, work productivity, and social participation.Methods:A cross-sectional, prospective study was performed in two tertiary referral Rheumatology clinics, which included consecutive patients with RA, PsA, or SpA on MTX therapy. Enrolled patients had not previously received instructions by their healthcare provider as to when during the week or day MTX ought to be administered, and were free to choose or change the weekday and time for self-administration. Data on the route and timing of MTX self-administration was collected using dedicated questionnaires, which included queries on the dose and route of administration, day of the week and time of self-administration, reasons for the patient’s choice, use of folic acid supplementation, and concomitant therapies. Statistical analyses were conducted using a chi-square test; a p-value <0.05 was considered significant.Results:A total of 275 consecutive patients treated with MTX were included, mostly with RA (86%). Patients had an average age of 59.8 years (SD 14.0) and an average disease duration of 134.5 months (SD 127.3). The average MTX dose was 15 mg/wk (SD 4.4); MTX was administered subcutaneously in 68.2% of cases, orally in 17.8%, and intramuscularly in 5%. Regarding the timing of MTX self-administration, 157 patients (57.1%) took MTX in the evening and 119 patients (44.3%) took it during the weekend; even among patients taking MTX in the evening, weekend administration was preferred (93/157, 59.2%, p <0.001). The most frequent reasons leading to MTX self-administration during the evening or weekend were gastrointestinal side effects/nausea (85% of cases), fatigue (63%), interference with work activities (36%) and interference with social activities (29%). Patients who opted for MTX self-administration in the evening or over the weekend were significantly younger (p <0.001), with no significant gender differences or disease duration.Conclusion:The majority of patients with inflammatory arthritis opt for self-administration of MTX in the evening (absolute majority) or during the weekend (relative majority). This choice is dictated by the need to avoid side effects and detrimental repercussions on the individual’s social or working life. The adoption of these strategies for minimizing the adverse effects of MTX is more frequent among younger patients, and provides an indirect, yet powerful indicator of the impact of MTX therapy on patients’ quality of life.Disclosure of Interests:Giulio Cavalli Consultant of: SOBI, Pfizer, Sanofi, Novartis, Paid instructor for: SOBI, Novartis, Speakers bureau: SOBI, Novartis, Martina Biggioggero: None declared, adriana cariddi: None declared, Giacomo De Luca Speakers bureau: SOBI, Novartis, Celgene, Pfizer, MSD, Elena Agape: None declared, nicola boffini: None declared, Elena Baldissera Speakers bureau: Novartis, Pfizer, Roche, Alpha Sigma, Sanofi, Lorenzo Dagna: None declared, Ennio Giulio Favalli Consultant of: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie, Speakers bureau: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie

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Unmet Needs in the Treatment of RA in the Era of Jak-i: IDRA (Italian Delphi Rheumatoid Arthritis) Consensus

BioMed Research International ◽

10.1155/2018/3878953 ◽

2018 ◽

Vol 2018 ◽

pp. 1-10

Author(s):

R. Caporali ◽

A. Doria ◽

G. F. Ferraccioli ◽

P. L. Meroni ◽

D. Zavaglia ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Unmet Needs ◽

Therapeutic Option ◽

Adult Population ◽

Joint Damage ◽

Systemic Involvement ◽

Medical Needs ◽

Effective Therapeutic Option ◽

General Physical

Rheumatoid arthritis is the most common autoimmune arthritis in adult population. This disease is characterized by joint damage and systemic involvement that lead to general physical and mental impairment with consequent worsening of quality of life. Rheumatoid arthritis is also associated with a large economic burden to healthcare systems. The evidence from the literature indicates that, despite available treatments, several unmet needs still interfere with rheumatoid arthritis management. Based on this evidence, some of the unmet medical needs currently present in the management of the rheumatoid arthritis were identified and a Delphi questionnaire was submitted to 60 Italian Rheumatologists. The aim of this Delphi was to achieve a broad consensus on the most relevant unmet needs identified, in order to present the Italian reality in view of the availability of new molecules that could provide an effective therapeutic option in the treatment of patients with rheumatoid arthritis.

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The Correlation Value of DAS28 with Anti-CCP Titer on Rheumatoid Arthritis Patients in Cipto Mangunkusumo Hospital in 2012-2016

Indonesian Journal of Rheumatology ◽

10.37275/ijr.v10i2.139 ◽

2018 ◽

Vol 10 (2) ◽

Author(s):

Harry Isbagio ◽

Deka Yuli Fadillah

Keyword(s):

Rheumatoid Arthritis ◽

Immune System ◽

Disease Activity ◽

Research Design ◽

Joint Damage ◽

Cross Sectional

Background: Rheumatoid Arthritis (RA) is one of the diseases associated with the immune system which causes joint damage and effect to the quality of patient’s life. DAS28 CRP value describes RA disease activity. The anti-CCP titer is a very specific examination which provide an overview prognosis of RA patient’s illness. The research on the correlation of anti-CCP Titers with DAS28 CRP values has never been done in Indonesia. Therefore, this research aims to determine the correlation between anti-CCP Titer and DAS28 CRP value in RA patient in Cipto Mangunkusumo hospital with DAS28 CRP value in RSCM. Method: The research design is cross-sectional with the sample amounted to 34. anti-CCP and DAS28 CRP were obtained through patient’s medical records.Result The result of this correlationstudy is (p = 0,582) and r = 0,086. Conclusion: In conclusion, there is no correlation between anti-CCP and DAS28 in Cipto Mangunkusumo hospital. Keywords: Anti-CCP; DAS28 CRP; Rheumatoid Arthritis

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HUBUNGAN ANTARA STRES EMOSI DENGAN KUALITAS TIDUR LANSIA

Jurnal Keperawatan Jiwa ◽

10.26714/jkj.5.2.2017.68-71 ◽

2019 ◽

Vol 5 (2) ◽

pp. 68

Author(s):

Dahroni Dahroni ◽

Triana Arisdiani ◽

Yuni Puji Widiastuti

Keyword(s):

Sleep Quality ◽

Emotional Stress ◽

The Elderly ◽

Correlation Study ◽

P Value ◽

Service Center ◽

Cross Sectional ◽

Psychological Conditions ◽

The Relationship

Lanjut usia adalah seseorang yang telah mencapai usia lebih dari 60 tahun dan megalami beberapa perubahan fungsi fisiologis yang akan berdampak pada kondisi fisik maupun psikologis diantara stres emosi. Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan antara stres emosi dengan kualitas tidur pada lansia di Balai pelayanan sosial lansia. Metode : Penelitian ini merupakan study deskriptif korelasi dengan pendekatan cross sectional. Jumlah sampel sebanyak 74 orang. Hasil : ada hubungan yang signifikan antara stres emosi dengan kualitas tidur lansia dengan nilai p value 0,003 (P<0,05). Diskusi : Penelitian ini diharapkan dapat digunakan sebagai referensi untuk mengembangkan penelitian yang serupa, sehingga dapat meningkatkan kualitas hidup lanjut usia. Kata Kunci: Stres emosi, kualitas tidur, lansia RELATIONSHIP BETWEEN EMOTIONAL STRESS AND SLEEP QUALITY ABSTRACTAdvanced age is someone who has reached the age of more than 60 years and has several changes in physiological functions that will have an impact on the physical and psychological conditions between emotional stress. This research aims to determine the relationship between emotional stress and sleep quality in the elderly in the elderly social service center. This research is a descriptive correlation study with a cross sectional approach. The number of samples is 74 people. The result of the research was significant correlation between emotional stress and elderly sleep quality with a p value of 0.003 (P <0.05) The research is expected to be able to develop similar research so that it can improve the quality of life of elderly. Keywords: Emotional stress, sleep quality, elderly

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The relevance of ultrasound examination of the foot and ankle in patients with rheumatoid arthritis – a review of the literature

Medical Ultrasonography ◽

10.11152/mu-1967 ◽

2019 ◽

Vol 21 (2) ◽

pp. 175 ◽

Cited By ~ 2

Author(s):

Oana Șerban ◽

Maria Bădărînză ◽

Daniela Fodor

Keyword(s):

Rheumatoid Arthritis ◽

Ultrasound Examination ◽

Joint Damage ◽

The Other ◽

Foot And Ankle ◽

Review Of The Literature ◽

The Us ◽

Ankle And Foot

Rheumatoid arthritis (RA) is an inflammatory disease characterized by symmetrical involvement of the joints and tendons, especially of the hands and wrists, but also of the feet and ankles from the very beginning of the disease. For the patient, the foot and ankle involvement is equally important as the other joints, since it affects the functionality of the feet and the quality of life of the patients. It is already known that subclinical involvement of the ankles and feet occurs even in patients that are considered in clinical remission, thus they do not need for changes of therapy, but still might benefit from it. In spite of this, theclinicians do not give enough care to the ankle and foot in RA patients, especially if asymptomatic, resulting future deformities, joint damage and feet disability. In order to show the importance of the feet and ankles in RA patients and to demonstrate the indispensable role of ultrasonography (US) for that purpose, at the same time displaying the US abnormalities that should draw our attention, we performed this review of the literature.

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HUBUNGAN SELF MANAGEMENT DENGAN KUALITAS HIDUP PASIEN RHEUMATOID ARTHRITIS DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2021

JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) ◽

10.35451/jkf.v4i1.811 ◽

2021 ◽

Vol 4 (1) ◽

pp. 28-33

Author(s):

Anita Gandaria Purba ◽

Kuat Sitepu ◽

Arfah May Sara ◽

Jesiska Yolanda Sirait ◽

Nur Hamida Pohan

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Research Method ◽

Quantitative Research ◽

Design Research ◽

Self Management ◽

P Value ◽

Chi Square ◽

Cross Sectional

Rheumatoid arthritis is a autoimmune that causes a long period of inflammation in the joints. This might cause a deprcrease in the quality of life of a person resulting in limited activity and depression. The purpose of this study was to determine the relationship between self management and the quality of life of patients with rheumatoid arthritis . the research method uses quantitative research by using descriptive correlation research methods. Then this research uses a Cross sectional approach design research method and correlation design with a sampling total sampling, and the number of sample in this study was 25 respondents. The measuring instrument used in this research in a questionnaire. Data analysis was carried out using the chi-square tets, the result of this study showed that 18 people (51%) had a good self management and 17 people (49%) had a good quality of life. This show that there is a relationship between self managemnet and quality of life of rheumatoid arthritis patient at Grandmed Lubuk Pakam hospital in 2021 with the result of the chi-square test (p Value 0,001). Therefore, it is hoped that patients will be able to further improve self management so that the quality of life is getting better.

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