Rheumatoid Arthritis

2019 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Nurul Kusuma Wardani ◽  
Reni Hendrarati Masduchi
Keyword(s):  
Rheumatoid Arthritis ◽  
Range Of Motion ◽  
Middle Finger ◽  
The United States ◽  
Rehabilitation Program ◽  
Inflammatory Disorder ◽  
Joint Range Of Motion ◽  
Joint Protection ◽  
Joint Range

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disorder that primarily affects small peripheral joints.  The average annual incidence of RA in the United States is 0.5 per 1000 persons per year. Female : male ratio of 3:1. Onset of the disease can occur at age ranging 20–60 years old. The precise cause of RA is unknown.Major theories mention it’s caused by environmental factors, genetic predisposition or immunogenic.Diagnosis of RA include morning stiffness at least one hour before maximal improvement, arthritis of three or more joints, arthritis of the hand joints, symmetric arthritis, rheumatoid nodules, positive serum rheumatoid factor and radiographic changes (hand and wrist). Rheumatoid arthritis is defined by the presence of four or more criteria and criteria 1 through 4 must be present for at least six weeks.A 44 year-old woman with pain and stiffness in her hand on and off since 10 years ago. She had difficulty doing her daily living activities (ADL) such as taking a bath and vocational activities such as cooking and washing clothes. On examination there were range of motion (ROM) limitation of the elbow, wrist and fingers, boutonnière deformity on left middle finger and right little finger. On X-ray examination we found erosion on finger joints.The rehabilitation program given were ROM exercises, gentle stretching exercises, finger splint and ADL modifications. We advised her to take the rheumatoid medication regularly (meloxicam, methylprednisolon and chloroquin), do exercises, wear the splint, and do the joint protection program. The goals of treatment were pain relief, maintenance of joint range of motion and mobility, further deformity prevent with joint motion modification therefore improving the quality of life.

scholarly journals Rheumatoid Arthritis

2019 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Nurul Kusuma Wardani ◽  
Reni Hendrarati Masduchi
Keyword(s):  
Rheumatoid Arthritis ◽  
Range Of Motion ◽  
Middle Finger ◽  
The United States ◽  
Rehabilitation Program ◽  
Inflammatory Disorder ◽  
Joint Range Of Motion ◽  
Joint Protection ◽  
Joint Range

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disorder that primarily affects small peripheral joints.  The average annual incidence of RA in the United States is 0.5 per 1000 persons per year. Female : male ratio of 3:1. Onset of the disease can occur at age ranging 20–60 years old. The precise cause of RA is unknown.Major theories mention it’s caused by environmental factors, genetic predisposition or immunogenic.Diagnosis of RA include morning stiffness at least one hour before maximal improvement, arthritis of three or more joints, arthritis of the hand joints, symmetric arthritis, rheumatoid nodules, positive serum rheumatoid factor and radiographic changes (hand and wrist). Rheumatoid arthritis is defined by the presence of four or more criteria and criteria 1 through 4 must be present for at least six weeks.A 44 year-old woman with pain and stiffness in her hand on and off since 10 years ago. She had difficulty doing her daily living activities (ADL) such as taking a bath and vocational activities such as cooking and washing clothes. On examination there were range of motion (ROM) limitation of the elbow, wrist and fingers, boutonnière deformity on left middle finger and right little finger. On X-ray examination we found erosion on finger joints.The rehabilitation program given were ROM exercises, gentle stretching exercises, finger splint and ADL modifications. We advised her to take the rheumatoid medication regularly (meloxicam, methylprednisolon and chloroquin), do exercises, wear the splint, and do the joint protection program. The goals of treatment were pain relief, maintenance of joint range of motion and mobility, further deformity prevent with joint motion modification therefore improving the quality of life.

A comparison of the effects of joint immobilisation, twice-daily passive motion, and voluntary motion on articular cartilage healing in sheep

2002 ◽  
Vol 15 (01) ◽  
pp. 23-29 ◽  
Author(s):  
K. Frame ◽  
H. M. Burbidge ◽  
K. Thompson ◽  
E. C. Firth ◽  
W. J. Bruce
Keyword(s):  
Articular Cartilage ◽  
Range Of Motion ◽  
Cartilage Repair ◽  
Articular Cartilage Repair ◽  
Cartilage Healing ◽  
Joint Range Of Motion ◽  
Cell Counts ◽  
Voluntary Motion ◽  
Joint Range

SummaryIn this study, articulated transarticular external skeletal fixators were used to examine the effects of joint immobilisation, twice-daily passive range-of-motion exercises, and voluntary motion on articular cartilage healing and other joint parameters. Abaxial articular cartilage lesions demonstrated superior cartilage healing to axial lesions. Twice-daily passive range of motion exercises failed to improve the quality of articular cartilage repair when compared with joint immobilisation. Voluntary motion resulted in superior articular cartilage repair tissue with maintenance of near normal cartilage architecture, proteoglycan staining, synovial fluid cell counts and specific gravity, and joint range-of-motion.

scholarly journals Impact of local cryogymnastic on functional efficiency, quality of life and pain perception among patients with gonarthrosis

2012 ◽  
Vol 26 (3) ◽  
pp. 27-33
Author(s):  
Teresa Pop ◽  
Bartłomiej Skrzypek ◽  
Katarzyna Pop ◽  
Wojciech Rusek
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Safe Procedure ◽  
Common Cause ◽  
Joint Range Of Motion ◽  
Functional Efficiency ◽  
Local Cryotherapy ◽  
Joint Range

Abstract Introduction: Gonarthrosis is the most common disease of peripheral joints. Among population of developing countries, it concerns about 70% of people over 65 year of age. Because its chronic, progressive and irreversible nature it is one of the most common cause of work incapacity. It is also a common cause of disability in people in six decade of life. Objective: The aim of this study was to evaluate the effect of cryogymnastic on quality of life and functional efficiency of patients with knee osteoarthritis. Material and methods: The study consisted of group of 50 people diagnosed with osteoarthritis of the knee (gonarthrosis). Patients were tested twice. First examination was conducted before the start of therapy, a second examination was conducted after 10 treatments cryotherapy. To evaluate the results of cryogymnastic we used goniometric measurement, WOMAC questionnaire and functional test Up & Go. Results: We found that applied local cryotherapy and exercise in studied group had been effective in increasing joint range of motion, improving quality of life and patients’ functional efficiency. Conclusions: 1. Our treatment for patients with knee arthritis after local cryotherapy and exercises improved significantly joint range of motion, quality of life and functional efficiency. 2. Local cryotherapy is a safe procedure and well tolerated by patients with knee osteoarthritis.

scholarly journals Effect of joint range of motion on health-related quality of life in children with hemophilia

2019 ◽  
Vol 46 (4) ◽  
pp. 237
Author(s):  
NermeenAhmed Foaud ◽  
ManalAnwar El Hawary ◽  
HanaaHassan EL Dash ◽  
MonaHussien Mohamed
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Health Related Quality ◽  
Joint Range Of Motion ◽  
Related Quality ◽  
Health Related ◽  
Joint Range

scholarly journals Changes and Associations between Cervical Range of Motion, Pain, Temporomandibular Joint Range of Motion and Quality of Life in Individuals with Migraine Applying Physiotherapy: A Pilot Study

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 630
Author(s):  
Egle Lendraitiene ◽  
Laura Smilgiene ◽  
Daiva Petruseviciene ◽  
Raimondas Savickas
Keyword(s):  
Quality Of Life ◽  
Aerobic Exercise ◽  
Range Of Motion ◽  
Temporomandibular Joint ◽  
Activity Limitation ◽  
Upper Trapezius ◽  
Joint Range Of Motion ◽  
Pressure Pain Thresholds ◽  
Joint Range

Background and Objectives: The aim of this study was to assess the effects of physiotherapy with aerobic exercise together with temporomandibular joint range of motion exercises (supervised) and physiotherapy with aerobic exercise only (unsupervised), also to review the correlations between neck movements, pain, temporomandibular joint range of motion movements and quality of life in individuals with migraine. Methods: The flexion, extension and lateral flexion of the cervical spine were measured in degrees with a mechanical goniometer and pressure pain thresholds with algometer. Quality of life was assessed with the SF-36 questionnaire and temporomandibular joint range of motion with a centimeter. Results: The study showed statistically significant cervical flexion results in both groups (p < 0.05), masticatory muscle results and temporomandibular joint range of motion between the groups (p < 0.05). A correlation between left upper trapezius muscle pain and cervical lateral flexion was observed in the intervention group. Physical activity correlated with cervical extension, activity limitation due to physical ailments and general health. A correlation between temporomandibular joint and right-side masticatory muscles pain was found. A correlation between upper trapezius muscle pain and left- as well as right-side temporalis muscles were found in the control group. Strong correlations were found between pain and activity limitation due to physical ailments and emotional state. The temporomandibular joint range of motion strongly correlated with activity limitation due to physical ailments. Conclusions: Physiotherapy based on aerobic exercises together with temporomandibular joint exercises was more effective than physiotherapy based on aerobic exercise for decreasing pain, increasing pressure pain thresholds and cervical range of motion.

Veno-active drugs for chronic venous disease: A randomized, double-blind, placebo-controlled parallel-design trial

2013 ◽  
Vol 29 (7) ◽  
pp. 454-460 ◽  
Author(s):  
Sergio Q Belczak ◽  
Igor R Sincos ◽  
Walter Campos ◽  
Julio Beserra ◽  
Gilberto Nering ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Symptom Relief ◽  
Chronic Venous Disease ◽  
Pharmacological Intervention ◽  
Venous Disease ◽  
Joint Range Of Motion ◽  
Patient Reported ◽  
Joint Range

Introduction: Our current understanding of the pathophysiology of chronic venous disease (CVD) suggests that veno-active drugs (VAD) can provide effective symptom relief. Few studies have conducted head-to-head comparisons of VAD and placebo while also assessing objective measures (such as water plethysmography findings and tibiotarsal joint range of motion) and patient-reported quality of life outcomes. Objectives: To compare the effects of different VAD on limb volume reduction, tibiotarsal range of motion, and quality of life. Methods: 136 patients with CVD (CEAP grades 2–5) were randomly allocated into four groups to receive micronized diosmin + hesperidin, aminaphthone, coumarin + troxerutin, or placebo (starch). Patients were administered a questionnaire consisting of a quality of life (QoL) measure designed specifically for persons with CVD, and underwent tibiotarsal joint angle measurement and water plethysmography of the lower extremity before and 30 days after pharmacological intervention. Assessors were blind to the treatment groups. Results: Nine patients dropped out of the trial. Data collected from the 127 remaining patients was considered for statistical analysis. There were no differences in tibiotarsal joint range of motion. Volume reductions ≥100 mL were more frequent in the diosmin + hesperidin group than in any other group. QoL scores were best in the aminaphthone group, and between-group differences were found on individual analysis of questionnaire items. Conclusions: Use of VAD was associated with significant improvements in QoL as compared with placebo. VAD may be effective for providing symptom relief in patients with CVD.

scholarly journals The effect of drug treatment on functional outcomes of hip and knee joint replacement in patients with rheumatoid arthritis

2021 ◽  
Vol 23 (1) ◽  
pp. 83-89
Author(s):  
S. I. Herasymenko ◽  
А. S. Herasymenko ◽  
I. V. Huzhevskyi ◽  
M. V. Poluliakh ◽  
A. M. Babko
Keyword(s):  
Rheumatoid Arthritis ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Therapy Group ◽  
Antirheumatic Therapy ◽  
Basic Therapy ◽  
Joint Range Of Motion ◽  
Hip And Knee Arthroplasty ◽  
Joint Range

Aim – to determine the effect of drug antirheumatic therapy on the functional outcomes of hip and knee arthroplasty in patients with rheumatoid arthritis. Materials and methods. The results of 160 operations of total hip arthroplasty and 148 operations of total arthroplasty of knee joints in patients with rheumatoid joint lesions were analyzed using mathematical methods of statistical processing. Patients were divided into 4 groups: Group I – without anti-inflammatory therapy, Group II – received hormone therapy, Group III – basic therapy and Group IV – received both the basic and hormonal therapy at the time of surgery. Results. The obtained results indicated a moderate correlation between therapy and the joint range of motion of the lower extremities using basic therapy and combined nonsteroidal, hormonal and basic therapy, and the range of motion differed significantly in combination therapy from hormonal alone. The highest scores of the J. Joseph, E. E. Kaufman rating scale were observed in combination therapy with NSAIDs, hormonal and basic therapy; the lower scores – in hormonal and NSAIDs combination; and the lowest ones – in the combination of basic therapy with NSAIDs. The greatest increase in the knee joint range of motion was observed in the patients who received hormonal drugs or basic therapy compared to the patients who did not take any one or received both of these medicines in combination. Almost the same effect of antirheumatic therapy on the results of both hip and knee arthroplasty was determined with an upward trend in percentage of good and excellent results in males regardless of the lesion location and the most optimal ratio between satisfactory-unsatisfactory and good-excellent results in the patients under 40 years of age. Conclusions. The studies conducted allow to consider the combined drug therapy as a factor of weak and moderate influence on the functional outcomes of hip and knee arthroplasty in the late stages of rheumatoid arthritis and suggest that antirheumatic drug therapy should not be discontinued in the perioperative period.

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