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Latest & greatest articles for osteoarthritis
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on osteoarthritis or other clinical topics then use Trip today.
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function was evaluated in patients with osteoarthritis (OA).Using a randomized study design, 48 sedentary middle-aged and older adults with OA underwent 3 months of either swimming or cycling exercise training. Supervised exercise training was performed for 45 min/day, 3 days/week at 60-70% heart rate reserve for 12 weeks. The Western Ontario and McMaster Universities Arthritis Index was used to measure joint pain, stiffness, and physical limitation.After the exercise interventions, there were (...) Improved Function and Reduced Pain after Swimming and Cycling Training in Patients with OsteoarthritisArthritis and its associated joint pain act as significant barriers for adults attempting to perform land-based physical activity. Swimming can be an ideal form of exercise for patients with arthritis. Yet there is no information on the efficacy of regular swimming exercise involving patients with arthritis. The effect of a swimming exercise intervention on joint pain, stiffness, and physical
of the skeleton of multifactorial cause that is characterized by reduced bone mass and deterioration of the anatomical and structural integrity of the bones, leading to increased bone fragility and susceptibility to fracture. The group most affected by OP are older women whose decreased estrogen production after menopause accelerates bone loss. Among jointdiseases, osteoarthritis (OA) is the most prevalent and evolves slowly over decades, manifesting itself in episodes of pain and culminating in the loss (...) of minerals and quality of collagen in the organic matrix. OA is a degenerativejointdisease characterized mainly by a slow and gradual destruction of cartilage with a narrowing of joint space, osteophyte formation and bone sclerosis synovitis , and its exact cause is still unknown. It usually affects middle-aged adults and although it is one of the main causes of chronic disability, conventional therapeutic treatments are still limited, as their results are minimal, and prolonged use of these drugs can
Joint sparing treatments in early ankle osteoarthritis: current procedures and future perspectives Ankle osteoarthritis (AOA) is a severe pathology, mostly affecting a post-traumatic young population. Arthroscopic debridement, arthrodiastasis, osteotomy are the current joint sparing procedures, but, in the available studies, controversial results were achieved, with better outcomes in case of limited degeneration. Only osteotomy in case of malalignment is universally accepted as a joint sparing (...) procedure in case of partial AOA. Recently, the biological mechanism of osteoarthritis has been intensively studied: it is a whole joint pathology, affecting cartilage, bone and synovial membrane. In particular, the first stage is characterized by a reversible catabolic activity with a state of chondropenia. Thus, biological procedures for early AOA were proposed in order to delay or to avoid end stage procedures. Mesenchymal stem cells (MSCs) may be a good solution to prevent or reverse degeneration
of included study First Author, year and type of study Population and setting Intervention or exposure tested Study results Assessment of quality and comments Sibbitt RCT 2009 Undertaken in Finland, 148 subjects 100 had Rheumatoid arthritis (RA) 48 Osteoarthritis (OA) 95% large joints 5% small joints (n=7 patients) Randomised into 2 groups 1.Injection with palpation 2. Ultrasound guided needle placement Outcome = Visual analogue scale. Taken at baseline, during procedure and after 2 weeks Palpation guided (...) Is a clinically guided steroid injection as effective in terms of pain relief and improved function as an ultrasound guided injection for patient with first CMC jointosteoarthritis (OA) Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: September 2016 CAT Lead: Kay Stevenson and Kirsty Thomson Date CAT completed: Email: firstname.lastname@example.org Date CAT to be reviewed: September 2018 Specific Question: Is a clinically guided steroid
In adult patients immediately post primary total knee replacement (TKR) for osteoarthritis (OA) is group therapy more clinically effective than an individual programme for pain and function? Musculoskeletal Research Facilitation Group (Cat Group) Critically appraised topic and clinical bottom line Date: April 2016 CAT Lead: Mark Buckley Date CAT completed: April 2016 Email: email@example.com Date CAT to be reviewed: April 2018 Specific Question: In adult patients immediately post primary (...) total knee replacement (TKR) for osteoarthritis (OA) is group therapy more clinically effective than an individual programme for pain and function? Clinical bottom line After TKR, group rehabilitation is not more effective than individual rehabilitation. Individual rehabilitation appears similarly effective if undertaken as a package of 2 initial individual face-to-face treatment sessions followed by telephone support for a home exercise programme or as a package of 12 individual treatment sessions
is limited by adverse effects such as increased cardiovascular events, gastrointestinal (GI) perforation, ulceration, and bleeding, and renal impairment. The risks of these complications increase with age, drug-drug and drug-disease interactions, and probably duration of use. These risks are especially important concerning the typically older population affected by osteoarthritis (OA) who often have comorbidities and take multiple medications. Alternative therapies to reduce these risks are limited. All (...) and Quality (AHRQ); 2016 Jun. [cited YYYY Mon DD]. Available: http://www.guideline.gov. A direct comparison of recommendations presented in the above guidelines for nonsurgical management of osteoarthritis (OA) of the knee is provided. The AAOS guideline provides recommendations for surgical interventions that are less invasive than knee replacement, which are beyond the scope of this synthesis. The VA/DoD guideline addresses OA of the hip, which is also beyond the scope of this synthesis (recommendations
Media Releases 2013 Media Releases 2012 Media Releases Search Knee taping for osteoarthritis Knee taping for osteoarthritis Introduction Knee osteoarthritis is the most common cause of knee pain in people older than 50. Intervention Application of strong, adhesive tape or strapping aiming to unload painful soft tissues. Indication Chronic pain related to knee osteoarthritis (OA). Malalignment of the patella, with abnormal distribution of force on the lateral facet, is thought to contribute to pain (...) in knee osteoarthritis. Taping increases patellofemoral contact area, decreasing joint stress and thereby reducing pain. Taping is a very effective pain-relieving strategy and can assist participation in other strongly recommended therapies for knee osteoarthritis, such as cardiovascular and resistance land-based and aquatic exercises. Precautions A physiotherapist experienced in assessment and taping techniques should show the patient how to apply the tape: Precise placement of tape is needed
Releases 2016 Media Releases 2015 Media Releases 2014 Media Releases 2013 Media Releases 2012 Media Releases Search Splints for the reduction of pain from hand osteoarthritis Splints for the reduction of pain from hand osteoarthritis Introduction Hand OA mainly affects women and often starts around the time of menopause. Intervention Prefabricated or custom-made splints. Indication Patients with mild to moderate pain from OA of the first carpometacarpal joint (CMC-1) at the base of the thumb. Other (...) hand joints commonly affected by OA are the distal interphalangeal joints and the proximal interphalangeal joints; however, the majority of evidence relates to splints for OA at the base of the thumb. Availability Neoprene prefabricated splints are available from pharmacies, sports stores, mobility equipment centres and online. Neoprene hand splints are priced from around $50. Custom-made splints, usually constructed from thermoplastic material, can be fabricated by hand therapists (occupational
Media Releases 2013 Media Releases 2012 Media Releases Search Walking cane for knee osteoarthritis Walking cane for knee osteoarthritis Introduction Use of a cane is one of a number of non-drug treatments for knee osteoarthritis; which include weight reduction, exercise and taping. Intervention Daily use of a walking cane or stick to decrease the load transmitted through the affected knee(s) and improve pain and function. Indication People with knee osteoarthritis (OA) who have pain and difficulty (...) Walking cane: knee osteoarthritis RACGP - Walking cane for knee osteoarthritis Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship International
Exercise for knee osteoarthritis RACGP - Handbook of Non-Drug Interventions (HANDI) Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship International
The Incremental Effects of Manual Therapy or Booster Sessions in Addition to Exercise Therapy for Knee Osteoarthritis: A Randomized Clinical Trial A factorial randomized controlled trial.To investigate the addition of manual therapy to exercise therapy for the reduction of pain and increase of physical function in people with knee osteoarthritis (OA), and whether "booster sessions" compared to consecutive sessions may improve outcomes.The benefits of providing manual therapy in addition (...) to exercise therapy, or of distributing treatment sessions over time using periodic booster sessions, in people with knee OA are not well established.All participants had knee OA and were provided 12 sessions of multimodal exercise therapy supervised by a physical therapist. Participants were randomly allocated to 1 of 4 groups: exercise therapy in consecutive sessions, exercise therapy distributed over a year using booster sessions, exercise therapy plus manual therapy without booster sessions
A Combined Patient and Provider Intervention for Management of Osteoarthritis in Veterans: A Randomized Clinical Trial. Management of osteoarthritis requires both medical and behavioral strategies, but some recommended therapies are underused.To examine the effectiveness of a combined patient and provider intervention for improving osteoarthritis outcomes.Cluster randomized clinical trial with assignment to osteoarthritis intervention and usual care groups. (ClinicalTrials.gov: NCT01130740 (...) ).Department of Veterans Affairs Medical Center in Durham, North Carolina.30 providers (clusters) and 300 outpatients with symptomatic hip or knee osteoarthritis.The telephone-based patient intervention focused on weight management, physical activity, and cognitive behavioral pain management. The provider intervention involved delivery of patient-specific osteoarthritis treatment recommendations to primary care providers through the electronic medical record.The primary outcome was total score
of the hip joint, participants reported whether they had hip pain on most days and the location of the pain: anterior, groin, lateral, buttocks, or low back. In the Framingham study, participants with hip pain were also examined for hip pain with internal rotation. The authors analysed the agreement between radiographic hip osteoarthritis and hip pain, and for those with hip pain suggestive of hip osteoarthritis they calculated the sensitivity, specificity, positive predictive value, and negative (...) Association of hip pain with radiographic evidence of hip osteoarthritis: diagnostic test study. Is there concordance between hip pain and radiographic hip osteoarthritis?In this diagnostic test study, pelvic radiographs were assessed for hip osteoarthritis in two cohorts: the Framingham Osteoarthritis Study (community of Framingham, Massachusetts) and the Osteoarthritis Initiative (a multicenter longitudinal cohort study of osteoarthritis in the United States). Using visual representation
for Clinical Effectiveness and Health Policy (IECS). Informe de Respuesta Rapida No. 438. 2015 Authors' objectives To assess the available evidence on the efficacy, safety and coverage policy related aspects regarding the use of intra-articular hyaluronic acid (viscosupplementation) in patients with osteoarthritis. Osteoarthritis (OA) or ostearthrosis is a frequent jointdisease characterized by joint degeneration induced by the interaction of several factors. It is estimated that 1.5 million individuals (...) in time. Hyaluronic acid (HA) is a biological polysaccharide which distributes in the connective tissue. In an arthrosic joint, its synovial concentration is decreased; intra-articular HA treatment is known as viscosupplementation. Authors' conclusions The evidence found on the use of hyaluronic acid in knee osteoarthritis is of low quality; it did not show to be better than intra-articular corticoids or diclofenac. Evidence of low quality has not reported benefits in patients with hip, shoulder
More than just ticking a boxâ€¦how patient and public involvement improved the research design and funding application for a project to evaluate a cycling intervention for hip osteoarthritis Involving patients and the public in research helps to ensure that research remains relevant, and has an impact on the people it aims to benefit. Funding bodies now require patients and the public to be involved at all stages of research. Patients and members of the public were involved from the outset (...) in research into a cycling and education programme for hip osteoarthritis. A group discussion took place with six participants from a trial of the programme. The group provided feedback on several areas including the relevance of the research, how the researchers proposed to recruit patients, the research design, the programme itself (including what they liked/didn't like about it), and how the researchers could publicise the research findings. The feedback received was invaluable, and helped shape
Effectiveness of Triamcinolone Hexacetonide Intraarticular Injection in Interphalangeal Joints: A 12-week Randomized Controlled Trial in Patients with Hand Osteoarthritis To evaluate the effectiveness and tolerance of intraarticular injection (IAI) of triamcinolone hexacetonide (TH) for the treatment of osteoarthritis (OA) of hand interphalangeal (IP) joints.Sixty patients who underwent IAI at the most symptomatic IP joint were randomly assigned to receive TH/lidocaine (LD; n = 30) with TH 20 (...) adverse effects were observed.The IAI with TH/LD has been shown to be more effective than the IAI with LD for pain on movement and joint swelling in patients with OA of the IP joints. Regarding pain at rest, there was no difference between groups.ClinicalTrials.gov (NCT02102620).
with osteoarthritis", Journal of the Korean Gerontological Society, 221(2), pp. 211-222, 2011. H. J. Oh, "Investigation on factors influencing the quality of life of arthritis patients", The Journal of Korean Academic Society of Adult Nursing, 12(3), pp. 431-451, 2000. im, S. O. Choi, S. N., Kim, S. O. Bae, "Effects of tai-chi exercise on ability of lower extremities exercise and mood status in elderly women with osteoarthritis", Journal of the Korean Society of Maternal and Child Health, 9(2), pp. 167-178, 2005 (...) exercise for osteoarthritis of the knee? a systematic review", Annals of the Rheumatic Disease, 64, pp. 544-548, 2005. Esser, A. Bailey, "Effects of exercise and physical activity on knee osteoarthritis", Current Pain and Headache Reports, 15(6), pp. 423-430, 2011. DOI: http://dx.doi.org/10.1007/s11916-011-0225-z D. J. Hunter, F. Eckstein, "Exercise and osteoarthritis", Journal of Anatomy, 214, pp. 197-207, 2009. DOI: http://dx.doi.org/10.1111%2Fj.1469-7580.2008.01013.x H. S. Gang, "Factors influencing