Coronavirus News Center. Original Research. J Fam Pract. By Gail D. Deyle, PT, DSc. Author and Disclosure Information Gail D. Sam Houston, Tex [email protected] Norman W. Sam Houston, Tex Stephen C. Sam Houston, Tex Benjamin R. Sam Houston, Tex Duneley A. Sam Houston, Tex The authors reported no potential conflict of interest relevant to this article. PDF Download. Pages 1 2 3 4 last ». Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project.
J Rheumatol ; Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization.
The incidence and natural history of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Health care in America: trends in utilization. Arthritis and related conditions. In: The burden of musculoskeletal diseases in the United States: prevalence, societal and economic cost. Health care utilization and economic cost of musculoskeletal diseases.
Imboden JB. Approach to the patient with arthritis. American Academy of Orthopaedic Surgeons. Treatment of osteoarthritis of the knee non-arthroplasty. National Collaborating Centre for Chronic Conditions. Osteoarthritis: national clinical guideline for care and management in adults. London: Royal College of Physicians; Osteoarthritis Cartilage ; Ann Rheum Dis ; Comparison of general internists, family physicians, and rheumatologists managing patients with symptoms of osteoarthritis of the knee.
Arthritis Care Res ; Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercises and manual therapy in the management of osteoarthritis. Phys Ther ; American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of osteoarthritis OA of the knee. J Bone Joint Surg Am ; Therapeutic ultrasound for osteoarthritis of the knee or hip.
Transcutaneous electrostimulation for osteoarthritis of the knee. Fransen M, McConnell S. Exercise for osteoarthritis of the knee. OARSI recommendations for the management of hip and knee osteoarthritis: Part III: changes in evidence following systematic cumulative update of research published through January The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee.
Dtsch Arztebl Int ; Felson DT. Clinical practice. Osteoarthritis of the knee. N Engl J Med ; Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis.
Braces and orthoses for treating osteoarthritis of the knee. Cochrane Database Syst Rev ; 1 Thermotherapy for treatment of osteoarthritis. Code of Federal Regulations. Title 21—Food and Drugs. Subchapter H—Medical Devices. Part —Physical Medicine Devices.
Last Updated April 1, Accessed February 21, J Clin Epidemiol ; Helfand M, Balshem H. Am J Prev Med ;20 3 Suppl Selecting observational studies for comparing medical interventions. In: Agency for Healthcare Research and Quality. Methods guide for comparative effectiveness reviews; Posted June Cochrane handbook for systematic reviews of interventions. London: Cochrane Collaboration; American Physical Therapy Association.
Impaired joint mobility, motor function, muscle performance, and range of motion associated with localized inflammation. In: Guide to physical therapist practice. Using existing systematic reviews to replace de novo processes in conducting comparative effectiveness reviews.
Methods guide for comparative effectiveness reviews; Posted September Accessed Feburary 21, Agency for Healthcare Research and Quality. Methods guide for medical test reviews. Draft Posted November Accessed Febraury 21, Adjustment of meta-analyses on the basis of quality scores should be abandoned. Aschengrau A, Seage GR. Essentials of epidemiology in public health. Meta-Analyst: software for meta-analysis of binary, continuous and diagnostic data.
Systematic reviews in health care. Viechtbauer W. Confidence intervals for the amount of heterogeneity in meta-analysis. Stat Med ; Assessing the amount of heterogeneity in random-effects meta-analysis. Biom J ; DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials ; Ebrahim S. The use of numbers needed to treat derived from systematic reviews and meta-analysis.
Caveats and pitfalls. Eval Health Prof ; In addition, for Comparative Effectiveness reviews, the key questions were posted for public comment and finalized by the EPC after review of the comments. Key Informants Key Informants are the end users of research, including patients and caregivers, practicing clinicians, relevant professional and consumer organizations, purchasers of health care, and others with experience in making health care decisions.
Within the EPC program, the Key Informant role is to provide input into identifying the Key Questions for research that will inform healthcare decisions. The EPC solicits input from Key Informants when developing questions for systematic review or when identifying high priority research gaps and needed new research. Key Informants are not involved in analyzing the evidence or writing the report and have not reviewed the report, except as given the opportunity to do so through the peer or public review mechanism.
Because of their role as end-users, individuals are invited to serve as Key Informants and those who present with potential conflicts may be retained. Technical Experts Technical Experts comprise a multidisciplinary group of clinical, content, and methodologic experts who provide input in defining populations, interventions, comparisons, or outcomes as well as identifying particular studies or databases to search. They are selected to provide broad expertise and perspectives specific to the topic under development.
Divergent and conflicted opinions are common and perceived as health scientific discourse that results in a thoughtful, relevant systematic review. Technical Experts provide information to the EPC to identify literature search strategies and recommend approaches to specific issues as requested by the EPC. An interval regime — alternating fast and slow periods of exercise — gives you the benefits of a cardiovascular workout and increases blood flow to muscles, making them stronger.
Two psychological factors can make OA pain worse, according to a scientific review published in Rheumatic Disease Clinics : lack of self-efficacy and catastrophizing. People with a greater sense of control manage pain better. In contrast, people who tend to focus on, and ruminate about, their pain catastrophizing experience higher levels of pain, emotional distress, and physical disability.
Therefore, learning coping skills increases feelings of self-efficacy and can improve pain management. Multiple joint symptoms are common among people with osteoarthritis.
For example, foot pain often occurs in people who have OA in their knee. In fact, one-quarter of people who have symptomatic knee OA report pain in one foot , and 55 percent report pain in both feet, according to a July study in Arthritis Care and Research. This pain from compensation can affect other areas of the body as well. You have to address the primary problem, the cause of compensation — the bad back, for instance, and the result of compensation — hip pain.
Chronic dehydration can be a problem for people with osteoarthritis, says Dr. Goldstein, especially in hot summer months. Joint cartilage is mostly water, so you need to stay hydrated for joints and muscles to work properly.
0コメント