Arthritis care & research
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Arthritis care & research · Dec 2010
Multicenter Study Comparative StudyLow back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative.
To examine the association of concurrent low back pain (LBP), and other musculoskeletal pain comorbidity, with knee pain severity in symptomatic knee osteoarthritis (OA). ⋯ LBP, foot pain, and elbow pain are significantly associated with WOMAC knee pain score, as are a higher total number of pain locations. This may have implications for clinical trial planning.
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Arthritis care & research · Oct 2010
Randomized Controlled Trial Multicenter Study Comparative StudyTailored cognitive-behavioral therapy and exercise training for high-risk patients with fibromyalgia.
The treatment of patients with fibromyalgia (FM), a high-prevalence chronic pain condition with a high impact on both patients and society, poses a great challenge to clinicians due to a lack of effective treatments. In view of the large individual variability in outcome, selecting patients at risk of long-term dysfunction and offering tailored treatment may be promising for beneficial treatment effects. ⋯ The presented results demonstrate for the first time that tailored CBT and exercise training for high-risk patients with FM is effective in improving short- and long-term physical and psychological functioning, indicating that tailoring treatment is likely to promote beneficial outcomes in FM and reduce the burden for patients and society.
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Arthritis care & research · Oct 2010
Multicenter Study Comparative StudyDo worsening knee radiographs mean greater chances of severe functional limitation?
Development of functional limitation is thought to be unrelated to changes in severity of radiographic osteoarthritis (OA) of the knee. We evaluated the relationship of change in radiographic OA to the incidence of severe functional limitation. ⋯ Changes in structural disease are associated with the development of severe functional limitations in persons with or even at high risk of knee OA.
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Arthritis care & research · May 2010
Multicenter StudyThe American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity.
To develop simple, practical criteria for clinical diagnosis of fibromyalgia that are suitable for use in primary and specialty care and that do not require a tender point examination, and to provide a severity scale for characteristic fibromyalgia symptoms. ⋯ This simple clinical case definition of fibromyalgia correctly classifies 88.1% of cases classified by the ACR classification criteria, and does not require a physical or tender point examination. The SS scale enables assessment of fibromyalgia symptom severity in persons with current or previous fibromyalgia, and in those to whom the criteria have not been applied. It will be especially useful in the longitudinal evaluation of patients with marked symptom variability.
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Arthritis care & research · May 2010
Multicenter StudyUltrasound of the knee during voluntary quadriceps contraction: a technique for detecting otherwise occult effusions.
To describe 1) a technique that can detect synovial effusions not seen on static ultrasound (US) examination and 2) the characteristics of patients with knee osteoarthritis (OA) for whom this technique proved useful. ⋯ US of the knee during voluntary quadriceps contraction can find effusions not detectable on static US. Such effusions provide targets for accurate aspiration and injection that would not be appreciated with static US.