bluuebunny/crossref_metadata_2025_split huggingface dataset:
Appraisal of and coping with arthritis‐related problems in household activities, leisure activities, and pain management
Authors: Giorgino Karen B. , Blaloc Susan J. , Devellis Robert F. , Devellis Brenda M. , Keefe Francis J. , Jordan Joanne M. 
Published: February 2007

AbstractPurpose. We examined whether or not there are systematic differences in how people appraise different types of illness‐related problems and in how they cope with these problems.Methods. Two hundred thirty‐five adults with recently diagnosed rheumatoid arthritis completed a mailed questionnaire followed by a telephone interview. A series of stress appraisal and coping variables were assessed in relation to three areas: household activities, leisure activities, and pain management.Results. Pain Differed significantly from household and leisure activities with regard to several appraisal and coping variables. Participants reported the least control over problems with pain, while attaching the most importance to pain control. Leisure activities also stood out as unique on several variables. Participants perceived greater ability and were more satisfied with their ability in relation to leisure activities.Conclusion. These findings show that, at least early in the disease, appraisal and coping strategies differ across the areas of household activities, leisure activities, and pain management.
Sexuality and rheumatic disease the significance of gender
Authors: Majerovitz S. Deborah , Revenson Tracey A. 
Published: February 2007

AbstractPurpose. This study examined the relationship between functional disability and sexual satisfaction for both rheumatic disease patients and their spouses and compared their levels of sexual satisfaction to those of healthy comparison couples.Methods. One hundred thirteen rheumatic disease couples and 37 comparison couples completed mailed questionnaires. Rheumatologists rated American College of Rheumatology functional classification.Results. Greater functional disability was related to greater sexual dissatisfaction for patients and spouses. Rheumatic disease and comparison couples did not differ in sexual dissatisfaction. Women reported greater sexual dissatisfaction than men among patients, spouses, and comparison couples.Conclusions. Couples coping with rheumatic disease are able to maintain satisfying sexual relationships. However, when patients are more disabled, sexual dissatisfaction is greater among both patients and spouses. Health providers must be sensitive to issues of sexuality and be prepared to address these concerns among both patients and their partners. Men and women may have different concerns regarding sexuality.
Assessing depression in fibromyalgia patients
Authors: Burckhardt Carol S. , O'Reilly Connie A. , Wiens Arthur N. , Clark Sharon R. , Campbell Stephen M. , Bennett Robert M. 
Published: February 2007

AbstractPurpose. This study investigated the relationships among four methods of detecting depression in patients with fibromyalgia.Methods. Data were obtained from 100 women (mean age 43 years) who had been diagnosed with fibro‐myalgia. Instruments included a computerized Diagnostic Interview Schedule (C‐DIS), Beck Depression Inventory (BDI), an adjusted “disease‐free” BDI (BDI‐A), and Minnesota Multiphasic Personality Inventory depression subscale (MMPI‐D). Chance‐corrected concordance, sensitivity, specificity, and accuracy among the four methods were calculated.Results. The C‐DIS detected 22% and BDI‐A 29% with current major depression. The BDI and MMPI‐D yielded higher estimates of 55% of the 44%, respectively. Agreement on the diagnosis among the four methods was significantly greater than chance. When compared with the C‐DIS, the BDI was the most sensitive instrument and the BDI‐A most specific.Conclusions. The C‐DIS and BDI‐A appear to be more reliable methods for determining the presence of major depression in women with fibromyalgia than are the MMPI‐D or standard BDI.
Osteoarthritis pain assessment in family practice
Authors: de Bock G. H. , van Marwijk H. W. J. , Kaptein A. A. , Mulder J. D. 
Published: February 2007

AbstractPurpose. The objective is to study the assessment of pain severity, following the conventional family physician routines, in patients with peripheral osteoar‐thritis.Methods. The patient's perception of pain and the physician's assessment of the pain were measured by means of questionnaires and were compared in a study population of 198 patients with osteoarthritis.Results. A rather low association was found between a patient's perception of pain and the physician's assessment of pain.Conclusions. It is an accepted fact that too much treatment can have undesirable effects, and that inadequate management of symptoms seems to be associated with a reduced quality of life in osteoarthritic patients. In the absence of a high correlation between patient's perception and physician's assessment of pain severity, it is concluded that a patients' pain questionnaire could be a very useful instrument for improving the care given to patients with osteoarthritis in family practice.
Reliability and validity of self‐paced walking time measures for knee osteoarthritis
Authors: Marks R. 
Published: February 2007

AbstractThis study assessed the reliability and validity of self‐paced walking time as an outcome measure for osteo‐arthritis (OA) of the knee. The 13‐m timed walking tests were carried out twice on two separate occasions for 15 patients using photocells. Validity was examined by comparing the walking time data with results of other methodologies for evaluating osteoarthritic gait. As indicated by intra‐ and inter‐day intraclass correlation coefficients of 0.97 and 0.88 the gait measurements were reliable. The measurements also compared favorably with a validated subjective functional index for knee OA (P < 0.01). The findings suggest that measurements of self‐paced walking time can provide both reliable and valid data for evaluating functional performance in this patient population.
Clinical implications of depression in rheumatoid arthritis
Authors: Morrow Kelly A. , Parker Jerry C. , Russell Johnna L. 
Published: February 2007

AbstractThe clinical implications of depression in the context of rheumatoid arthritis are described. An overview of the diagnostic criteria for depression is provided, with specific focus on major depression and the associated subtypes. The neurobiological literature on major depression is briefly reviewed and the implications of the depression literature for the care of persons with rheumatoid arthritis are discussed.
Characteristics of participants in water exercise programs compared to patients seen in a rheumatic disease clinic
Authors: Meyer Cleda L. , Hawley Donna J. 
Published: February 2007

AbstractPurpose.To determine if community‐based water exercise programs are serving people with significant levels of disability and pain.Methods.Eighty‐seven participants in water exercise classes and 174 patients from a rheumatic disease clinic were matched for age, sex, and diagnosis and comparisons were made between the groups for the study variables.Results.Patients had significantly higher disability, pain, global disease severity, anxiety, and depression and lower grip strength than participants. Osteoarthritis (OA) patients (n = 126) compared to OA participants (n = 63) had similar significant differences for all variables. Rheumatoid arthritis (RA) patients' (n = 48) scores were all more severe than RA participants' scores (n = 24), and these differences were similar in magnitude to OA differences, but only global disease severity and grip strength were statistically significantly different.Conclusions.Water exercise classes are reaching persons with important levels of dysfunction and pain, but more severely affected patients are underrepresented in such programs.
Anatomical urinary stress incontinence in women with rheumatoid arthritis: Its frequency and coping strategies
Authors: Adams Cara , Lorish Chris , Cushing Connie , Willis Elisabeth , Jackson James , Walter Jane 
Published: February 2007

AbstractObjective. The objectives of this study were to develop a valid screening tool for anatomical urinary stress incontinence (AUSI), to use it to determine the frequency of AUSI in women with RA, and to identify the cognitive, behavioral, and psychological coping strategies used by these women to deal with incontinence.Methods. A screening tool concerning AUSI was validated by comparing self‐reported incidences of AUSI with clinical evaluation. Questionnaires regarding presence of AUSI and cognitive, behavioral, and psychological coping strategies were sent to 750 women clinically diagnosed with RA.Results. Of the 262 respondents (35% response rate), 21% had characteristics of AUSI, a rate similar to general population studies. Coping strategies varied depending on whether the women were at home or away from home and whether the women were alone or with others.Conclusions. There is a need for women with incontinence and the health care workers who serve them to be educated about AUSI and its treatments.
Acupuncture for the treatment of pain of osteoarthritic knees
Authors: Takeda Wendy , Wessel Jean 
Published: February 2007

AbstractObjective. The purpose of this study was to determine whether acupuncture was more effective than sham acupuncture in the reduction of pain in persons with osteoarthritis (OA) of the knee.Methods. Forty subjects (20 men, 20 women) with radiographic evidence of OA of the knee were stratified by gender and randomly assigned to either the experimental (real acupuncture) or control (sham acupuncture) groups. Subjects were treated three times per week for 3 weeks and evaluated at three test sessions. Outcome measures were: 1) the Pain Rating Index of the McGill Pain Questionnaire, 2) the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, and 3) pain threshold at four sites at the knee.Results. The analyses of variance showed that both real and sham acupuncture significantly reduced pain, stiffness, and physical disability in the OA knee, but that there were no significant differences between groups.Conclusions. Acupuncture is not more effective than sham acupuncture in the treatment of OA pain.
Physical performance characteristics of women with fibromyalgia
Authors: Mannerkorpi Kaisa , Burckhardt Carol S. , Bjelle Anders 
Published: February 2007

AbstractObjective. The aim of this study was to examine physical performance in women with fibromyalgia (FM) using methods that are easy to use in clinical settings and to compare our findings with published norms or a healthy comparison group.Methods. Measures of shoulder pain and range‐of‐motion, isometric shoulder endurance, neck rotation, leg strength, hand grip strength, back flexibility, 6‐minute walk distance, and symptom duration were completed on 97 subjects with FM. The comparison group was 30 age‐matched healthy women.Results. The FM group had significantly lower physical functioning scores on all variables when compared to the healthy group or published norms. When pain at rest was controlled, pain on motion was the most significant predictor of variance in shoulder range of motion, whereas range of motion was the most significant predictor of right shoulder endurance and grip strength of both hands.Conclusions. Women with FM are markedly below average in physical performance abilities when measured by clinical tests.
Weather, beliefs about weather, and disease severity among patients with fibromyalgia
Authors: Hagglund Kristofer J. , Deuser William E. , Buckelew Susan P. , Hewett John , Kay Donald R. 
Published: February 2007

AbstractObjective. This investigation 1) examined the relationships among actual weather, disease severity, and symptoms for individuals with fibromyalgia, 2) assessed subjects' beliefs about weather affecting their symptoms, and 3) examined differences between individuals with high and low “weather sensitivity.”Methods. Eighty‐four individuals meeting Yunus' criteria for the diagnosis of fibromyalgia participated. Subjects completed the Weather and Pain Questionnaire (WPQ), the Arthritis Impact Measurement Scales (AIMS), the Symptom Checklist‐90‐Revised (SCL‐90‐R), and a Visual Analog Scale (VAS) assessing pain. A tender point index and a myalgic score were also obtained.Results. Subjects reported that weather affected musculoskeletal symptoms predominantly. The strongest relationship was found between weather beliefs and self‐reported pain scores. Subjects with high weather sensitivity tended to have more functional impairment and psychological distress.Conclusions. Individuals with fibromyalgia believe that weather worsens their symptoms, but it is unlikely that physiologic changes are associates with actual weather.
A descriptive study of foot problems in children with juvenile rheumatoid arthritis (JRA)
Authors: Spraul Gayle , Koenning Gaye 
Published: February 2007

AbstractIn this study, we evaluated the feet of 144 consecutive children with juvenile rheumatoid arthritis (JRA) during a routine outpatient visit to discover patterns of foot problems. We found that all but nine subjects had at least 1 of 21 foot problems, categorized as inflammation, limitation of motion, and abnormal alignment. Overall, pronated rearfoot and midfoot were observed in 73% and 72% of JRA patients, respectively. Additionally, 36% had splayfoot, whereas 35% of subjects had ankle limitation of motion. Other common foot problems included pronated forefoot, rearfoot and forefoot synovitis, forefoot limitation of motion, and toe valgus. Significant differences in the occurrence of various foot problems were observed among JRA onset/course subgroups and were influenced by both age and disease duration. Specifically, subjects with polyarticular JRA had more forefoot limitation and toe valgus, whereas subjects with pauciarticular JRA had pronated forefoot more often. Ankle limitation of motion, although unrelated to the JRA subgroup, was related to the duration of JRA. Subjects with longer disease histories also had toe valgus more often. Conversely, forefoot limitation of motion seemed to be more a function of age than of disease duration. These results indicate that foot problems are common in the JRA population, and they underscore the need for thorough evaluation and physical therapy management.
Preferred intraarticular corticosteroids and associated practice: A survey of members of the American College of Rheumatology
Authors: Centeno Ligaya M. , Moore Mary E. 
Published: February 2007

AbstractObjective. To determine which intraarticular steroids are used by rheumatologists and whether this use and associated practice vary with time and place of training.Method. American College of Rheumatology members were mailed questionnaires that focused on steroid use in the adult knee.Results. The steroids favored by the respondents were methylprednisolone acetate (MPA), preferred most by those trained in the eastern U.S.; triamcinolone hexacetonide (TH), preferred by those trained in the Midwest and Southwest; and triamcinolone acetonide (TA), preferred by those trained in the West. Only TH was chosen primarily because of efficacy. Regardless of concentration, respondents used 1 ml of steroid. Most (especially those recently trained) combined steroid with local anesthetic. Post‐injection instructions varied: 29% did not restrict weight‐bearing; 8% recommended limited weight‐bearing for 1 week or more.Conclusion. MPA, TH, and TA were favored. Associated techniques varied, based in part on where and when training took place. Research is needed to provide a more rational basis for clinical practice.
Issues in meta‐analysis: An overview
Authors: Bartolucci Alfred A. , Katholi Charles R. , Singh Karan P. , Alarcón Graciela S. 
Published: February 2007

AbstractA summary is provided for the relevant issues that investigators must address when wishing to synthesize data via a meta‐analysis. The analogy is made to conducting a clinical trial and its components. Both design and statistical issues are discussed with the goal of assuring that the proper elements are included in the meta‐analysis. Further, global concerns are presented so that the researcher is aware of the clinical controversies faced when conducting a meta‐analysis. Finally a comparison is made of the advantages and disadvantages of a large‐scale clinical trial versus a meta‐analysis.
Post‐traumatic fibromyalgia: A case report narrated by the patient
Authors: Wolfe Frederick 
Published: February 2007

AbstractThis report describes a case of fibromyalgia developing following a workplace injury, but in which the issues of compensation and work disability were not relevant. A previously healthy 37‐year‐old woman developed back and groin pain after lifting a heavy box. Over the next months, pain and allodynia gradually spread over her body, and headaches, sleep disturbance, paresthesias, and bowel symptoms developed for the first time. The pain was constant and severe, invading and interfering with every area of daily function. Surprisingly, no previous case reports or definition of post‐traumatic fibromyalgia could be found. This case report, narrated by the patient, suggests that there is such an entity as post‐traumatic fibromyalgia, and that central nervous system plasticity plays a central role.
Promoting patient cooperation with exercise programs. Linking research, theory, and practice
Authors: Jensen Gail M. , Lorish Christopher D. 
Published: February 2007

AbstractManaging patient‐nonadherence with prescribed exercise regimens is not an uncommon task for physical therapists working with individuals with arthritis. Yet little is known about the factors that influence patient adherence with exercise programs or therapist knowledge and use of theoretically based adherence management techniques. Survey research with physical therapists and patients was used to provide a database for further insight into the barriers experienced in implementing exercise programs in clinical practice. In this paper, we suggest that the cooperation with an exercise regimen is mediated by the patient's belief system and requires a therapeutic process of mutual inquiry, problem solving, and negotiation between the therapist and patient. Concepts from research, theory, and practice are integrated into a Process Model for Patient‐Practitioner Collaboration for use in clinical practice.
Exercise considerations for postmenopausal women with osteoporosis
Authors: Allen Susan H. 
Published: February 2007

AbstractIndividuals with osteoporosis are at an increased risk of fracture due to a net loss of bone mass. The cellular mechanisms causing decreased bone mass are increased osteoclast‐mediated bone resorption and/or decreased osteoblast‐mediated bone formation. Clinical studies have shown that bone loss can be prevented by estrogen replacement therapy and calcium supplementation. Weight‐bearing and strengthening exercise may also play a role in retarding bone loss in the postmenopausal woman, and it may even increase bone mass. The essential components of an exercise program include intensity, duration, frequency, and type of activity. Additional goals of a therapeutic exercise program are to improve flexibility and balance, and to prevent falls. Structure‐function relationships in normal and osteoporotic bone and the effects of exercise on bone are reviewed. A rational approach for exercise strategies is discussed.
Dissatisfaction, disability, and rheumatoid arthritis
Authors: Hewlett Sarah , Young Phillip , Kirwan John 
Published: February 2007

AbstractObjectives. To investigate dissatisfaction with function in patients with rheumatoid arthritis [RA], and to see if dissatisfaction can be adequately explained by level of function.Methods. Fifty patients with RA were assessed for disease activity, psychological status, disability, expectation of future disability, and satisfaction with both global function and individual activities of daily living [ADL].Results. Fifty percent of patients expressed dissatisfaction with global function, which correlated more strongly with pain (r = 0.474) and psychological status than with function (r = 0.398). Only 10% predicted improvement in global function. Seventy‐two percent expressed dissatisfaction with performing at least one ADL.Conclusions. Patient dissatisfaction with both global function and individual ADL function is high and cannot adequately be explained by disability alone. Correlation with pain and psychological status implies that modifying these variables (perhaps through education programs about pain relief or relaxation) could reduce dissatisfaction.
Arthritis hand function test: Inter‐rater reliability among self‐trained raters
Authors: Backman Catherine , Mackie Hazel 
Published: February 2007

AbstractObjective. The purpose of this project was to examine the inter‐rater reliability of the Arthritis Hand Function Test (AHFT), a new instrument for measuring hand strength and dexterity in adults with arthritis.Methods. Six occupational therapists (two at each of three sites) trained themselves as AHFT administrators using the test manual and training videotape. They recruited 30 adult subjects (10 at each site) with rheumatoid arthritis or osteoarthritis affecting the hands. There were 21 women and 9 men in the sample (mean age, 57.5 years; average time since diagnosis, 14.8 years). Subjects were tested twice, once by each rater from that site.Results. Inter‐rater reliability ranged from 0.45 to 0.99 (Pearson r). Because subjects were tested twice, AHFT scores were examined for an order effect. Although scores on all strength items declined by the second test session, and improved for all dexterity items, only the aggregate applied dexterity score showed significant change across all three sites (P = 0.002, 0.001, and 0.031, respectively).Conclusions. These results suggest the AHFT is a reliable instrument for measuring hand strength and dexterity that requires minimal training on the part of occupational therapist raters.
Predictors of hand function in patients with rheumatoid arthritis
Authors: Dellhag Berit , Burckhardt Carol S. 
Published: February 2007

AbstractObjectives. The aims of this study were to determine: (1) what factors predict patient self‐estimated hand function; (2) what factors predict actual hand function; and (3) the relationship among actual hand function, patient estimates of hand function, and self‐assessed activities of daily living (ADL).Methods. Fifty‐two patients with rheumatoid arthritis completed wrist and hand mobility measures, grip strength, pain, stiffness, and estimated hand function tests, along with the Sollerman Grip Function Test (actual hand function), Health Assessment Questionnaire (HAQ), and subscales of the Arthritis Impact Measurement Scales (AIMS).Results. Grip strength and stiffness were the strongest predictors of self‐estimated hand function. Flexion and extension deficits in digits II through V were the strongest predictors of actual hand function. Actual hand function and self‐estimated hand function were significantly correlated with each other and with the HAQ and AIMS subscales.Conclusions. Measures of deficit are the most useful in predicting actual hand function, whereas measures of strength and flexibility are most useful for estimated hand function.