DOCSLIB.ORG

Efficacy of Physical Activities on Children with Juvenile Idiopathic

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Efficacy of Physical Activities on Children with Juvenile Idiopathic Ibrahim et al. Bulletin of Faculty of Physical Therapy (2020) 25:6 Bulletin of Faculty https://doi.org/10.1186/s43161-020-00008-6 of Physical Therapy ORIGINAL RESEARCH ARTICLE Open Access Efficacy of physical activities on children with juvenile idiopathic arthritis: a randomized controlled trial Mohamed Bedier Ibrahim1, Mahmoud Labib2, Hamed Khozamy3 and Wanees Mohamed Badawy4* Abstract Background: Juvenile idiopathic arthritis (JIA) is one of the serious chronic rheumatic disorders in children and adolescents which results in less physical activities and restlessness hours than their peer. The study aims to assess the efficacy of physical fitness training exercises on aerobic capacity and muscular strength of children with JIA. Sixty-five children with JIA were included in the study, out of a total of 70 children who were screened for eligibility. Children were randomized to a control group (n = 32) who received hot packs, transcutaneous electrical nerve stimulation (TENS), and strengthening exercises, or a study group (n = 33) who received a physical fitness training program (hydrotherapy pool exercises, bicycle ergometer, and treadmill apparatus) in addition to what had been given to the control group. Both groups were engaged in a training program for 12 consecutive weeks for three times per week. Evaluation was done pre- and post-interventions included: peak oxygen uptake (Vo2 peak) during an incremental treadmill test and muscle strength assessed by isokinetic dynamometer. Results: The current study showed that there were significant differences between pre- and post-interventions in both groups (P < 0.05). Comparing the two groups, there were statistically significant differences between children in both groups in favor of the study group (P < 0.05). Conclusions: Physical fitness exercise training resulted in improved aerobic capacity and muscle strength of children with JIA. The obtained results suggested that children with arthritis could participate in formal exercise testing and structural physical fitness program. Trial registration: PACTR, PACTR201907504136763. Registered on May 21, 2019. Retrospectively registered, https:// pactr.samrc.ac.za/TrialDisplay.aspx?TrialID = 8150. Keywords: Juvenile idiopathic arthritis, Fitness testing, Peak oxygen consumption, Isokinetic testing Background joints. The course of JIA may become more intense and Juvenile idiopathic arthritis (JIA) is one of the common continues throughout adulthood increasing cardiovascu- childhood disorders that affects around one in 1000 chil- lar risk, osteoporosis, and obesity in this period of life- dren [1]. It is diagnosed early under the age of 16 with span [3, 4]. Physical deconditioning is seen in children arthritis in one or more joints and persists for at least 6 with JIA as a consequence of weak musculature, joint weeks [2]. The main clinical presentations are lack of pain, contracture, and lower peak oxygen uptake (Vo2 joint movement, pain, and swelling of the involved peak) [5, 6]. Abdul-Sattar et al. [7] conducted a study on Egyptian * Correspondence: [email protected] children and adolescent patients of JIA with age more 4Department of Physical Therapy for Neuromuscular Disorder and its Surgery, than 7 years and duration of disease exceeds 1 year to Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayad, Dokki, Giza explore the factors that may contribute to increase the 12613, Egypt Full list of author information is available at the end of the article rate of absenteeism and lack of functioning at school. © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Ibrahim et al. Bulletin of Faculty of Physical Therapy (2020) 25:6 Page 2 of 8 They found that these factors are the amount of inflam- 6) Children had visual or auditory defects. mation present, the level of functional disability, and psychological deconditioning. Instrumentation Physical therapy was instituted for patients with JIA to For evaluation promote lifetime physical activity through controlling pain and inflammation, maintaining range of motion 1- Weight and height scale: to calculate the body mass (ROM), and muscle strength that play important role in index were measured using an electronic scale increasing joint stability [8]. (Human body Element Analyzer System, Seoul, It was found that patients got more improvements in Korea) their functional abilities than those who live a standard life 2- Tape measurement to assess the degree of effusion care if they joined exercises in a form of aerobic condi- of the affected joints tioning, strengthening, and sport activities [9]. No previ- 3- Digital goniometer (model 12-1027, version 7-08, ous studies investigated the effect of a physical fitness Fabrication Enterprises, Inc., White Plains, NY, training program using validated measures on adolescents USA) to measure the ROM of the shoulder, elbow, suffering from JIA. Therefore, this study was conducted to wrist, hip, knee, and ankle joints assess the efficacy of physical activities on the aerobic cap- 4- Verbal rating scale for pain to assess pain intensity acity and muscle strength of children with JIA. [11] 5- Cardiopulmonary function test via Methods electrocardiograph (ECG) Nihon Kodhen Cardiofax Subjects Engospirometry with integrated stress—ECG Seventy children with JIA were recruited from a pediatric (Model: ISSOK, manufactured by Nihon-Kohden, outpatient clinic and assessed for their eligibility to partici- Japan). Engospirometry is the most comprehensive ’ pate in the study. All participants ages ranged from 8 to test of cardiopulmonary analysis. The peak oxygen 12 years. By using a number generating table, children uptake (Vo peak) was measured during instrumental n 2 were randomly allocated to a study or a control group ( treadmill exercise testing. The ECG was used first at = 35 in each group). Three children from the study group rest and during activity to record heart rate and and two from the control group did not continue the exer- blood pressure. cise program and withdrew from the study. All partici- 6- Isoforce isokinetic dynamometer (TUR GmbH, Berlin, pants were involved in a training program for 12 Germany): was used to assess the isokinetic muscular consecutive weeks for three times per week. The study ex- performance of the knee flexors and extensors tended from January 2019 to April 2019. The JIA children were enrolled according to the following: A- Inclusion criteria: For intervention 1) Medical diagnosis of JIA was conducted by a 1- Hydrotherapy pool, a large swimming pool at the pediatric rheumatologist in agreement of the outpatient clinic supplied with suspended chair and criteria of International League Against plinth, and sidebars. A single-use life jacket was Rheumatology [10]. utilized by each child to be safe in the pool. 2) Children were able to communicate verbally and 2- Bicycle ergometer (TUV/GS:En 957-5, Class A, obey commands and instructions and cooperate Taiwan). It is an electronically braked ergometer ’ with testing and training protocols. with a screen to check the child s heart rate and helps the therapist to control exercise intensity. TM B- Exclusion criteria: 3- Treadmill apparatus (Biodex Gait Trainer 2 ; Biodex Medical Systems, Inc., Shirley, NY, USA) 1) Children do not take drugs regularly and was used for fitness training. complained from severe pain according to verbal 4- Soft weight (exercise balls) and thera-band (elastic pain intensity scale [11]. band) were used to provide resistance. 2) Children had cardiac, pulmonary, or metabolic disease. 3) Children had active features of systemic arthritis. Interventions 4) Children had fixed deformity (bony or soft tissue Procedures for physical intervention for the control group contracture) of both upper and lower limbs. Moist heat Hot packs (40–45 °C) with suitable size to 5) Children had previous surgical interventions which contour the affected joint were applied for 20 min to im- may include soft tissues release, synovectomies, or prove the circulation and decrease the inflammation arthrodesis. [12]. Ibrahim et al. Bulletin of Faculty of Physical Therapy (2020) 25:6 Page 3 of 8 Transcutaneous electrical nerve stimulation (TENS) – The speed was settled on that of the habituation Gymna Uniphy (Pasweg 6A, 3740 Bilzen, Belgium) using session then continued at 60–100 rpm. a frequency of 100 Hz for 30 min on the affected joints – The child was asked to complete pedaling on the was applied in the most relaxed position for each child bicycle ergometer for 8 min in week 1, with the aiming to relieve pain [13]. duration increases by 2 min each week until week 6. Then at the weeks 6–12, the program lasted for 20 Strength exercises Strength training exercise involved min [17]. progressive upper and lower limbs in a form of static and dynamic exercises using exercise balls, soft weights, Treadmill training thera-bands, and elastic bands. Exercises concentrated – The goals of the exercise and the procedure were on the shoulder flexors, abductors, external rotators, made clear to the child before starting the treadmill elbow flexors and extensors, wrist flexors and extensors, training. hip flexors and extensors, abductors and adductors, knee – Any restricted clothes were removed to allow flexors and extensors, ankle dorsi and plantar flexors, walking without difficulty. The child was asked to abdominal muscles, and back muscles.
Load more

Recommended publications
  • Evidence from the Global Burden of Disease Study 2017
    Journal of Clinical Medicine Article Mental Disorders, Musculoskeletal Disorders and Income-Driven Patterns: Evidence from the Global Burden of Disease Study 2017 Stefanos Tyrovolas 1,2, Victoria Moneta 1,2, Iago Giné Vázquez 1,2, Ai Koyanagi 1,2,3 , Adel S. Abduljabbar 4 and Josep Maria Haro 1,2,4,* 1 Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr Antoni Pujades, 42, Sant Boi de Llobregat, 08830 Barcelona, Spain; [email protected] (S.T.); [email protected] (V.M.); [email protected] (I.G.V.); [email protected] (A.K.) 2 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Monforte de Lemos 3–5, Pabellón 11, 28029 Madrid, Spain 3 ICREA, Pg. Lluis Companys 23, 08010 Barcelona, Spain 4 Department of Psychology, King Saud University, Riyadh 11451, Saudi Arabia; [email protected] * Correspondence: [email protected] Received: 18 June 2020; Accepted: 29 June 2020; Published: 10 July 2020 Abstract: Background: The aim of the present study was to use the extensive Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) database from 1990–2017 to evaluate the levels and temporal correlation trends between disability adjusted life years (DALYs) attributed to musculoskeletal (MSK) disorders, all mental disorders collectively and by mental disorder sub-category. Methods: We utilized results of the GBD 2017 to describe the correlation patterns between DALYs due to MSK disorders, mental disorders and other diseases among 195 countries. Mixed model analysis was also applied. Results: A consistent relation was reported between age-adjusted DALYs attributed to MSK and mental disorders (in total) among the 195 countries, in both sexes, for 1990 to 2017 (1990 Rho = 0.487; 2017 Rho = 0.439 p < 0.05).
    [Show full text]
  • The Prevalence, Impact and Management of Musculoskeletal Disorders in Older People Living in Care Homes: a Systematic Review
    This is a repository copy of The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk/89933/ Article: Smith, TO, Purdy, R, Latham, SK et al. (3 more authors) (2016) The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. Rheumatology International, 36 (1). pp. 55-64. ISSN 0172-8172 https://doi.org/10.1007/s00296-015-3322-1 Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version - refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher’s website. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request. [email protected] https://eprints.whiterose.ac.uk/ 1 Rheumatology International Title Page Full Title: The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review.
    [Show full text]
  • Work Related Musculoskeletal Disorders (Wmsds)
    WORK RELATED MUSCULOSKELETAL DISORDERS (WMSDS) Table of Contents What Are Work Related Musculoskeletal Disorders (WMSDs) 1 How Do You Treat WMSDs 1 What Is Ergonomics? 2 Using Ergonomics In The Workplace 3 Putting Ergonomic Recommendations in Place 6 Useful Readings 7 WOR K REL ATED MUSCULOSKEL E TA L DISORDER S (WMSDS ) WHAT ARE WORK RELATED MUSCULOSKELETAL DISORDERS (WMSDs)? WHEN A MUSCLE, TENDON, NERVE OR JOINT IS STRESSED AND TRAUMATIZED ON A REPEATED BASIS FOR DAYS, MONTHS OR YEARS, THOSE BODY TISSUES EVENTUALLY BECOME DAMAGED. This leads to a work related musculoskeletal disorder. Work related musculoskeletal disorders (WMSDs) are sometimes called repetitive strain injuries (RSIs), cumulative trauma disorders and overuse injuries. When a WMSD develops, a worker experiences: 1. Swelling, as some tissues become irritated 2. Pain 3. Stiffness and loss of range of motion of surrounding joints 4. Inability to work and function at home Besides the most common upper extremity disorders, WMSDs may also affect the low back, knees, ankles and feet. HOW DO YOU TREAT WMSDs? Ergonomics should be a priority in the workplace, so WMSDs are prevented instead of treated. If you think you have signs and symptoms of a repetitive strain injury, see your doctor. Make sure your doctor has a description of your job and understands how your job affects your body. Treatment may involve a combination of approaches such as: Job modifications Services of health professionals, such as physiotherapists or massage therapists Exercise program Use of medication
    [Show full text]
  • Neck Pain, Joint Quality of Life (2)
    National Health Statistics Reports Number 98 October 12, 2016 Use of Complementary Health Approaches for Musculoskeletal Pain Disorders Among Adults: United States, 2012 by Tainya C. Clarke, M.P.H., Ph.D., National Center for Health Statistics; Richard L. Nahin, M.P.H., Ph.D., National Institutes of Health; Patricia M. Barnes, M.A., National Center for Health Statistics; and Barbara J. Stussman, National Institutes of Health Abstract Introduction Objective—This report examines the use of complementary health approaches Pain is a leading cause of disability among U.S. adults aged 18 and over who had a musculoskeletal pain disorder. and a major contributor to health care Prevalence of use among this population subgroup is compared with use by persons utilization (1). Pain is often associated without a musculoskeletal disorder. Use for any reason, as well as specifically to treat with a wide range of injury and disease. musculoskeletal pain disorders, is examined. It is also costly to the United States, not Methods—Using the 2012 National Health Interview Survey, estimates of the just in terms of health care expenses use of complementary health approaches for any reason, as well as use to treat and disability compensation, but musculoskeletal pain disorders, are presented. Statistical tests were performed to also with respect to lost productivity assess the significance of differences between groups of complementary health and employment, reduced incomes, approaches used among persons with specific musculoskeletal pain disorders. lost school days, and decreased Musculoskeletal pain disorders included lower back pain, sciatica, neck pain, joint quality of life (2). The focus of this pain or related conditions, arthritic conditions, and other musculoskeletal pain report is on somatic pain affecting disorders not included in any of the previous categories.
    [Show full text]
  • Musculoskeletal Disorder Injury Prevention Training
    Musculoskeletal Disorder Injury Prevention Training for DIRECT SUPPORT PROFESSIONALS Musculoskeletal Disorder Injury Prevention Training for Direct Support Professionals While working as a Direct Support Professional, your role includes assisting people with a variety of activities of daily living either within their home, or in the community. Without proper training, however, employees are at risk of injuries such as strains and tendonitis. These Musculo-skeletal Disorders, or MSDs, are becoming more common, but they can be prevented. In today's video, we'll discuss the importance of proper training and risk assessment. Working with supervisors and Joint Health and Safety Committees, we can all minimize employee injuries in the home or community setting. Please note that not all these solutions will work in your specific environment. By conducting a risk assessment and holding discussions with your supervisor and Joint Health and Safety Committee you can develop individual solutions to support people at home or in the community. Let's define some of the terms used in this video. 2 Participatory MSD Prevention Program – this is a program where key stakeholders come together to review what the risk factors are and come up with suitable solutions for that risk. Often times you'll find that a supervisor will be involved, the joint health and safety committee workers and supervisors in order to develop those safe practices. Biomechanics is the practice of using one's body in a comfortable and safe posture. Activities of Daily Living, or ADL's if you're in the business are those activities where we're assisting those that need help to do their daily regime – going to the grocery store, doing their laundry, helping with hygiene, recreational activities that they want to participate in – we're there to assist.
    [Show full text]
  • Knee Osteoarthritis: a Review of Pathogenesis and State-Of-The-Art Non-Operative Therapeutic Considerations
    G C A T T A C G G C A T genes Review Knee Osteoarthritis: A Review of Pathogenesis and State-Of-The-Art Non-Operative Therapeutic Considerations Dragan Primorac 1,2,3,4,5,6,7,8,9,* , Vilim Molnar 1,6 , Eduard Rod 1,6, Željko Jeleˇc 1,6,10 , Fabijan Cukeljˇ 1,4, Vid Matiši´c 1, Trpimir Vrdoljak 1,11, Damir Hudetz 1,6,11 , Hana Hajsok 1,12 and Igor Bori´c 1,4,7,9 1 St. Catherine Specialty Hospital, 49210 Zabok/10000 Zagreb, Croatia; [email protected] (V.M.); [email protected] (E.R.); [email protected] (Ž.J.); [email protected] (F.C.);ˇ [email protected] (V.M.); [email protected] (T.V.); [email protected] (D.H.); [email protected] (H.H.); [email protected] (I.B.) 2 Eberly College of Science, The Pennsylvania State University, University Park, State College, PA 16802, USA 3 The Henry C. Lee College of Criminal Justice and Forensic Sciences, University of New Haven, West Haven, CT 06516, USA 4 Medical School, University of Split, 21000 Split, Croatia 5 School of Medicine, Faculty of Dental Medicine and Health, University “Josip Juraj Strossmayer”, 31000 Osijek, Croatia 6 School of Medicine, JJ Strossmayer University of Osijek, 31000 Osijek, Croatia 7 Medical School, University of Rijeka, 51000 Rijeka, Croatia 8 Medical School REGIOMED, 96 450 Coburg, Germany 9 Medical School, University of Mostar, 88000 Mostar, Bosnia and Herzegovina 10 Department of Nursing, University North, 48 000 Varaždin, Croatia 11 Department of Orthopedics, Clinical Hospital “Sveti Duh”, 10000 Zagreb, Croatia 12 Medical School, University of Zagreb, 10000 Zagreb, Croatia * Correspondence: [email protected]; Tel.: +385-98-470-710 Received: 20 May 2020; Accepted: 23 July 2020; Published: 26 July 2020 Abstract: Being the most common musculoskeletal progressive condition, osteoarthritis is an interesting target for research.
    [Show full text]
  • Musculoskeletal Disorders
    MUSCULOSKELETAL DISORDERS Musculoskeletal disorders are extremely common, affecting all age groups. They consist of a variety of different diseases and conditions that cause pain or discomfort in the bones, joints, muscles, or tendons, and they can be acute or chronic. Approximately 33 percent of U.S. adults are affected by musculoskeletal conditions or symptoms, including limitation of motion or pain in a joint or extremity. The prevalence of musculoskeletal disorders generally increases with age, with the majority of people over age 75 having some form of musculoskeletal disorder, especially arthritis. Musculoskeletal pain affects the muscles, ligaments and tendons, and bones, as a result of a variety of possible causes. Muscle tissue can be damaged with the wear and tear of daily activities. Trauma to an area (jerking movements, auto accidents, falls, fractures, sprains, dislocations, and direct blows to the muscle) also can cause musculoskeletal problems. Other causes include postural strain, repetitive movements, overuse, and prolonged immobilization. Changes in posture or poor body mechanics may bring about spinal alignment problems and muscle shortening, therefore causing other muscles to be misused and become painful. Besides arthritis, some of the most common types of musculoskeletal disorders (MSDs) include carpal tunnel syndrome, sprains, strains, fibromyalgia and tendonitis. HOW ARE MSDs DIAGNOSED AND TREATED? If you think you have musculoskeletal difficulties, you should ask your doctor to conduct a thorough physical examination and medical history, along with diagnostic studies to determine the nature of the condition. Different types of manual therapy, or mobilization, can be used to treat people with spinal alignment problems. For some acute musculoskeletal pain, surgery is sometimes DID YOU KNOW? prescribed, while medications can also be used to treat inflammation or pain.
    [Show full text]
  • Extra-Articular Manifestations in Spondyloarthritis Are Common And
    Cur gy: ren lo t o R t e a s e Pereira et al., Rheumatol Curr Res 2012, 2:3 m a u r c e h h DOI: 10.4172/2161-1149.1000111 R Rheumatology : Current Research ISSN: 2161-1149 Review Article Open Access Extra-Articular Manifestations in Spondyloarthritis are Common and Should be Screened Pereira IA1*, Neves FS2 and Castro GRW1 1Universidade do Sul de Santa Catarina (UNISUL), Brazil 2Universidade Federal de Santa Catarina (UFSC), Brazil Abstract Spondyloarthritis should not be considered just a group of musculoskeletal inflammatory diseases, but systemic diseases that are associated with the presence of HLA-B27 gene. In these diseases there is great diversity of events that occur at sites outside of the axial skeleton and peripheral joints. Extra-articular manifestations of spondyloarthritis include uveitis, skin lesions such as psoriasis, involvement of gastrointestinal tract characterized by inflammatory colitis and also other less common manifestations. The use of anti-TNF biological agents provides clinical improvement in most of these clinical findings. On the other hand there is a lack of evidence on the effects of these drugs on cardiac and pulmonary involvement in spondyloarthritis. Keywords: Ankylosing spondylitis; Inflammatory bowel diseases; 30% to 40% of patients and histologic examination reveals microscopic Psoriasis, Uveitis; Extra-articular manifestations inflammation in up to 60% of patients with SpA. The link between IBD and SpA is also evident when we observe that patients with IBD often Introduction have peripheral arthritis or sacroiliitis [5,6]. In a study that included Spondyloarthritis (SpA), a group of disorders that includes 103 patients with IBD, with no previous diagnosis of SpA, 30% had Ankylosing Spondylitis (AS), psoriasis arthritis (SpA related to cutaneous inflammatory back pain and 18% had asymptomatic sacroiliitis [5].
    [Show full text]
  • Musculoskeletal Screening Using Pgals in Girls and Boys Aged Between 5 and 12 Years
    JOURNAL OF CRITICAL REVIEWS ISSN- 2394-5125 VOL 6, ISSUE 6, 2019 A Research Protocol - Musculoskeletal screening using pGALS in girls and boys aged between 5 and 12 years DEVYANI PURUSHE1, PRATIK PHANSOPKAR2* 1Final year B.PT, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU) Wardha, Maharashtra. Orchid ID: https://orcid.org/0000-0002-3153-4393 2*/Assistant Professor, Department of Musculoskeletal Sciences, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU) Wardha, Maharashtra. ORCID ID- http://orcid.org/0000-0003-3635-8840 Email: [email protected], 2*[email protected] Received: 03 Sep 2019 Revised: 11 Oct 2019 Accepted: 23 Nov 2019 ABSTRACT: In school children musculoskeletal disorders are very common. Among children musculoskeletal problem should be treated as soon as possible. pGALs is a screening tool for assessing musculoskeletal problems in the pediatric population. To identify musculoskeletal problem the pGALS (pediatric gait, arms, legs, and spine) is a simple, fast MSK assessment tool validated in children of school age.To find out musculoskeletal disorder in boys and girls using pGALs.This study will be conducted in 3 schools in the School of Scholars, Alphonsa Sr. Sec. School, Sant Chavara School Sawangi Meghe, Wardha. The duration of the study will be six months. In each school, 100 students will be examined. Musculoskeletal examination will be conducted using pGALS.The expected result would be the detection of different musculoskeletal abnormalities in school children that the family does not know about their child's deformities. Data will be analyzed using paired T-test.Conclusion will be published after the result are analyzed.
    [Show full text]
  • Progressive Pseudorheumotoid Dysplasia: a Presentation of Four Cases with Slow and Rapid Progression and Effects of Early Rehabilitation Program
    Turk J Phys Med Rehab 2019;65(3):290-297 DOI: 10.5606/tftrd.2019.2694 ©Copyright 2019 by Turkish Society of Physical Medicine and Rehabilitation - Available online at www.turkishjournalpmr.com Case Report Progressive pseudorheumotoid dysplasia: A presentation of four cases with slow and rapid progression and effects of early rehabilitation program Esra Giray1, İlker Yağcı1, Huriye Nursel Elçioğlu2,3 1Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, İstanbul, Turkey 2Division of Pediatrics Genetics, Department of Pediatrics, Marmara University School of Medicine, Istanbul, Turkey 3Eastern Mediterranean University School of Medicine, Cyprus, Turkey Received: January 28, 2018 Accepted: March 03, 2018 Published online: January 29, 2019 ABSTRACT Progressive pseudorheumotoid dysplasia (PPD) is a rare hereditary musculoskeletal disorder which is usually misdiagnosed due to its clinical resemblance to juvenile idiopathic arthritis. It has a high incidence in the Middle East, Gulf States, and countries of Mediterranean basin. Herein, we present four cases of PPD from Turkey (two siblings pair from the same kindred who are far paternal cousins) showing different disease courses. The progression of disease was particularly aggressive in the male sibling who suffered from severe scoliosis with more crippling joint disease. These four cases of PPD support the clinical heterogeneity and variable expressivity of PPD. In this article, we draw attention to the effects of patient education and early rehabilitation which helped to slow progression of range of motion loss. Keywords: Juvenile idiopathic arthritis; progressive arthropathy; progressive pseudorheumatoid dysplasia. Progressive pseudorheumotoid dysplasia (PPD, mutations may lead to atypical presentations, such as MIM 208230) is a rare, autosomal recessively inherited, different disease progression rates and severity.
    [Show full text]
  • Musculoskeletal Injuries
    The Burden of Musculoskeletal Diseases in the United States Second Editi on Prevalence, Societal, and Economic Cost The Burden of Musculoskeletal Diseases in the United Project Coordinator States, Second Edition, is a joint project of the Sylvia I. Watkins-Castillo, PhD American Academy of Orthopaedic Surgeons, American Academy of Physical Medicine Staff and Rehabilitation, American College of Robert H. Haralson, III, MD, MBA, Medical Director, Rheumatology, American Society for Bone and AAOS Mineral Research, Arthritis Foundation, National Toby R.W. King, CAE, Executive Director, USBJD University of Health Sciences, Orthopaedic Amy Miller, Senior Director, Research, Training and Research Society, Scoliosis Research Society, and Quality, ACR the United States Bone and Joint Decade. Thomas E. Stautzenbach, MA, MBA, CAE, Executive Director, AAPM&R Management Oversight Team and Charles M. Turkelson, PhD, Director, Research and Major Contributing Organizations Scientifi c Aff airs, AAOS Marilyn Fox, PhD, Director, Publications, AAOS Joshua J. Jacobs, MD Mary Steermann Bishop, Senior Manager, Production Chair, Management Oversight Team, The Burden of & Archives, AAOS Musculoskeletal Diseases in the United States Courtney Astle, Assistant Production Manager, AAOS Gunnar B. J. Andersson, MD, PhD Cover Design John-Erik Bell, MD Rick Cosaro, Cosaro & Associates, Ltd. Stuart L. Weinstein, MD American Academy of Orthopaedic Surgeons (AAOS) The material presented in The Burden of Musculoskeletal Diseases in the United States is made available for informational purposes John P. Dormans, MD only. This material is not intended to suggest procedures or course of Scoliosis Research Society (SRS) treatment, only to provide an interpretation of available data on the incidence and prevalence of most major musculoskeletal conditions.
    [Show full text]
  • Guide to the Clinical Assessment of Patients with MSK Conditions
    GUIDE TO THE CLINICAL ASSESSMENT OF PATIENTS WITH MUSCULOSKELETAL CONDITIONS WE ARE 03 Versus Arthritis is dedicated to stopping the 18 MILLION devastating impact that arthritis has on people’s lives. When we talk about arthritis, we include all PEOPLE IN THE musculoskeletal conditions that affect the joints, bones and muscles – including osteoarthritis, UK LIVE WITH A rheumatoid arthritis, back pain and osteoporosis. Although these long-term conditions may be MUSCULOSKELETAL different in pathology, the impact they can have on people’s lives is similar. Pain is the most prevalent CONDITION symptom for people with arthritis, with many experiencing this every day and living with it for THAT’S THREE years or even decades. IN EVERY TEN Musculoskeletal conditions are a costly and growing problem. Their prevalence is expected to continue PEOPLE to increase due to our ageing population, rising levels of obesity and physical inactivity. The role of healthcare professionals in enabling people with The impact of arthritis can be arthritis to live well, to understand their condition, huge as the condition slowly and to have access to the appropriate information intrudes on everyday life, and support to self-manage has never been more affecting the ability to work, important. to care for a family, to move free from pain and to live Versus Arthritis is here to help you. Our education independently. Yet arthritis and training resources for frontline healthcare is often dismissed as an professionals are accessible, relevant and evidence inevitable part of ageing or based. They are designed to support you in shrugged off as ‘just a bit of confidently diagnosing and managing a range of arthritis’.
    [Show full text]