Rheumatology Medical News about Osteoarthritis

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Is a formal physical therapy program necessary after total shoulder arthroplasty for osteoarthritis
Journal of Shoulder and Elbow Surgery, 10/07/09

Mulieri PJ et al. –A home-based, physician-guided therapy program may provide adequate rehabilitation after TSA, allowing for a reduction in cost for the overall procedure.

Methods

Group A (43 patients) had standard PT program
Group B (38 patients) had home-based, physician-guided PT program
Clinical outcomes (preoperatively, 3, 6, and 12 months and most recent follow-up) analyzed
Minimum sample size of 31 patients gives power to detect 10-point American Shoulder and Elbow Surgeons (ASES) score

Results

ASES and Simple Shoulder Test (SST) scores significantly improved in both groups at all follow-up periods
Forward flexion and abduction significantly improved in group B all time points, whereas an initial improvement in forward flexion and abduction in group A lost at final follow-up
No significant differences in final ASES or SST
Forward flexion, abduction, and the Short Form-36 physical component summary in group B significantly better than group A at final follow-up
No significant improvements in internal rotation or SF-36 mental component summary seen within or between the groups at final follow-up
No difference in patient satisfaction, with 88% satisfaction in group A and 95% satisfaction in group B

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There Is Inadequate Evidence to Determine the Effectiveness of Nonpharmacological and Nonsurgical Interventions for Hand Osteoarthritis: An Overview of High-Quality Systematic Reviews
Physical Therapy, 11/10/09 Relevance Score: 90%

The Safety of Flavocoxid, a Medical Food, in the Dietary Management of Knee Osteoarthritis
Journal of Medicinal Food, 10/30/09 Relevance Score: 89%

Discriminant Validity of the Western Ontario and McMaster Universities Osteoarthritis Index Physical Functioning Subscale in Community Samples With Hip Osteoarthritis
Archives of Physical Medicine and Rehabilitation, 10/22/09 Relevance Score: 89%

Clinical efficacy evaluation on electroacupuncture for osteoarthritis and observation on biomechanical indexes
Journal of Acupuncture and Tuina Science, 10/19/09 Relevance Score: 89%

Effect of nonsteroidal anti-inflammatory drug plasters for knee osteoarthritis in Japanese: a randomized controlled trial
Modern Rheumatology, 10/12/09 Relevance Score: 89%