Musculoskeletal care
-
Musculoskeletal care · Sep 2012
A narrative review of evidence-based recommendations for the physical examination of the lumbar spine, sacroiliac and hip joint complex.
Non-specific low back pain is a frequent complaint in primary care, but the differential diagnosis for low back pain can be complex. Despite advances in diagnostic imaging, a specific pathoanatomical source of low back pain can remain elusive in up to 85% of individuals. ⋯ Psychosocial factors also play an important role in the evaluation of individuals with low back pain, but are not included in this narrative review of physical examination methods. Physical examination of the lumbar spine, sacroiliac and hip joints is presented, organized around patient position for efficient and effective clinical assessment.
-
Musculoskeletal care · Sep 2012
Randomized Controlled Trialα1-Antitrypsin in fibromyalgia: results of a randomized, placebo-controlled, double-blind and crossover pilot trial.
To assess clinical effect of a human plasma-derived alpha-1 antitrypsin (AAT) concentrate in reducing pain severity of patients with fibromyalgia (FM). ⋯ Treatment with a human plasma-derived AAT concentrate did not demonstrate significant improvement over placebo on reducing pain severity and other symptoms of FM. Further research should examine other FM subpopulations and drug doses.
-
Musculoskeletal care · Jun 2012
The role of preoperative self-efficacy in predicting outcome after total knee replacement.
The aim of the present study was to determine if self-efficacy is a significant and independent preoperative predictor of patient-reported pain and function at one year after total knee replacement (TKR). ⋯ The present study demonstrated that self-efficacy is a significant preoperative predictor of patient-reported functional ability at one year after TKR. Future research is needed to assess the impact of interventions for enhancing self-efficacy on patient-reported outcomes after TKR.
-
Musculoskeletal care · Jun 2012
Psychometric properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-23.
Empowerment is a central concept in both rheumatology and diabetes care. A Swedish empowerment instrument for patients with rheumatic diseases has not been created before now. The aim of the present study was to determine the psychometric properties of the Swedish Rheumatic Disease Empowerment Scale, SWE-RES-23, such as construct validity, internal consistency reliability, inter-item correlations and discriminant validity. ⋯ The results support the possibility of adapting the SWE-DES-23 for use in patients with rheumatic diseases. The SWE-RES-23 shows acceptable psychometric properties, in terms of construct validity and internal consistency reliability. To validate the SWE-RES-23 fully, further studies are needed, with a focus on test-retest correlations.