American journal of physical medicine & rehabilitation
-
Am J Phys Med Rehabil · Jul 2012
Randomized Controlled TrialComparison of two positions of knee arthrocentesis: how to obtain complete drainage.
Many studies have focused on the accuracy rate of intraarticular injection. However, sometimes, even when the needle enters the joint cavity accurately, it can be difficult to obtain a sufficient amount of joint fluid. This problem may be attributable to the position of the knee during arthrocentesis. The purpose of this prospective study was to determine which position, supine or sitting, would yield more joint fluid during knee arthrocentesis. ⋯ In our study, more joint fluid was aspirated from patients in the supine position than from patients in the sitting position.
-
Am J Phys Med Rehabil · Jul 2012
Association between body mass index and response to a brief interdisciplinary treatment program in fibromyalgia.
The aim of this study was to evaluate the association between baseline body mass index (BMI) and treatment outcome after a brief interdisciplinary fibromyalgia treatment program. ⋯ Baseline BMI did not affect response to the fibromyalgia treatment program, as measured by the FIQ total score or SF-36 physical and mental component summary scores. However, the severely obese group showed less improvement compared with the nonobese group in the SF-36 physical functioning and role-emotional subscales.
-
Am J Phys Med Rehabil · Jul 2012
Alteration in sleep quality in patients with mechanical insidious neck pain and whiplash-associated neck pain.
This study aimed to determine differences in sleep quality between patients with mechanical neck pain, patients with whiplash (WAD) pain, and healthy controls and to determine the relationship between the intensity of ongoing pain, disability, and sleep quality. ⋯ Sleep disturbances are a common finding in individuals with neck pain and are associated with the intensity of ongoing pain in WAD. It seems essential to address the ongoing cycle of pain and sleep disturbances as an integral part of the treatment of patients with neck pain.