Arthritis and rheumatism
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Arthritis and rheumatism · Feb 2006
Randomized Controlled Trial Comparative StudyA randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia.
To compare the clinical effectiveness of aerobic exercise in the water with walking/jogging for women with fibromyalgia (FM). ⋯ DWR is a safe exercise that has been shown to be as effective as LBE regarding pain. However, it has been shown to bring more advantages related to emotional aspects. Aerobic gain was similar for both groups, regardless of symptom improvement. Therefore, DWR could be studied as an exercise option for patients with FM who have problems adapting to LBE or lower limbs limitations.
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Arthritis and rheumatism · Feb 2006
Comparative StudyPrescription opioid use among older adults with arthritis or low back pain.
To examine patterns of chronic opioid use in selected groups with arthritis and low back pain and compare them with patterns among persons with ischemic heart disease. ⋯ Chronic opioid use is relatively uncommon, even among older individuals with arthritis or low back pain. The proportion of these individuals receiving such medicines has not increased in the late 1990s. There seems to be a complex relationship between psychiatric medication use, psychiatric diagnoses, and the use of chronic opioids among these individuals.
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Arthritis is the most common chronic condition and the most common cause of disability among older US adults. We studied social participation, disabilities in many life domains, accommodations used (buffers), and accommodations needed (barriers) for US adults with arthritis disability compared with adults with disability from other conditions. ⋯ The distinctive profile of arthritis disability includes extensive and uncomfortable disabilities, yet there are active management strategies to handle these disabilities. Problems away from home and at work should inspire engineers and planners to improve public access and equipment for persons with this high-prevalence disability.
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Arthritis and rheumatism · Feb 2006
Treatment of pain in juvenile idiopathic arthritis: a survey of pediatric rheumatologists.
To assess the opinions and current practice of pediatric rheumatologists regarding treatment of chronic pain in children with juvenile idiopathic arthritis (JIA). ⋯ Pediatric rheumatologists are divided in their attitudes regarding treatment of residual pain in children with JIA. Concern for side effects appears to be a major factor in the decision to prescribe these analgesics. More data are needed to facilitate clearer cost-benefit analyses in the decision to prescribe opioids to this clinical population.