J Rheumatol
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Randomized Controlled Trial Clinical Trial
Efficacy of cognitive-behavioral intervention for juvenile primary fibromyalgia syndrome.
There are currently no controlled studies of behavioral interventions for juvenile primary fibromyalgia syndrome (JPFM). In this small-sample randomized study, we tested the efficacy of a behavioral intervention, i.e., coping skills training (CST), for the treatment of adolescents with JPFM. Outcomes tested in this study were functional disability, pain intensity, pain-coping efficacy, and depressive symptoms. ⋯ CST can lead to improved functioning among JPFM patients. Although some of the improvement may be due to increased monitoring and attention, CST provides the specific benefit of improving adolescents' ability to cope with pain.
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Preoperative quadriceps strength predicts functional ability one year after total knee arthroplasty.
Quadriceps weakness is common after total knee arthroplasty (TKA) as is longterm disability. We hypothesized that preoperative quadriceps strength would be the best predictor of postoperative functional ability when compared to preoperative pain or knee range of motion (ROM). ⋯ Preoperative quadriceps strength plays a dominant role in predicting one-year SCT and TUG functional measures, but it is not a good predictor of score on self-report questionnaires. Preoperative bodily pain and knee flexion ROM are poor predictors of all functional outcome measures.
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Randomized Controlled Trial Clinical Trial
Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study.
To evaluate the efficacy and tolerability of ketoprofen patch in the treatment of tendinitis. ⋯ This trial suggested that a 3-14 day course of treatment by ketoprofen patch is useful in nonarticular rheumatisms, the duration of treatment depending on the results obtained. The safety profile revealed no unexpected adverse events.
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To assess the relative contribution of constitutional (individual) factors, pre-accident health, psychological and workplace psychosocial factors, and accident related (mechanical) factors in the development of neck pain (whiplash) following a motor vehicle accident. ⋯ Development of neck pain after a motor vehicle accident is a complex phenomenon resulting from the combined effects of constitutional, mechanical, and psychosocial factors. Using 8 such variables it is possible to identify those at high risk of developing neck pain.
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Randomized Controlled Trial Clinical Trial
Severity of joint pain and Kellgren-Lawrence grade at baseline are better predictors of joint space narrowing than bone scintigraphy in obese women with knee osteoarthritis.
To compare the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of a baseline late-phase bone scan and assessments of the radiographic and symptomatic severity of knee osteoarthritis (OA) at baseline as predictors of loss of articular cartilage thickness, as reflected in joint space narrowing (JSN) in the medial tibiofemoral compartment. ⋯ Although the level of adjusted 99mTc-MDP uptake was significantly associated with JSN in knees with established radiographic OA, baseline bone scintigraphy is inferior to the radiographic severity of OA and knee pain (alone or in combination) as a predictor of loss of articular cartilage in subjects with knee OA.