The document provides a summary of presentations from the 2012 EULAR congress related to health professionals. Key topics included:
- Collaboration between primary and secondary care for patients with rheumatic diseases
- Challenges in communication between different levels of care
- Studies evaluating the effectiveness of rehabilitation programs for conditions like hand osteoarthritis, ankylosing spondylitis, and fibromyalgia
- Ensuring quality exercise programs organized by patient organizations
- Promoting physical activity for people with rheumatic musculoskeletal diseases
- Exercising safely and preventing adverse events for patients with rheumatic diseases
1) This study aims to compare the effectiveness of mat Pilates versus equipment-based Pilates for patients with chronic low back pain through a randomized controlled trial.
2) Eighty-six patients will be randomly assigned to either a Mat Pilates group performing exercises on the ground or an Equipment-based Pilates group using equipment like the Cadillac, Reformer, and others.
3) Outcomes related to disability, pain, function, and patient perceptions will be measured at baseline and 6 weeks and 6 months post-randomization to evaluate the effectiveness of each approach.
Biofeedback as an assessment tool in measuring effectiveness of alternate nos...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Based on a systematic literature review of 9 studies on compliance and persistence programs in inflammatory and immunology diseases:
- Successful programs utilized patient education through one-on-one counseling, web-based resources, and group sessions, as well as disease management with pharmacist counseling and follow-up calls.
- Programs that provided reminders through phone calls and emails about refilling prescriptions also improved compliance and persistence.
- Core strategies of effective programs included patient empowerment, motivation, convenience, and assistance to improve medication compliance and persistence.
CP-Care - Module 6 - Other physiotherapy and or complementary interventionsKarel Van Isacker
CP-Care curriculum, training course and assessment mechanism (ECVET based)
Website: http://cpcare.eu/en/
This project (CP-CARE - 2016-1-TR01-KA202-035094) has been funded with support from the European Commission. This communication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
DASH - does arthritis self-management help?epicyclops
This lecture was given by Dr Marta Buszewicz, General Practitioner from North London and Senior Lecturer in Community Based Teaching & Research at UCL, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
This lecture was given by Dr Cathy Price, Consultant in Pain Management for the Southampton University Hospitals NHS Trust, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
Neurodevelopemental Therapy (Bobath approach)- Principles and EvidenceSusan Jose
Here we present a widely used neurophysiotherapeutic approch - NDT, exploring its current principles and throwing a glance at the historical development and why it is being so widely practice.
does it really have that evidance base?
Find more as you click on. Give a like if I helped you learn or clear concepts. Thankyou. Love you all. Lets learn more.
1) This study aims to compare the effectiveness of mat Pilates versus equipment-based Pilates for patients with chronic low back pain through a randomized controlled trial.
2) Eighty-six patients will be randomly assigned to either a Mat Pilates group performing exercises on the ground or an Equipment-based Pilates group using equipment like the Cadillac, Reformer, and others.
3) Outcomes related to disability, pain, function, and patient perceptions will be measured at baseline and 6 weeks and 6 months post-randomization to evaluate the effectiveness of each approach.
Biofeedback as an assessment tool in measuring effectiveness of alternate nos...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Based on a systematic literature review of 9 studies on compliance and persistence programs in inflammatory and immunology diseases:
- Successful programs utilized patient education through one-on-one counseling, web-based resources, and group sessions, as well as disease management with pharmacist counseling and follow-up calls.
- Programs that provided reminders through phone calls and emails about refilling prescriptions also improved compliance and persistence.
- Core strategies of effective programs included patient empowerment, motivation, convenience, and assistance to improve medication compliance and persistence.
CP-Care - Module 6 - Other physiotherapy and or complementary interventionsKarel Van Isacker
CP-Care curriculum, training course and assessment mechanism (ECVET based)
Website: http://cpcare.eu/en/
This project (CP-CARE - 2016-1-TR01-KA202-035094) has been funded with support from the European Commission. This communication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
DASH - does arthritis self-management help?epicyclops
This lecture was given by Dr Marta Buszewicz, General Practitioner from North London and Senior Lecturer in Community Based Teaching & Research at UCL, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
This lecture was given by Dr Cathy Price, Consultant in Pain Management for the Southampton University Hospitals NHS Trust, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
Neurodevelopemental Therapy (Bobath approach)- Principles and EvidenceSusan Jose
Here we present a widely used neurophysiotherapeutic approch - NDT, exploring its current principles and throwing a glance at the historical development and why it is being so widely practice.
does it really have that evidance base?
Find more as you click on. Give a like if I helped you learn or clear concepts. Thankyou. Love you all. Lets learn more.
The Villa Garda clinical service for eating disorders transitioned from an eclectic treatment approach to using CBT-E (cognitive behavioral therapy for eating disorders) between 2002-2008. They chose CBT-E because it is transdiagnostic, flexible, and focuses treatment on the core mechanisms maintaining eating disorders. The service implemented CBT-E step-by-step, including designing new inpatient and intensive outpatient programs based on CBT-E. Outcome data showed promising results, with most patients achieving normal weight and low eating disorder symptoms post-treatment and at follow-up. The goals of the Villa Garda clinical service are to provide all patients with evidence-based CBT-E regardless of diagnosis or
Debriefing of Bobath Training at London UK 2014 (런던보바스후기)Jooyeon Ko
This document outlines the aims and contents of an advanced early assessment and intervention course applying the Bobath concept in working with babies and young children. The course aims to (1) apply current views on early treatment and management using the Bobath approach, (2) develop better facilitation skills through problem solving and observation, and (3) provide an in-depth understanding of typical and atypical development in infants. The contents cover topics such as neonatal intensive care, typical infant development, positioning, and developmental follow-up.
Assessment and management of complex pain conditionsSaurab Sharma
This was a presentation made at NITTE University during their first Physiotherapy Conference where I was invited as a Speaker. I am posting this thinking if this will be useful revision for those who attended and may be of some use to those who could not listen.
The document summarizes self-management support programs in the Päijät-Häme region of Finland. It describes a lifestyle counseling process that identifies those at high risk for diabetes through health screenings and refers them to group counseling sessions. The goal group counseling program has shown evidence of preventing type 2 diabetes and improving health indicators. A tele-coaching program also led to improved lifestyle behaviors and health outcomes for patients with long-term conditions. Both programs demonstrated the potential for self-management support to empower patients and enhance health, but challenges remain in making these approaches a routine part of healthcare.
The document discusses implementing a speech-language therapist led workshop for caregivers of patients with dementia. It reviews research that shows ineffective communication can increase stress for caregivers and patients. The workshop would teach caregivers communication techniques to improve their relationships and lessen stress. Kotter's change model is used to establish urgency, create a team, develop and communicate the vision, empower action, generate short-term wins, consolidate gains and anchor the new approach. Stakeholders, policies, guidelines, and an evaluation plan are identified to pilot and expand the workshop program.
1. Several studies found that employing reflexologists in the workplace reduced sick leave and associated costs. Employees experienced less pain, stress and improved well-being.
2. Reflexology was shown to significantly reduce symptoms for various medical conditions like headaches, menstrual problems, digestive issues and diabetes. It helped reduce medication usage and sick days.
3. Multiple workplace studies showed reductions in sick leave from 25-65% after employees received regular reflexology treatments. Savings from reduced absenteeism outweighed the costs of employing a reflexologist.
This systematic review examined the effects of intensity of treatment and constraint-induced language therapy (CILT) for individuals with stroke-induced aphasia. Ten studies met the inclusion criteria of investigating intensity or CILT for measures of language impairment or communication ability. The studies were evaluated for methodological quality and classified by research stage. For chronic aphasia, studies provided modest evidence for more intensive treatment and the positive effects of CILT on language and communication outcomes. One study of high-intensity treatment for acute aphasia also reported positive effects, but no studies examined CILT for acute aphasia. The results were considered preliminary due to the limited evidence. More high-quality research is needed to draw firm conclusions about treatment intensity
low back pain with radiating lower limbDrHeeraMani
A randomized controlled trial compared the effectiveness of neural mobilization, lumbar stabilization exercises, and radial extracorporeal shock wave therapy in treating chronic low back pain with radiculopathy. 30 participants were randomly assigned to a treatment group receiving neural mobilization plus exercises and shockwave therapy or a control group receiving exercises and shockwave therapy alone. Both groups showed reduced pain scores after 3 weeks, but only the treatment group demonstrated statistically significant improvements in lumbar range of motion and disability levels. After 6 weeks, statistically significant differences favored the treatment group for all outcome measures.
The document discusses a training program for nurses working in teaching district hospitals in Nepal. It aimed to update the nurses' knowledge and skills. 26 nurses participated in a one-week skills-oriented training program. Participants' knowledge was assessed before and after using tests. Scores increased by an average of 46% after the training, indicating it was effective. Participants evaluated the program positively and requested it be continued to further improve professional nursing practice. The training covered various topics and used interactive teaching methods. Overall it successfully met its goals of enhancing the nurses' clinical skills and knowledge.
1. Chronic spinal pain is difficult to diagnose due to its multifactorial nature and lack of universally accepted diagnostic standards. Accurate diagnosis is important to determine appropriate treatment.
2. Controlled diagnostic injection techniques, including facet joint injections, sacroiliac joint injections, and discography, allow accurate diagnosis in 85% of patients compared to 15% with standard clinical evaluation alone.
3. Consistency in patient response to injections using anesthetics with different durations of action helps validate the accuracy of these diagnostic techniques by ruling out false positives. Controlled diagnostic injections remain the best available tool to identify specific spinal structures causing pain.
Cognitive behavioral therapy (CBT) improved quality of life more than standard treatment alone in patients with chronic musculoskeletal pain. A randomized clinical trial assigned 93 patients to either CBT or standard treatment control groups. After 10 weeks, CBT resulted in a 54% reduction in pain levels compared to 28.9% for control. CBT also reduced depressive symptoms and improved physical limitations, general health, and limitations due to emotional problems domains of quality of life more than standard treatment alone. CBT was shown to be an effective addition to standard treatment for improving aspects of chronic pain.
Palliative care aims to improve quality of life for patients with serious illnesses through pain and symptom management as well as addressing physical, psychological, social, and spiritual needs. It focuses on preventing and relieving suffering for the patient and their family from diagnosis through the end of life and into bereavement. Palliative care is provided through interdisciplinary teams in various settings including hospitals, outpatient clinics, nursing homes, and in the community.
Diabetes health profile e book development & applications 2015 v.2Keith Meadows
The document provides an overview of the Diabetes Health Profile (DHP), a patient-reported outcome measure for assessing the psychological and behavioral impact of living with diabetes. It describes the development of the DHP based on interviews with patients and clinicians. The DHP measures psychological distress, barriers to activity, and disinhibited eating. It has been validated and used in various clinical trials, studies, and surveys involving over 10,000 people with diabetes to evaluate outcomes. The DHP is available in nearly 30 languages and its use is supported by manuals, norms, and score visualization tools.
East & West- an integrative approach to exercise therapiesDavid Labuschagne
The document introduces Kinergetix Movement Therapy (KMT), a proprietary exercise modality that integrates principles from both Eastern and Western movement therapies. KMT routines are designed to promote strength, flexibility, balance, circulation, posture, coordination and awareness. Sessions incorporate techniques from tai chi, yoga and Pilates, as well as aerobic, resistance and partner exercises. Preliminary studies suggest KMT may help manage chronic conditions like arthritis, back pain, diabetes and respiratory disorders.
This document summarizes a study that assessed the knowledge and practice of staff nurses regarding nursing care of children with fever before and after a planned teaching program. The study found that the mean post-test knowledge and practice scores of staff nurses were significantly higher than their pre-test scores after the teaching program. Specifically, the mean knowledge score increased from 16.4 to 22.93, and the mean practice score increased from 11.43 to 19.23. The increases in both knowledge and practice scores were found to be statistically significant. It is concluded that the planned teaching program was effective in improving the staff nurses' knowledge and practice of nursing care for children with fever.
Introduced by Geoffrey Douglas Maitland - in 1950’s
He was born in Australia in 1924, trained as a physiotherapist from 1946 to 1949
Pioneer of musculoskeletal physiotherapy
Emphasized on:
Specific way of thinking
A total commitment to the patient
Continuous evaluation and assessment
Art of manipulative physiotherapy
This document summarizes evidence from randomized controlled trials on the use of complementary health approaches for pain management in the United States. It examines trials of acupuncture, massage therapy, osteopathic manipulative therapy, relaxation techniques, natural supplements, tai chi, and yoga for managing chronic low back pain, osteoarthritis, neck pain, and headaches. The trials generally found modest benefits of these approaches for pain relief and functional improvement compared to usual care or placebo, with few reported adverse effects. Larger and longer trials are still needed to provide more definitive evidence.
Practice based Traumatic Brain Injury Rehabilitation ManualDr. Jiri Pazdirek
Traumatic brain injury Rehabilitation manual based on clinical experience with rehabilitation of 800 patients after severe and moderate brain injury in SBAHC between 2007-2017.
Short and simplified for beginners on the field of TBI rehabilitation.
104 pages + 300 pictures.
This document summarizes the continued growth and development of a small Minnesota town in 2015 and plans for 2016. In 2015, the town saw renovations and expansions of several local businesses, filling of vacant buildings, and new housing and industrial park development. Plans for 2016 include more business growth, housing, and improvements to parks, recreation, and infrastructure. The town aims to cut taxes, recruit new firms, and support existing businesses to keep the economy growing.
The likely cause of the electrolyte abnormalities in this patient is hyporeninemic hypoaldosteronism. This occurs commonly in elderly diabetic patients with nephropathy and is characterized by low sodium and elevated potassium levels due to impaired renal tubular function and reduced aldosterone levels. The chronic kidney disease in this patient, likely related to longstanding diabetes and hypertension, has resulted in this condition.
The Villa Garda clinical service for eating disorders transitioned from an eclectic treatment approach to using CBT-E (cognitive behavioral therapy for eating disorders) between 2002-2008. They chose CBT-E because it is transdiagnostic, flexible, and focuses treatment on the core mechanisms maintaining eating disorders. The service implemented CBT-E step-by-step, including designing new inpatient and intensive outpatient programs based on CBT-E. Outcome data showed promising results, with most patients achieving normal weight and low eating disorder symptoms post-treatment and at follow-up. The goals of the Villa Garda clinical service are to provide all patients with evidence-based CBT-E regardless of diagnosis or
Debriefing of Bobath Training at London UK 2014 (런던보바스후기)Jooyeon Ko
This document outlines the aims and contents of an advanced early assessment and intervention course applying the Bobath concept in working with babies and young children. The course aims to (1) apply current views on early treatment and management using the Bobath approach, (2) develop better facilitation skills through problem solving and observation, and (3) provide an in-depth understanding of typical and atypical development in infants. The contents cover topics such as neonatal intensive care, typical infant development, positioning, and developmental follow-up.
Assessment and management of complex pain conditionsSaurab Sharma
This was a presentation made at NITTE University during their first Physiotherapy Conference where I was invited as a Speaker. I am posting this thinking if this will be useful revision for those who attended and may be of some use to those who could not listen.
The document summarizes self-management support programs in the Päijät-Häme region of Finland. It describes a lifestyle counseling process that identifies those at high risk for diabetes through health screenings and refers them to group counseling sessions. The goal group counseling program has shown evidence of preventing type 2 diabetes and improving health indicators. A tele-coaching program also led to improved lifestyle behaviors and health outcomes for patients with long-term conditions. Both programs demonstrated the potential for self-management support to empower patients and enhance health, but challenges remain in making these approaches a routine part of healthcare.
The document discusses implementing a speech-language therapist led workshop for caregivers of patients with dementia. It reviews research that shows ineffective communication can increase stress for caregivers and patients. The workshop would teach caregivers communication techniques to improve their relationships and lessen stress. Kotter's change model is used to establish urgency, create a team, develop and communicate the vision, empower action, generate short-term wins, consolidate gains and anchor the new approach. Stakeholders, policies, guidelines, and an evaluation plan are identified to pilot and expand the workshop program.
1. Several studies found that employing reflexologists in the workplace reduced sick leave and associated costs. Employees experienced less pain, stress and improved well-being.
2. Reflexology was shown to significantly reduce symptoms for various medical conditions like headaches, menstrual problems, digestive issues and diabetes. It helped reduce medication usage and sick days.
3. Multiple workplace studies showed reductions in sick leave from 25-65% after employees received regular reflexology treatments. Savings from reduced absenteeism outweighed the costs of employing a reflexologist.
This systematic review examined the effects of intensity of treatment and constraint-induced language therapy (CILT) for individuals with stroke-induced aphasia. Ten studies met the inclusion criteria of investigating intensity or CILT for measures of language impairment or communication ability. The studies were evaluated for methodological quality and classified by research stage. For chronic aphasia, studies provided modest evidence for more intensive treatment and the positive effects of CILT on language and communication outcomes. One study of high-intensity treatment for acute aphasia also reported positive effects, but no studies examined CILT for acute aphasia. The results were considered preliminary due to the limited evidence. More high-quality research is needed to draw firm conclusions about treatment intensity
low back pain with radiating lower limbDrHeeraMani
A randomized controlled trial compared the effectiveness of neural mobilization, lumbar stabilization exercises, and radial extracorporeal shock wave therapy in treating chronic low back pain with radiculopathy. 30 participants were randomly assigned to a treatment group receiving neural mobilization plus exercises and shockwave therapy or a control group receiving exercises and shockwave therapy alone. Both groups showed reduced pain scores after 3 weeks, but only the treatment group demonstrated statistically significant improvements in lumbar range of motion and disability levels. After 6 weeks, statistically significant differences favored the treatment group for all outcome measures.
The document discusses a training program for nurses working in teaching district hospitals in Nepal. It aimed to update the nurses' knowledge and skills. 26 nurses participated in a one-week skills-oriented training program. Participants' knowledge was assessed before and after using tests. Scores increased by an average of 46% after the training, indicating it was effective. Participants evaluated the program positively and requested it be continued to further improve professional nursing practice. The training covered various topics and used interactive teaching methods. Overall it successfully met its goals of enhancing the nurses' clinical skills and knowledge.
1. Chronic spinal pain is difficult to diagnose due to its multifactorial nature and lack of universally accepted diagnostic standards. Accurate diagnosis is important to determine appropriate treatment.
2. Controlled diagnostic injection techniques, including facet joint injections, sacroiliac joint injections, and discography, allow accurate diagnosis in 85% of patients compared to 15% with standard clinical evaluation alone.
3. Consistency in patient response to injections using anesthetics with different durations of action helps validate the accuracy of these diagnostic techniques by ruling out false positives. Controlled diagnostic injections remain the best available tool to identify specific spinal structures causing pain.
Cognitive behavioral therapy (CBT) improved quality of life more than standard treatment alone in patients with chronic musculoskeletal pain. A randomized clinical trial assigned 93 patients to either CBT or standard treatment control groups. After 10 weeks, CBT resulted in a 54% reduction in pain levels compared to 28.9% for control. CBT also reduced depressive symptoms and improved physical limitations, general health, and limitations due to emotional problems domains of quality of life more than standard treatment alone. CBT was shown to be an effective addition to standard treatment for improving aspects of chronic pain.
Palliative care aims to improve quality of life for patients with serious illnesses through pain and symptom management as well as addressing physical, psychological, social, and spiritual needs. It focuses on preventing and relieving suffering for the patient and their family from diagnosis through the end of life and into bereavement. Palliative care is provided through interdisciplinary teams in various settings including hospitals, outpatient clinics, nursing homes, and in the community.
Diabetes health profile e book development & applications 2015 v.2Keith Meadows
The document provides an overview of the Diabetes Health Profile (DHP), a patient-reported outcome measure for assessing the psychological and behavioral impact of living with diabetes. It describes the development of the DHP based on interviews with patients and clinicians. The DHP measures psychological distress, barriers to activity, and disinhibited eating. It has been validated and used in various clinical trials, studies, and surveys involving over 10,000 people with diabetes to evaluate outcomes. The DHP is available in nearly 30 languages and its use is supported by manuals, norms, and score visualization tools.
East & West- an integrative approach to exercise therapiesDavid Labuschagne
The document introduces Kinergetix Movement Therapy (KMT), a proprietary exercise modality that integrates principles from both Eastern and Western movement therapies. KMT routines are designed to promote strength, flexibility, balance, circulation, posture, coordination and awareness. Sessions incorporate techniques from tai chi, yoga and Pilates, as well as aerobic, resistance and partner exercises. Preliminary studies suggest KMT may help manage chronic conditions like arthritis, back pain, diabetes and respiratory disorders.
This document summarizes a study that assessed the knowledge and practice of staff nurses regarding nursing care of children with fever before and after a planned teaching program. The study found that the mean post-test knowledge and practice scores of staff nurses were significantly higher than their pre-test scores after the teaching program. Specifically, the mean knowledge score increased from 16.4 to 22.93, and the mean practice score increased from 11.43 to 19.23. The increases in both knowledge and practice scores were found to be statistically significant. It is concluded that the planned teaching program was effective in improving the staff nurses' knowledge and practice of nursing care for children with fever.
Introduced by Geoffrey Douglas Maitland - in 1950’s
He was born in Australia in 1924, trained as a physiotherapist from 1946 to 1949
Pioneer of musculoskeletal physiotherapy
Emphasized on:
Specific way of thinking
A total commitment to the patient
Continuous evaluation and assessment
Art of manipulative physiotherapy
This document summarizes evidence from randomized controlled trials on the use of complementary health approaches for pain management in the United States. It examines trials of acupuncture, massage therapy, osteopathic manipulative therapy, relaxation techniques, natural supplements, tai chi, and yoga for managing chronic low back pain, osteoarthritis, neck pain, and headaches. The trials generally found modest benefits of these approaches for pain relief and functional improvement compared to usual care or placebo, with few reported adverse effects. Larger and longer trials are still needed to provide more definitive evidence.
Practice based Traumatic Brain Injury Rehabilitation ManualDr. Jiri Pazdirek
Traumatic brain injury Rehabilitation manual based on clinical experience with rehabilitation of 800 patients after severe and moderate brain injury in SBAHC between 2007-2017.
Short and simplified for beginners on the field of TBI rehabilitation.
104 pages + 300 pictures.
This document summarizes the continued growth and development of a small Minnesota town in 2015 and plans for 2016. In 2015, the town saw renovations and expansions of several local businesses, filling of vacant buildings, and new housing and industrial park development. Plans for 2016 include more business growth, housing, and improvements to parks, recreation, and infrastructure. The town aims to cut taxes, recruit new firms, and support existing businesses to keep the economy growing.
The likely cause of the electrolyte abnormalities in this patient is hyporeninemic hypoaldosteronism. This occurs commonly in elderly diabetic patients with nephropathy and is characterized by low sodium and elevated potassium levels due to impaired renal tubular function and reduced aldosterone levels. The chronic kidney disease in this patient, likely related to longstanding diabetes and hypertension, has resulted in this condition.
The document describes the process used to develop the 2010 ACR/EULAR classification criteria for rheumatoid arthritis through a 3 phase project. Phase 1 used data analysis to identify predictors of methotrexate treatment initiation. Phase 2 used an expert consensus process to determine factors associated with a high probability of developing persistent erosive rheumatoid arthritis. Phase 3 integrated the results of Phases 1 and 2 to develop feasibility-tested classification criteria.
The document outlines protocols for first aid and treatment of snakebites in India. It recommends the "Do it R.I.G.H.T." method for first aid, which involves reassuring the patient, immobilizing the bite area without restricting blood flow, getting to the hospital immediately, and informing doctors of any symptoms. Traditional methods like tourniquets, cutting or suctioning the wound, washing the wound, electrical therapy, and cryotherapy are discouraged. The pressure immobilization method used elsewhere is deemed inapplicable to India. Treatment protocols cover patient care upon arrival, investigations, symptoms, anti-snake venom administration guidelines, and management of late or severe envenomation.
This document is the introduction to the 2016 Standards of Medical Care in Diabetes published by the American Diabetes Association (ADA). It discusses how diabetes requires continuous medical care and multifactorial risk reduction strategies beyond blood sugar control. It emphasizes the importance of ongoing patient education to prevent complications and reduce the risk of long-term health issues. The ADA standards are intended to help clinicians, patients, researchers and payers by providing evidence-based recommendations on diabetes care, general treatment goals and tools to evaluate quality of care.
DMARDs are used to decrease pain, inflammation, and prevent joint damage in rheumatoid arthritis. They work by limiting inflammation early in the disease course before structural damage occurs. The traditional DMARDs include methotrexate, hydroxychloroquine, sulfasalazine, and leflunomide, while biologic DMARDs target cytokines like TNF-α. Methotrexate is usually the first choice due to its efficacy and safety profile. DMARD therapy should be started aggressively within 3 months of diagnosis to prevent long-term disability. Combination therapy and treatment adherence are important to control symptoms and progression of rheumatoid arthritis.
DMARDs or disease-modifying antirheumatic drugs are a heterogeneous group of drugs used to treat rheumatoid arthritis. Methotrexate is a common first-choice DMARD with a more rapid onset than others. It works by inhibiting folic acid metabolism. Other DMARDs discussed include sulfasalazine, gold compounds, penicillamine, chloroquine, and leflunomide. While they have different mechanisms of action and chemical structures, DMARDs may halt or reverse the underlying disease process in rheumatoid arthritis.
Snake bites pose serious health risks, especially in rural areas with limited access to medical care. The document discusses snake bite symptoms, effects of venom, and appropriate first aid treatment. Venomous snake bites can cause tissue damage, bleeding, organ failure and death if left untreated. Victims should seek antivenom treatment as soon as possible to prevent severe complications or death from the venom.
The document summarizes guidelines from the American Diabetes Association (ADA) regarding standards of medical care for diabetes in 2017. It discusses recommendations for classifying and diagnosing different types of diabetes, including prediabetes, type 1 diabetes, type 2 diabetes, and gestational diabetes. The ADA recommends screening for prediabetes and type 2 diabetes in asymptomatic adults starting at age 45 or earlier for those with risk factors. It also provides criteria for diagnosing diabetes based on hemoglobin A1C, fasting plasma glucose, and oral glucose tolerance tests.
Presentation for Medical undergraduates for teaching pharmacology. It deals with Physiology of steroid hormones and their action along with agents which are used therapeutically with their action, adverse effects and therapeutic uses.
an overall overview in corticosteroids and its application in oral and maxillofacial diagnostic medicine and pathology drawing to the conclusions of the limitations and drawbacks of these medicines. i have also included the precautions to be taken in dental therapeutic procedures fo
Rheumatoid arthritis is an autoimmune disease characterized by inflammation of the joints, especially in the hands and feet. It affects around 1% of the population and is more common in women. If left untreated, chronic inflammation can lead to joint damage and disability. Management involves reducing inflammation and pain with medications like NSAIDs, corticosteroids, and disease-modifying antirheumatic drugs (DMARDs), with the goal of achieving remission and preventing long-term joint damage and deformity.
Corticosteroids are synthesized by the adrenal cortex and have glucocorticoid and mineralocorticoid actions. They are used for their anti-inflammatory, immunosuppressive, and electrolyte regulating properties. Common corticosteroids used include hydrocortisone, prednisone, and dexamethasone. They are administered topically, orally, intramuscularly or intravenously. Dental procedures on patients taking corticosteroids require stress reduction and adequate pain control to prevent adrenal insufficiency. Management of adrenal insufficiency involves glucocorticoid administration, IV fluids, and hospital transfer if unconscious.
Corticosteroids are a class of steroid hormones produced in the adrenal cortex that are involved in stress response, immune response, inflammation, metabolism, and other physiological systems. They include glucocorticoids like cortisol which control carbohydrate, fat and protein metabolism and are anti-inflammatory, and mineralocorticoids like aldosterone which control electrolyte and water levels. Corticosteroids have various medical uses but also carry risks of side effects if not taken correctly.
Rheumatoid arthritis current diagnosis and treatmentAnkur Varshney
This document provides information on the diagnosis and management of rheumatoid arthritis (RA). It begins with an introduction to RA, noting that it is a chronic inflammatory joint disease affecting approximately 1% of the population. It then discusses the clinical presentation and manifestations of RA, including onset, patterns of joint involvement, and articular and extra-articular symptoms. The document reviews the diagnostic criteria for RA and covers laboratory investigations and radiographic features. It concludes with an overview of the goals and various treatment modalities for RA, including NSAIDs, corticosteroids, disease-modifying antirheumatic drugs (DMARDs), immunosuppressive therapies, and biological therapies.
Highlights eular hp 2012 berlin jenny de la torre def 2jennyaboki
The document summarizes presentations from the EULAR 2012 conference on various topics related to osteoarthritis (OA) care. It describes organizational models for OA clinics, best practices for OA management including the NICE guidelines, a nurse-led OA clinic, and a stepped care approach. It also discusses motivational interviewing to increase physical activity, education for providers on self-regulation programs, and promoting physical activity through mass media campaigns. Clinical outcomes of nurse-led rheumatoid arthritis care and multidisciplinary education programs for rheumatoid arthritis patients are presented.
This document summarizes and compares different models of back schools for treating chronic low back pain. It discusses the original Swedish back school model and how various programs have modified the content, format, and length. Several recent randomized controlled trials that compared different back school models to other treatments are highlighted. The studies found that back schools based on biopsychosocial principles led to better long-term outcomes than traditional models. Spinal manipulation was also found to result in lower disability scores compared to back school or individual physiotherapy. Overall, back schools may be considered as part of multidisciplinary treatment, though more research is still needed.
Efficacy of classification-based_cft_in_nsclbpMeziat
Artigo (6) importante para a preparação para o curso de dor lombar crônica. "Eficácia da Terapia Cognitiva Funcional em pacientes com dor lombar crônica inespecífica: ensaio clínico randomizado controlado."
This study examined the prognosis of 118 patients with chronic low back pain who participated in a private, community-based group exercise program over 12 months. The patients experienced substantial improvements in pain intensity, disability, function and bothersomeness during the study period. Pain intensity and bothersomeness improved most in the first 6 months, while disability and function continued improving throughout the full year. At 12 months, 25% of patients were fully recovered from their back pain. Baseline pain intensity predicted 10% of the variation in pain outcomes at 12 months, while duration of current episode, disability, and education level together predicted 15% of the variation in disability outcomes.
Objective: To assess the effect of a kinesitherapeutic
program of special exercises for treatment of pain intensity and
endurance of the extensor trunk muscles in patients with
chronic lumbalgy.
Methods: The study included 110 patients with chronic
lumbalgy, equally distributed in two treatment groups.
Participants in the experimental group performed the
recommended special exercises 3 times a week at home, while
those in the control group only followed the guidelines of a
physician. At the beginning of the study and 12 months later,
the pain intensity of all the participants was assessed by means
of Visual Analog Scale.
Results: In contrast to the participants in the control
group, those in the experimental group at the end of observation
were reported to experience a significant reduction in pain
intensity.
Conclusions: Treatment with specific exercises proved
more effective in terms of pain complaints in patients with
chronic lumbalgy.
This study compared the effects of three exercise interventions on motor performance in patients with Parkinson's disease: LSVT1BIG therapy, Nordic walking, and unsupervised home exercises. Sixty patients were randomly assigned to one of the three groups. The LSVT1BIG group showed a significant mean improvement of 25.05 points on the UPDRS motor score, while the Nordic walking and home exercise groups showed little to no change or mild deterioration. LSVT1BIG therapy was also superior in tests of timed up-and-go and timed 10m walking. There were no significant differences between groups for quality of life. The results provide evidence that LSVT1BIG is an effective technique for improving motor function
This document provides information on acupuncture, including its origins in China over 2000 years ago, its stated benefits for various conditions like back pain and osteoarthritis, techniques like sham acupuncture, and safety issues. It summarizes several studies on acupuncture for specific conditions like back pain, osteoarthritis of the knee, and postoperative nausea/vomiting. The largest and most well-designed trial found acupuncture effective for osteoarthritis of the knee compared to sham acupuncture. Other studies found acupuncture may provide short-term relief for back pain and help prevent early vomiting after surgery compared to placebo. However, more high-quality research is still needed.
Virtual Reality Reflection Therapy Improves Balance and Gait in Patients with...Avi Dey
Technology enhanced version of Mirror Box Therapy called Virtual reality reflection therapy (VRRT) . Taesung In Et Al, (Department of Physical Therapy, College of Health Science, Sahmyook University, Seoul, South Korea) . Referred by Café Twin, Fairfax, VA USA. (LinkedIn.com/Café Twin) 2016
This study explored community stroke rehabilitation therapists' use of outcome measures in Scotland. A survey of 113 therapists found that the most commonly used measures were the Berg Balance Scale, Tinetti Balance and Gait scales for physical therapists, the Rivermead Behavioural Memory Test and Barthel Index for occupational therapists, and the Therapy Outcome Measure and Frenchay Aphasia Screening Test for speech and language therapists. The top reasons for selecting measures were that they are relevant to patients' goals, easy to use, and sensitive to change. However, over a third of therapists were dissatisfied with the relevance of available measures to patients. The study highlights tensions between best practice and constraints like financial barriers to using measures.
This study conducted a prospective population-based cohort study and systematic review/meta-analysis to evaluate the risk of stroke in patients with asymptomatic carotid stenosis receiving medical therapy alone. The cohort study included patients found to have asymptomatic carotid stenosis between 2002-2017 who received contemporary medical management including antiplatelet/statin therapy and blood pressure control. The primary outcome was ipsilateral ischemic stroke. A systematic review/meta-analysis of previous studies on this topic was also performed to determine stroke risks with medical therapy alone and evaluate if routine carotid intervention is still warranted.
Pilot Study of Massage in Veterans with Knee OsteoarthritisMichael Juberg
This pilot study assessed the feasibility and preliminary efficacy of Swedish massage therapy for 25 veterans with knee osteoarthritis. The study found high retention and adherence rates, suggesting massage was feasible and acceptable for veterans. Veterans receiving 8 weekly one-hour massage sessions experienced statistically significant improvements in self-reported knee pain, stiffness, function, and quality of life, as well as trends toward improved range of motion. The results support further study of massage as a treatment approach for knee osteoarthritis in veterans.
Alt PDFThe Journal of the CanadianChiropractic Associati.docxdaniahendric
Alt PDF
The Journal of the Canadian
Chiropractic Association
The Canadian Chiropractic Association
What is your research question?
An introduction to the PICOT
format for clinicians
John J. Riva, BA, DC, Keshena M.P. Malik, BSc,
DC, [...], and Jason W. Busse, DC, PhD
Additional article information
Introduction
Clinicians often witness impressive treatment
results in practice and may wish to pursue
research to formally explore their anecdotal
experiences. The potential to further new
knowledge both within the profession and to the
greater healthcare system is compelling. An
obvious next step for a practitioner considering
research is to connect with experienced
researchers to convey their idea for a study, who
may in turn ask, “What is your research
question?” With limited understanding of how to
respond, this interaction may result in the first
and last experience these clinicians will have with
the research community.
It has been estimated that between 1% and 7% of
the chiropractic profession in Canada is engaged
in research. Arguably, this low engagement
could be the result of practitioners’ perceived
importance of research and levels of research
literacy and capacity. However, increasing
demands for evidence-based approaches across
the health system puts pressure on all clinicians to
base their decisions on the best available
scientific evidence. Lack of clinician
representation in research has the probable effect
of limiting growth and new developments for the
profession. Furthermore, lack of clinician
involvement in research complicates the transfer
of study findings into practical settings.
The Canadian Institutes of Health Research
describes integrated knowledge translation as a
process that involves collaboration between
researchers and knowledge users at all stages of a
research project. This necessitates involvement
of clinicians to help in forming a research
question, interpreting the results, and moving
research findings into practice. This shared effort
between clinicians and researchers increases the
likelihood that research initiatives will be relevant
to practice. Conversely, it has been reported that
there is a growing communication gap between
clinicians and academics in chiropractic.
Clinicians have important practice-related
questions to ask, but many may lack the ability to
map out their research strategy, specifically in
communicating their question in a manner
required to develop a research protocol.
David L. Sackett, Officer of the Order of Canada
and the founding Chair of Canada’s first
Department of Clinical Epidemiology &
Biostatistics at McMaster University, highlights
the importance of mapping one’s research
strategy in exploration of the research question:
“one-third of a trial’s time between the germ of
your idea and its publication in the New England
Journal of Medicine should be spent fighting
about the research question.” (personal
communicat ...
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
The document summarizes research using the Patient Activation Measure (PAM) to improve quality of care for patients with chronic conditions. The PAM gauges a patient's knowledge, skills, and confidence in managing their own health. The research included a literature review finding the PAM has been used to tailor care and assess risk profiles. A retrospective audit in one local health district found the PAM score improved after a pulmonary rehabilitation program. A pilot study is currently testing using the PAM in clinical practice to improve quality of care. Barriers and facilitators to implementing the PAM as a tailoring tool are being examined.
A brief introduction to what Keele's Stratified care for low back pain: Subgrouping and targeting treatment for low back pain in primary care (STarT Back).
The STarT Back approach uses a simple tool to match patients suggesting with back pain to treatment packages appropriate for them. This has been shown to decrease disability from back pain, reduce time off work, and save money by making better use of health resources.
This randomized controlled trial compared the effectiveness of spinal manipulation therapy (SMT), medication, and home exercise with advice (HEA) for acute and subacute neck pain. The trial found that:
1) SMT had a statistically significant advantage over medication in reducing pain up to 1 year after treatment based on participant-reported pain levels.
2) HEA was as effective as SMT, with no important differences in pain reduction between the two treatments at any time point.
3) Both SMT and HEA were more effective for reducing neck pain than medication in both the short and long term.
Motivational Enhancement Therapy in Addition to Physical
Therapy Improves Motivational Factors and Treatment
Outcomes in People With Low Back Pain: A Randomized
Controlled Trial
Exergames for Patients in Acute Care Settings: Systematic Review of the Repor...Games for Health Europe
TRACK 7 (1)| SELF MANAGEMENT PART 2 | DAY 2 - 1 NOV 2016
Ruud Krols, Senior Researcher & physiotherapist | University Hospital Zurich (CH)
Games for Health Europe 2016
Mind the gap: ways to enhance therapy provision in stroke rehabilitation
This document, being launched at the UK Stroke Forum this week, explores some of the different models adopted by therapy services to deliver more rehabilitation and provides further detail about 45 minutes, process and outcomes.
(Published November 2011)
This was a single-blind randomized controlled trial that compared classic Yang-style tai chi to a wellness education and stretching control intervention for patients with fibromyalgia. Participants were randomly assigned to one of the two 60-minute, twice weekly programs for 12 weeks. The primary outcome was change in Fibromyalgia Impact Questionnaire score from baseline to 12 weeks, with secondary outcomes including physical and mental health scores. Assessments were repeated at 24 weeks to test durability of effects.
Similar to Highlights eular hp 2012 berlin john verhoef def (20)
1. Highlights EULAR 2012
Health Professionals Sessions
John Verhoef MSc PT PhD
Professor of Physical Therapy
University of Applied Sciences Leiden
The Netherlands
2. Wednesday 06th of June 2012:
Crossing boundaries of primary to
secondary care
Future demands for cooperation between
specialised care and primary care
3. Opportunities and challenges in a future
primary health care for people with rheumatic
diseases
– Primary care is not the same all over Europe!
– Primary care could give opportunities regarding:
• Early diagnosis, efficient referral, more future patients to treat
and follow, life long management, life style interventions, deal
with comorbidities, some diseases are mainly treated in PC and
organizing care.
– Primary care challenges:
• Use and develop checklists, specific training of HP and
patients, IT support for communication, and teamwork
No abstract available; S. Bergman, Sweden
4. Collaboration across health service levels
– Need for health sector reform: develop integrated care
and collaboration between primary and secondary
specialist care
– In Norway treatment for OA is taken as a pilot for
health sector reform, because there are no treatment
pathways available
– Three projects were started to stimulate cooperation
between PC and SC
– Key factors for succes: funding, changing behavior, and
keep it simple, but structured!
SP0040: Nina Osteras, Norway
5. Hopes and real life experiences of
communication between specialist health care
and primary health
–Real Life experiences:
• In communication the responsibility is transferred to the
patient (unwanted by the patient)
• Survey-results: patients are frequently used as messenger
between specialist care and primary care
–Hopes from the patient perspective:
• Responsibility for transfer of information goes back to the HP
• Develop tools to enhance communication
• Patients themselves should ask for changes
SP0041: Connie R. Ziegler, Denmark
6. Future challenges for health professionals;
communication across health care levels
– Literature overview from a health systems perspective
– Comparative institutional ethnographical (patient-
centered) study routine care processes to RA patients in
Austria, Sweden and the UK
– Despite the differences in the systems in principle it is
possible to ensure continuity of care
– Getting insight into processes and structures of
communication across care levels opens opportunities
for changing daily practice
SP0042: B.Prodinger, Canada
7. Thursday 7th of June 2012:
HPR abstract session
Progress in rehabilitation –
the future is bright
8. A MULTIDISCIPLINARY AND
MULTIDIMENSIONAL PROGRAM FOR
HAND OSTEOARTHRITIS IS NOT
EFFECTIVE:
–Single blinded randomized multicenter trial with patients with hand
OA:
• Four weekly multidisciplinary intervention (goal setting, exercises,
education, splinting): n=76
• 30 minutes education and 3 months on waiting list: n=75
• Outcome: pain, activity limitations, grip strength, self-efficacy, pain
coping and QoL
–Conclusion:
• No benefit on short term
• Future reseach focussed on effectiveness of single treatment elements
targeted on patient characteristics and needs
OP0075-HPR: M.J. Stukstette et al, Netherlands
9. EFFECTS OF A SOFT THUMB
BASE SPLINT
– Randomized controlled trial with patients with carpometacarpal
OA:
• Splint-group: hand exercises (twice a day) and splint; n=30
• Control-group: hand exercises (twice a day); n=29
• Outcome: grip- and pinch strength, pain, thumb-webspace, joint
mobility, self-reported hand function (two months follow-up)
– Conclusion:
• No benefit on long term
• Only an immediate pain-relieving when worn
OP0076-HPR: M. Hermann et al, Norway
10. EFFECT OF INTERACTIVE WORKSHOP
ON ADHERENCE WITH DUTCH PT
PRACTICE GUIDELINE HIP AND KNEE OA
– PT’s from 5 regions were randomly assigned to:
• Interactive workshop (content guideline, 3 clinical cases with patient
partners and 3 regional experts, lasted 3 hours): n=141
• Control group (waiting list group): n=134
• Outcome: QIP-HKOA, knowledge questionnaire, guideline barriers
questionnaire (before, after, 2 months later)
– Conclusion:
• Statistical difference on all measures in favour for IW
• Effective strategy to improve adherence with the recommendations of
the Dutch PT guideline on HKOA
OP0077-HPR: W.F. Peter et al, Netherlands
11. THREE WEEK REHAB PROGRAM HAD
POSITIVE LONG TERM EFFECTS IN
PATIENTS WITH ANKYLOSING SPONDYLITIS
– Observer blinded randomized contolled trial with patients with
ankylosing spondylitis:
• Three weeks inpatient rehab program: n=46
• Usual treatment: n=49
• Outcome: BASDAI (disease activity), BASFI (function), well-being,
spinal and hip mobility, SF-36 QoL (4 and 12 months)
– Conclusion:
• Significant benefit in favour for the rehab group regarding BASDAI,
well-being and some SF-36 variables.
• This 3-week inpatient program should be considered an important
complement to medical disease management in patients with AS
OP0078-HPR: I. Kjeken et al, Norway
12. EFFECTS OF A ONE WEEK
MULTIDISCIPLINARY INPATIENT SELF-
MANAGEMENT PROGRAMME FOR
PATIENTS WITH FIBROMYALGIA
– Randomized controlled two-armed assessor-blinded trial with
patients with fibromyalgia:
• One week multidisciplinary inpatient SMP (psychological distress,
health consumer skills, self-efficacy, information on FM): n=58
• Waiting list control group: n=60
• Outcome: General Health Questionnaire-20, Effective
Musculoskeletal Consumer scale-17, Fibromyalgia Impact
Questionnaire, Self-efficacy (ASES) (3-week follow-up)
– Conclusion:
• Small short-term effect on skills and behavior important for managing
and participating in health care (EC-17)
• No others differences found
OP0079-HPR: B.Hamnes et al, Norway
13. Aerobic training in patients with ankylosing
spondylitis
– Randomized controlled assessor-blinded trial with patients with
ankylosing spondylitis:
• Intervention group: fifty minutes of walking in the individual
anaerobic threshold associated with stretching exercises three times a
week for twelve weeks: n=32
• Control group: only stretching exercises: n=32
• Outcome: BASFI, HAQ-S, BASMI, BASDAI, CRP, aerobic capacity
treadmill-test and 6-minute walking test at T0, T6 and T12 weeks
– Conclusion:
• The IG showed significant improvement in 6MWT compared to the
control group. There was an increased walking distance and
cardiopulmonary capacity.
OP0080-HPR: F. Jennings et al, Brazil
14. Concepts important to patients with RA in rehab
and their coverage by rehab tools
– Qualitative focus group study with patients with RA in
combination with a systematic literature review:
• This study aimed to explore whether RA patients’ perspectives on
rehabilitation are covered by current rehabilitation instruments (RAP,
COPM, WHODAS-II, ICF Core sets)
• Outcome: Using the ICF as a common framework, the focus groups
(19 patients in 4 groups) showed that personal characteristics,
handling disease and limitation, self-confidence and maintaining
independency was not at all covered within the rehab tools
– Conclusion:
• Current rehabilitation tools poorly cover the concepts that patients
find essential during rehabilitation
• The ICF-CSRA best covered patients'’ perspective
OP0081-HPR: J. Meesters et al, Netherlands
15. Short term effect of 2-weeks rehab on disease
activity and health status in patients with AS
– Descriptive retrospectively study for AS patients who participated
in 2-week rehab program January 2007 to June 2011: n=87
• One week multidisciplinary inpatient SMP (psychological distress,
health consumer skills, self-efficacy, information on FM): n=58
• Waiting list control group: n=60
• Outcome: BASDAI, BASFI), BASMI, Gait Velocity, Timed-Stands
Test, Occiput-Wall Distance, Finger-Floor Distance, Chest
Expansion, ESR and CRP
– Conclusion:
• short term rehab improves disease activity and physical function.
• did not reduce ESR and CRP
OP0082-HPR: G. Haugeberg et al, Norway
16. Thursday 7th and Friday 8th of June 2012:
Guided Poster Tour HPR
17. Friday 8th of June 2012:
HP Workshop Session
Challenges in HP’ practice:
how to develop and execute a treatment
plan for a patient with rheumatic conditions
and comorbidities
18. Interactive presentation of two examples from
daily practice regarding a patient with OA and
comorbidities
– Setting individual treatment goals in complex cases
(T. Dager, Norway; SP0138)
– Exercise in case of multiple health problems
(M. de Rooij, Netherlands; SP0139 together with a patient Mrs. Linderman)
Tutor: J.A.M. Linderman, Netherlands
19. Setting individual treatment goals in complex cases
– Goal planning: essential part of rehab practice and is a
collaborative process between the patient and the
rehabilitation team
– Qualitative study of rehab outcomes emphasizes the
need to understand and take into account the patients'
own understanding of challenges when formulating
individual rehabilitation goals
– At the work-shop, the goal-setting process was
illustrated through patient cases, and factors facilitating
or hampering the goal setting process was discussed.
SP0040: Nina Osteras, Norway
20. Exercise in case of multiple health problems
– OA: highest rates of comorbidity associated with more pain,
greater limitations in daily activities, and worst functional
prognosis
– Comorbidities in knee OA: coronary diseases, heart failure,
hypertension, type 2 diabetic, obesity, copd, chronic pain, non-
specific low back pain, depression, and visual and hearing
impairments.
– Exercise therapy is one of the key recommendations lacking
comorbidity-associated adaptations
– In this inter active session the adaptations that have been made in
the diagnostic and intervention phase in a patient with OA of the
knee and comorbidities (diabetic type 2, hypertension and obesity)
was discussed
SP0040: Nina Osteras, Norway
21. Saterday 9th of June 2012:
Joint Clinical-HPR-PARE Session
Move, groove and improve
exercise and RMD’s
How to ensure safety, quality and
motivation in provision of exercise
22. Physical activity promotion in peolple with RMD’s:
RheumaNet
– No physical activity estimates for patients with RMDs
are available in Flanders.
– Initiated by patient organisations and Leuven
University: ReumNet.
– Goal: research project for developing tailored PA
intervention programs
– A web-based survey will start and will provide a good
estimate of PA needs in Flanders
SP0183: P. Verschueren, Belgium
23. How to ensure quality in exercise groups organised
by patient organisations
• In the state of North Rhine-Westfalia: 35.000 patients take
part in hydrotherapy exercise groups, about 10.000 in other
physiotherapy groups.
• Volunteers in about 100 local branches organize these
therapy groups.
• How do we enable that the patient gets the right therapy?
How is it made possible that the therapists working for us
are doing a good job?
• “asking these questions is the start of the solution’
SP0184: D. Wiek, Germany
24. An early morning stretch:
practical use of THERA band
No abstract: I. Kostas,Cyprus
25. Exercising safely – a PT perspective
– Aerobic and strengthening exercises are recommended
in treatment guidelines in patients with rheumatic
diseases, including rheumatoid arthritis and knee and/or
hip osteoarthritis
– adverse events 9low incidence) have been reported:
increase in pain, increase in joint inflammation,
increased cartilage degeneration, musculoskeletal
injuries and falls due to exercise
– There is a need to investigate adverse events resulting
from exercising as part of the improvement of care for
patients with rheumatic diseases
SP0185: M. van der Esch, Netherlands
26. Take Home Message
• Plan your next trip to the EULAR congress
• Give input to the EULAR HP Standing
Committee regarding the program
• Take a look at the EULAR website
regularly
• Have a save journey and see you next year!