Better Health Through Research image
 Better Health Through Research image
      

Search Center...



SEARCH PARAMETERS
Search:
Journal: Author:
Years: through Show:  Display: 
 

  Page 1 of 15  
Search Results for : Cervical Osteoarthritis
Merck Online Lab
Diagnosis Therapy Rehabilitation Imaging Clinical Laboratory
Nonmedicinal therapy in the management of ankle arthritis.
Author(s): Rao, S; Ellis, SJ; Deland, JT; Hillstrom, H
Journal: Curr Opin Rheumatol 2010 Apr 20; Vol. 22, Issue 2; Page(s) 223-8
[Medline ID - 20019616]

PURPOSE OF REVIEW: The incidence of ankle osteoarthritis has increased in recent years, in part, secondary to vehicular trauma. This review describes conservative and operative intervention strategies along with current research related to the management of ankle osteoarthritis. RECENT FINDINGS: Self-reported physical function in patients with ankle osteoarthritis is equivalent to or worse than that of patients with endstage kidney disease, congestive heart failure, or cervical-spine pain and radiculopathy. Nonoperative-intervention strategies such as assistive devices, orthoses, and viscosupplements are frequently used in this clinical population. However, limited objective data are available examining outcomes following nonoperative intervention. Ankle fusion serves as a standard-surgical treatment for end-stage ankle osteoarthritis. The limitations of ankle fusion include prolonged immobilization, a relatively high risk of nonunion, and adjacent joint arthritis. Increasing evidence supports the safety and efficacy of total-ankle arthroplasty (TAA). Current (third generation) TAA prostheses feature cementless design and ligament preservation with reduced bone resection and improved instrumentation. SUMMARY: Limited objective evidence exists to guide clinical decision-making related to nonoperative choices such as assistive devices, orthoses, and viscosupplements. Outcomes from prospective clinical trials indicate that newer total ankle-arthroplasty designs provide substantial pain relief in patients with end-stage ankle osteoarthritis.

Radiographic cervical spine osteoarthritis progression rates: a longitudinal assessment.
Author(s): Wilder, FV; Fahlman, L; Donnelly, R
Journal: Rheumatol Int 2009 Oct 30
[Medline ID - 19865817]

Relative to other sites, the cervical spine has received little attention in the osteoarthritis (OA) literature. Using data from a longitudinal study, we provide age-specific progression rates of radiographic cervical spine OA, by gender. Data from cohort subjects (ages 40+) from the Clearwater Osteoarthritis Study were analyzed (N = 707). All study subjects' demonstrated radiographic cervical spine OA at baseline (2+). Lateral cervical spine radiographs were taken biennially. The study outcome was radiographic disease progression. A grade increase of 1, or more, by the Lawrence and Kellgren ordinal scale was considered progression. Incidence rates were calculated as per 100 person-years of observation. We show that the progression rates for cervical spine OA increase with age. For all ages combined, men demonstrated higher rates of progression compared with women. However, among subjects in their forties and fifties, women were more likely to experience worsening of their disease when compared with men. Progression rates were similar for men and women in their sixties (8.2 and 8.0, respectively). Among subjects in their seventies, men demonstrated a significantly higher rate of progression compared with women (12.5 and 8.6, respectively). As the baby-boomer population continues to increase, cervical spine OA progression assessment can be a useful tool for health-care resource planning. Cervical spine OA research offers an abundance of opportunities. Instability as a precursor to the development of cervical spine OA warrants further research. Epidemiological studies addressing demographic differences (e.g., gender, age) in the incidence of cervical spine OA will contribute to the current knowledge base.

I have arthritis-related neck pain. Can non-surgical spinal decompression with cold-laser therapy bring some relief?
Journal: Duke Med Health News 2009 Dec 16; Vol. 15, Issue 9; Page(s) 8
[Medline ID - 19785083]

ABSTRACT NOT AVAILABLE

Cerebral palsy lifetime care - four musculoskeletal conditions.
Author(s): Murphy, KP
Journal: Dev Med Child Neurol 2009 Oct 7; Vol. 51 Suppl 4; Page(s) 30-7
[Medline ID - 19740208]

Cerebral palsy (CP) has always been considered a static condition in the neurological sense. Secondary and associated conditions that occur in the patient with CPcan progress over time and cause unwanted sequelae. This paper discusses four musculoskeletal conditions that present across the lifetime and can lead to progressive loss of function in the patient with CP. Patella alta can be particularly painful in the early adult years, limiting mobility particularly when associated with crouch gait. Adults with lower-extremity weight-bearing status having hip dysplasia, progressive over time, often develop pain and severe degenerative arthritis, with or without arthrodesis. Spondylolysis, particularly at the L5 S1 level, is fairly common in the ambulatory adult with diplegia and may, if not diagnosed early, progress to spondylolisthesis. Cervical stenosis appears to be more prevalent in adults with spastic quadriparesis and dystonia and is often associated with myelomalacia and/or radiculopathy. All four of these conditions may be lessened, or even prevented, with intervention and diagnosis in the younger years. Possible interventions and outcomes over time are discussed in the context of multidisciplinary team management of the individual with CP.

Hereditary bone dysplasia with pathological fractures and nodal osteoarthropathy.
Author(s): Arendse, R; Brink, P; Beighton, P
Journal: Skeletal Radiol 2010 Jan 14; Vol. 38, Issue 12; Page(s) 1197-203
[Medline ID - 19756588]

A father and daughter both had multiple pathological fractures and nodal osteoarthropathy. The father, aged 50 years, had at least 20 healed fractures of the axial and appendicular skeleton, sustained by minor trauma over his 50-year lifespan, many of which had been surgically fixed prior to his first presentation to us. Fractures of the clavicles, thoracic cage and long bones of the arms and legs, had healed with malalignment and deformity. Healed fractures were complicated by ankylosis of the cervical vertebrae and both elbows. He also had osteoarthritis of the hands, with exuberant osteophytosis, and profound perceptive deafness. His general health was good, his intellect and facies were normal, and his sclerae were white. The daughter, aged 27 years, had sustained at least seven fractures of the axial and appendicular skeleton following trivial injuries, in distribution similar to those of the father.She had also experienced painful swelling of the fingers,which preceded progressive development of nodal osteoarthropathy.Her hearing was normal. In both individuals,biochemical and immunological investigations yielded normal results. It was not possible for molecular studies to be undertaken. Pedigree data were consistent with autosomal dominant transmission, and this disorder appeared to be a previously undocumented heritable skeletal dysplasia.

Chronic neck pain and vertigo: Is a true balance disorder present?
Author(s): Yahia, A; Ghroubi, S; Jribi, S; M; âlla, J; Baklouti, S; Ghorbel, A; Elleuch, MH
Journal: Ann Phys Rehabil Med 2009 Dec 16; Vol. 52, Issue 7-8; Page(s) 556-67
[Medline ID - 19747892]

OBJECTIVE: We sought to establish whether chronic neck pain patients suffering from vertigo and instability have true balance disorders. PATIENTS AND METHODS: Ninety-two patients having suffered from chronic neck pain for at least 3 months were enrolled in the present study. Patients with a history of neck trauma or ear, nose and throat, ophthalmological or neurological abnormalities were excluded. The patients were evaluated in a clinical examination (neck mobility) and a test of dynamic and static balance on the Satel((R)) platform in which mediolateral (Long X) and anterior-posterior deviations (Long Y) were monitored. Our patients were divided into three groups: a group of 32 patients with neck pain and vertigo (G1), a group of 30 patients with chronic neck pain but no vertigo (G2) and a group of 30 healthy controls. RESULTS: All groups were comparable in terms of age, gender, weight and shoe size. Osteoarthritis was found in 75% and 70% of the subjects in G1 and G2, respectively. Neck-related headache was more frequent in G1 than in G2 (65.5% versus 40%, respectively; p=0.043). Restricted neck movement was more frequent in G1 and concerned flexion (p < 0.001), extension (p < 0.001), rotation (p < 0.001), right inclination (p < 0.001) and left inclination (p < 0.001). Balance abnormalities were found more frequently in G1 than in G2 or G3. Static and dynamic posturographic assessments (under "eyes open" and "eyes shut" conditions) revealed abnormalities in statokinetic parameters (Long X and Long Y) in G1. CONCLUSION: Our study evidenced abnormal static and dynamic balance parameters in chronic neck pain patients with vertigo. These disorders can be explained by impaired cervical proprioception and neck movement limitations. Headache was more frequent in these patients.

Risk factors for occupational osteoarthritis: a literature review.
Author(s): Aluoch, MA; Wao, HO
Journal: AAOHN J 2009 Sep 23; Vol. 57, Issue 7; Page(s) 283-90; quiz 291-2
[Medline ID - 19639860]

Sixteen articles published between 1987 and 2008 regarding work-related activities as risk factors for osteoarthritis of the knee, hand, foot, hip, and cervical spine were chronologically reviewed. Despite challenges (e.g., nonresponse bias, inadequate sample size, and retrospective exposure assessment), the review findings indicated a strong relationship between physical strain experienced while performing physically demanding jobs and the incidence of osteoarthritis. This conclusion informs occupational health nurses' work and design of work policies.

The prevalence of musculoskeletal complaints in a rural area in Iran: a WHO-ILAR COPCORD study (stage 1, rural study) in Iran.
Author(s): Davatchi, F; Tehrani Banihashemi, A; Gholami, J; Faezi, ST; Forouzanfar, MH; Salesi, M; Karimifar, M; Essalatmanesh, K; Barghamdi, M; Noorolahzadeh, E; Dahaghin, S; Rasker, JJ
Journal: Clin Rheumatol 2009 Dec 16; Vol. 28, Issue 11; Page(s) 1267-74
[Medline ID - 19629618]

The objective of this study is to study the prevalence of musculoskeletal complaints and disorders in a rural area in Iran. Interviews were conducted in randomly selected subjects from five villages in Tuyserkan County, northwestern part of Iran. The three phases of stage 1 Community Oriented Program for Control of Rheumatic Diseases were done during the same day. A total of 614 houses was visited, 1,565 persons interviewed, and 1,192 persons examined. Musculoskeletal complaints during the past 7 days were detected in 66.6% (shoulder 22.7%, wrist 17.4%, hands and fingers 14.9%, hip 13.9%, knee 39.2%, ankle 19.6%, toes 12.7%, cervical spine 17.9%, and dorsolumbar spine 41.9%). Degenerative joint diseases were detected in 20.5% (cervical spondylosis 2.2%, knee osteoarthritis [OA] 19.3%, hand OA 2.7%, and hip OA 0.13). Low back pain was detected in 23.4%, soft tissue rheumatism in 2.2%, rheumatoid arthritis in 0.19%, ankylosing spondylitis in 1.1%, systemic lupus erythematosus in 0.06%, and fibromyalgia in 0.06%. The prevalence of rheumatic complaints in rural Iran is very high and needs attention in the curricula of medical schools and in the planning of rural health care by the government.

Rapidly progressive neuropathic arthropathy of the knee in possible association with a huge extruded cervical intervertebral disc herniation.
Author(s): Nakajima, H; Uchida, K; Oki, H; Yayama, T; Mwaka, E; Kokubo, Y; Sato, R; Kobayashi, S; Orwotho, N; Baba, H
Journal: Rheumatol Int 2010 Jun 16; Vol. 30, Issue 6; Page(s) 811-5
[Medline ID - 19536541]

A 58-year-old woman with an insignificant stage of diabetes mellitus presented with rapidly progressive osteoarthritis of her right knee exhibiting painless but significant antero-posterior and lateral instability. In association, she had a huge extruded left-sided cervical intervertebral disc at the C4-5 level. Neurological examination of the upper limbs was normal but, she had diminished pinprick sensation on the right leg. Radiographic findings were consistent with neuropathic arthropathy of the knee. Anterior decompression with fusion of C4-5 and total knee arthroplasty using a semi-constrained-type artificial implant were performed in one stage. The patient regained nearly normal living activity following surgical intervention. We stress the possibility of rapid progression of knee joint arthropathy, as neuropathic knee, even in a patient with less significant symptoms and signs of cervical myelopathy caused by a huge extruded intervertebral disc.

Musculoskeletal diseases as a causal factor of cervical vertigo.
Author(s): Morinaka, S
Journal: Auris Nasus Larynx 2009 Dec 31; Vol. 36, Issue 6; Page(s) 649-54
[Medline ID - 19493640]

OBJECTIVE: To analyze the frequency of musculoskeletal diseases in patients with cervical vertigo, as well as the relations of neck tenderness, psychiatric symptoms, and autonomic abnormalities with pain and age. METHODS: One hundred and seventy-six patients with cervical vertigo were analyzed. The groups with or without pain and the groups aged > or =66 years or < or =65 years old were compared. RESULTS: Musculoskeletal diseases were very common (present in 86%). In the group with pain, neck tenderness, CMI III-IV, and orthostatic hypotension were significantly more frequent. In the older group, neck tenderness and orthostatic hypotension were significantly more common than in the younger group. Abnormal ETT and OKP results were also frequently observed. CONCLUSIONS: Musculoskeletal diseases might have a role in cervical vertigo. In addition, there seem to be some relations among neck tenderness, psychiatric symptoms, autonomic abnormalities, pain, and age. Furthermore, brain stem abnormalities may participate in cervical vertigo.
  Page 1 of 15  




 



Resource Center

 - Merck Manual

 - Lab Test On-Line

 - MeSH Search



Clinical Conditions

 - A/C Degeneration

 - Adolescent Low Back

 - Ankle Sprain

 - Ankylosing Spondylitis

 - Arthritides

 - Brachial Plexus Neuritis

 - Carpal Tunnel Syndrome

 - Headache/Cephalgia

 - Cervical Disc Degen

 - Cervical Sprain

 - Cervical Strain

 - Cervical Osteoarthritis

 - Cervical Radiculopathy

 - Cervical Spine Instability

 - Cervical Spondylosis

 - Cervical Torticollis

 - Chronic Low Back Pain

 - Chronic Pain

 - Disc Displacement

 - Facet Arthropathy

 - Facet Capsulitis

 - Failed Back

 - Fibromyalgia

 - Frozen Shoulder

 - Knee Sprain

 - Lateral Epicondylitis

 - Low Back Pain

 - Lumbar Disc Degen

 - Lumbar Stenosis

 - Metatarsalgia

 - Psoriatic Arthritis

 - Reactive Arthritis

 - Rheumatoid Arthritis

 - Rotator Cuff Syndrome

 - SI Dysfunction

 - Sciatica

 - Scoliosis

 - Shoulder Bursitis

 - Spondylolisthesis

 - Stroke

 - Tarsal Tunnel Syndrome

 - TMD

 - Tendinopathy

 - Thoracic Outlet Syn

 - Ulnar Nerve Entrapment

 - Whiplash Injuries

 - Wrist Sprain



Resources

 - Chiropractic Organizations

 - State Associations

 - Schools & Institutions

 - NIH Grants Feed

 - HRSA Grants Feed

 - Evidence-Based Resource

 - Journal Links


Bookmark and Share

|  Home  |


 Copyright © 2007 - | DCConsult.com | All Rights Reserved.


the primary url for this site ( "DCConsult" ) is http://DCConsult.com




Category : Topics




Support for DCConsult provided by :