Osteoarticular complications related to HIV infection and highly active antiretroviral therapy

Lima, Ana Lúcia Lei Munhoz; Zumiotti, Arnaldo Valdir; Camanho, Gilberto Luís; Benegas, Eduardo; Santos, Alexandre Leme Godoy dos; D’Elia, Caio Oliveira; Oliveira, Priscila Rosalba Domingos de

doi:10.1590/s1413-86702007000400012

Cited by 14 publications

(12 citation statements)

References 27 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Physical therapists can play an important role in diagnosis and management of the physical dysfunction in HIV-infected patients [34, 35]. This systematic review suggests that concurrent exercise may be an important intervention in the care and treatment of adults living with HIV.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Effects of Concurrent Strength and Endurance Training on the Health-Related Quality of Life and Cardiopulmonary Status in Patients with HIV/AIDS

Neto

Ogalha

Andrade

et al. 2013

BioMed Research International

View full text Add to dashboard Cite

Purpose. To determine the effects of concurrent strength and endurance training (concurrent training) on the Health-Related Quality of Life (HRQOL) and cardiopulmonary status among HIV-infected patients, using a systematic search strategy of randomized, controlled trials (RCTs). Methods. A systematic review was performed by two independent reviewers using Cochrane Collaboration protocol. The sources used in this review were Cochrane Library, EMBASE, LILACS, MEDLINE, PEDro and Web of Science from 1950 to August 2012. The PEDro score was used to evaluate methodological quality. Result. Individual studies suggested that concurrent training contributed to improved HRQOL and cardiovascular status. Concurrent training appears to be safe and may be beneficial for medically stable adults living with HIV. The rates of nonadherence were of 16%. Conclusion. Concurrent training improves the HRQOL and cardiopulmonary status. It may be an important intervention in the care and treatment of adults living with HIV. Further research is needed to determine the minimal and optimal duration, frequency, and intensity of exercise needed to produce beneficial changes in the HIV-infected population subgroups.

show abstract

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Effects of Concurrent Strength and Endurance Training on the Health-Related Quality of Life and Cardiopulmonary Status in Patients with HIV/AIDS

Neto

Ogalha

Andrade

et al. 2013

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…5,13 One explanation for this observation has been the myxedematous accumulation in the carpal tunnel and secondary compression of the median nerve. 12 Asensio et al found no relation between the lipodystrophy secondary to PIs and CTS. 9 The patient did not have the above diseases and has not been receiving HAART when the CTS was diagnosed, therefore, as happened with other published cases, it would be hasty to establish association with HIV infection or HAART.…”

Section: Discussionmentioning

confidence: 96%

“…Many of them, as some occupational activities, hypothyroidism, rheumatoid arthritis and obesity, are also mentioned in HIV-infected individuals. 5,9,12 Clinical observations published by Sclar and Manfredi related CTS with the HAART-associated metabolic syndrome particularly to PIs. 5,13 One explanation for this observation has been the myxedematous accumulation in the carpal tunnel and secondary compression of the median nerve.…”

Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome and Hiv Infection. A Case Report and Literature Review

Reyes-Corcho

Barrueta-Reyes

Bouza-Jiménez

et al. 2009

Infectious Disease Reports

View full text Add to dashboard Cite

The first clinical case of carpal tunnel syndrome (CTS) in Cuban HIV-infected patient was described, and the scientific literature indexed in: PUBMED/MEDLINE, LILACS and BIREME were revised. The case presented was a male with HIV infection without preceding opportunistic illnesses, CD4+ T cell count over 200 cells/mm3 and clinical symptoms of pain, tingling and numbness in the right hand and wrist for three months. The electrophysiological study was compatible with CTS. The pharmacological treatment did not modify the symptoms and the patient received specific surgical treatment with absolute resolution of symptoms. CTS is a compressive neuropathy that can occur in HIV-positive individuals with as similar frequency as in the general population. The association between HIV infection and CTS is scarcely described in the medical scientific literature and probably does not represent a different phenomenon from what happens in the HIV-negative population. Nevertheless, its clinical recognition among other neurological and muscle-skeletal manifestations in HIV-infected patients is important.

show abstract

“…11,36 Conditions known to cause avascular necrosis include trauma, alcoholism, infections, medications (including corticosteroids, bisphosphonates, and highly active antiretroviral therapy), dysbaric trauma, marrow infiltration disorders, hypercoagulability states, autoimmune diseases, and idiopathic etiology. 4,27,31 These causes may be divided into three categories: (a) conditions resulting in external blood vessel compression near or within the bone, (b) disorders resulting in blood vessel occlusion because of thickening of the vessel wall, and (c) disorders resulting in blood vessel blockage from a thromboembolic process (Box 11-1). 12 For conditions resulting in external blood vessel compression, the mechanism is either marrow edema causing compression of the vessel in an enclosed region or excessive packing of the marrow through the deposition of abnormal tissue or material (e.g., fat in steroid administration or hyperlipidemia).…”

Section: Avascular Necrosismentioning

confidence: 99%