Medical overuse of therapies and diagnostics in rheumatology

Khawaja, Muznay; Alhassan, Eaman; Bilal, Jawad; Jatwani, Shraddha; Mehta, Bella; Bhalla, Vinod K.; Morgan, Daniel J.; Siaton, Bernadette; Hochberg, Marc C.

doi:10.1007/s10067-021-05638-2

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…The knee joint also is stabilized by surrounding skeletal muscles, tendons, and ligaments, but it is a joint with a high risk of injury in daily life or sports activities ( Albtoush et al, 2018 ). In particular, it has been reported that overuse of the knee joint is closely related to osteoarthritis ( Khawaja et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of aqua walking exercise on knee joint angles, muscular strength, and visual analogue scale for patients with limited range of motion of the knee

Yang¹,

Seo²,

Kim³

2021

J Exerc Rehabil

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The purpose of this study is to identify the effects of aqua walking exercise on the joint range of motion (ROM), muscular strength, and pain in patients who have limited knee ROM from surgery or joint fixation. Ten subjects were participated in this study and divided into two groups: continuous passive motion (CPM) therapy+walking exercise on dryland (CWD) and CPM+aqua walking exercise (CAW) groups. The repeated measures analysis of variance was used to verify the difference between the groups and the duration of the program. A paired t-test was used to verify the significance of the observed difference within the groups, and an independent t-test was used to verify the significance of the observed difference between different groups. In this study, ROM in the knee flexion showed interaction effect between the two groups. CAW had a significant increase of knee flexion angle compared to those in CWD. Also, strength on the knee flexors showed interaction effect between the two groups. CAW had a significant increase of knee flexion angle compared to those in CWD, while strength on the knee extensors showed no significant interaction effect between groups. Visual analogue scale (VAS) score showed interaction between the two groups. CAW had a significant increase of the VAS scores compared to those in CWD. Given these findings reported in present study, aqua walking exercise for patients with osteoarthritis is a very safe and effective therapeutic strategies that can move the joint in the optimal ROM.

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Section: Introductionmentioning

confidence: 99%

Effect of aqua walking exercise on knee joint angles, muscular strength, and visual analogue scale for patients with limited range of motion of the knee

Yang¹,

Seo²,

Kim³

2021

J Exerc Rehabil

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Challenging issues in rheumatology: thoughts and perspectives

2021

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Patterns of patients with polypharmacy in adult population from Korea

Shin

Go²,

Kang³

et al. 2022

Sci Rep

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Polypharmacy and its rising global prevalence is a growing public health burden. Using a large representative nationwide Korean cohort (N = 761,145), we conducted a retrospective cross-sectional study aiming to identify subpopulations of patients with polypharmacy and characterize their unique patterns through cluster analysis. Patients aged ≥ 30 years who were prescribed at least one medication between 2014 and 2018 were included in our study. Six clusters were identified: cluster 1 mostly included patients who were hospitalized for a long time (4.3 ± 5.3 days); cluster 2 consisted of patients with disabilities (100.0%) and had the highest mean number of prescription drugs (7.7 ± 2.8 medications); cluster 3 was a group of low-income patients (99.9%); cluster 4 was a group of high-income patients (80.2%) who frequently (46.4 ± 25.9 days) visited hospitals/clinics (7.3 ± 2.7 places); cluster 5 was mostly elderly (74.9 ± 9.8 years) females (80.3%); and cluster 6 comprised mostly middle-aged (56.4 ± 1.5 years) males (88.6%) (all P < 0.001). Patients in clusters 1–5 had more prescribed medications and outpatient visit days than those in cluster 6 (all P < 0.001). Given limited health care resources, individuals with any of the identified phenotypes may be preferential candidates for participation in intervention programs for optimal medication use.

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Medical overuse of therapies and diagnostics in rheumatology

Cited by 4 publications

References 27 publications

Effect of aqua walking exercise on knee joint angles, muscular strength, and visual analogue scale for patients with limited range of motion of the knee

Effect of aqua walking exercise on knee joint angles, muscular strength, and visual analogue scale for patients with limited range of motion of the knee

Challenging issues in rheumatology: thoughts and perspectives

Patterns of patients with polypharmacy in adult population from Korea

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