Muscle involvement in juvenile idiopathic arthritis

Lindehammar, Hans

doi:10.1093/rheumatology/keh381

Cited by 53 publications

(65 citation statements)

References 31 publications

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“…Compared to OA at the hip and knee, ankle OA is rare 49 and, therefore, it was hard to find patients that fit the inclusion criteria. Although muscle and EMG physiological studies usually deal with small subject numbers, 8,16,37,40,50,51 this study found a series of significant results. Another limitation is the comparison of EMG results across muscles and subjects.…”

Section: Discussionmentioning

confidence: 61%

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Lower leg muscle atrophy in ankle osteoarthritis

et al. 2006

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The aim of this study was to determine changes in the lower leg muscles associated with ankle osteoarthritis. Fifteen unilateral ankle osteoarthritis patients and fifteen age-gender-matched normal subjects were assessed with clinical [osteoarthritis latency time, pain, alignment, AOFAS ankle score, ankle range of motion (ROM), calf circumference], radiological (ankle osteoarthritis grading), and muscular-physiological parameters [isometric maximal voluntary ankle torque, surface electromyography of the anterior tibial (AT), medial gastrocnemius (MG), soleus (SO), and peroneus longus (PL) muscle]. The osteoarthritis patients had increased pain (6.8 points) and reduced AOFAS score (33.7 points) compared to the control group. Compared to the contralateral healthy leg, the arthritic leg showed reduced mean dorsi-/plantar flexion ROM (16.08), reduced mean calf circumference (2.1 cm), smaller mean dorsiflexion (16.4 Nm) and plantar flexion (15.8 Nm) torques, lower mean electromyography frequency for all muscles (AT À22.6 Hz; MG À27.3 Hz; SO À25.9 Hz; PL À28.5 Hz), and lower mean electromyography intensity in the AT [À28.0 Â 10 3 (mv) 2 ], MG [À13.3 Â 10 3 (mv) 2 ], and PL [À12.8 Â 10 3 (mv) 2 ]. SO mean electromyography intensity was not significantly changed [þ2.0 Â 10 3 (mv) 2 ]. Unilateral ankle osteoarthritis is associated with atrophic changes of the lower leg muscles. This study supports previous observations on muscle dysfunction in knee osteoarthritis. ß

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Section: Discussionmentioning

confidence: 61%

“…6,8,[15][16][17][18][19][20][21] It has been shown that in knee OA the quadriceps strength is usually reduced by 14% to 45% compared to control subjects. 6,8,18,19,21 Sirca et al 22 reported that degenerative hip OA was associated with an atrophy of type II fibers.…”

Section: Introductionmentioning

confidence: 99%

Lower leg muscle atrophy in ankle osteoarthritis

et al. 2006

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“…In addition, pain from increased intra-articular pressure can cause muscle inhibition and weakness. 10,11 Once joint inflammation subsides, the main limitation to repair of synovial tissue is the early establishment of fibrous adhesions with resultant connective tissue shortening and soft tissue contractures, which further accentuate pain and muscle inhibition reducing joint mobility. [12][13][14] These pathophysiological changes often lead to poor posture, body alignment and growth disturbance with reduced weight bearing, bone demineralisation and adapted gait patterns.…”

Section: Consequences Of Pathophysiology Of Jiamentioning

confidence: 99%

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Epps¹,

Ginnelly²,

Utley³

et al. 2005

Health Technol Assess

151

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, service-users groups and professional bodies such as Royal Colleges and NHS Trusts.Research suggestions are carefully considered by panels of independent experts (including service users) whose advice results in a ranked list of recommended research priorities. The HTA Programme then commissions the research team best suited to und...

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“…U dziecka dominowały wtedy stany gorączkowe i objawy związane z zapaleniem mięśni. Jakkolwiek bóle mięśniowe należą do typowego obrazu klinicznego uMIZS, to obiektywne objawy zapalenia mięśni (patologiczny zapis EMG, podwyższona aktywność enzymów mięśniowych) wyjątkowo rzadko obserwuje się w przebiegu tej choroby [5][6][7][8]. Z tego względu podejrzenie zapalenia wielomięśniowego na podstawie kryteriów diagnostycznych tej choroby w tym okresie choroby było uzasadnione (tab.…”

Section: Omówienieunclassified

Myositis in the course of the systemic form juvenile idiopathic arthritis

Gietka¹,

Rutkowska-Sak²,

Lisowska³

2014

Reumatologia

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Postać układowa młodzieńczego idiopatycznego zapalenia stawów stanowi ok. 10% wszystkich zachorowań na młodzieńcze idiopatyczne zapalenie stawów i w równej mierze dotyczy chłopców i dziewczynek. Charakteryzuje się bólami i/lub obrzękami stawów, wysoką nawracającą gorączką, polimorficzną wysypką skórną i często objawami ze strony innych narządów. <br /> Obserwuje się hepatosplenomegalię, powiększenie węzłów chłonnych, zapalenia błon surowiczych, wysokie wskaźniki ostrego procesu zapalnego. Często występują bóle stawów, rzadko natomiast stwierdza się zapalenie mięśni. Przedstawiono przypadek 22-letniego chorego z postacią układową młodzieńczego idiopatycznego zapalenia stawów, z dominującymi w początkowym okresie choroby stanami gorączkowymi i objawami zapalenia mięśni, głównie międzyżebrowych. Omówiono obraz kliniczny, problemy diagnostyczne i leczenie.

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Muscle involvement in juvenile idiopathic arthritis

Cited by 53 publications

References 31 publications

Lower leg muscle atrophy in ankle osteoarthritis

Lower leg muscle atrophy in ankle osteoarthritis

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Myositis in the course of the systemic form juvenile idiopathic arthritis

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