Autoimmune disease rheumatoid arthritis
Budai Irgalmasrendi KórházÁrpád fejedelem u.
BudapestHHungary uh. Published by Elsevier Editora Ltda. All rights reserved. This article has been cited by other articles in PMC. At baseline, at the end of treatment end of Week 2 and at the follow-up visit Week 14the following outcomes were evaluated: disease activity erythrocyte sedimentation rate [ESR], C-reactive protein [CRP], tender and swollen joint counts, pain on a visual analog scale, DAS28, hand function fist making, wrist extension and flexion, hand grip strength and quality of life Health Assessment Questionnaire [HAQ].
Conclusion Underwater ultrasound therapy was better than sham treatment at the end of 2 weeks of treatment, but not at long term 14 weeks in patients with rheumatoid arthritis. A decrease in the ability to make a closed fist and hand grip strength can occur in the hands; subluxation and limitation of flexion and extension may develop in to the wrists.
После долгого молчания Орел проговорил: - Похоже, ты не рада. Николь обернулась, чтобы поглядеть на своего спутника-инопланетянина. - Рада, в особенности за Симону и Майкла. Удивительно лишь то, что их жизнь оказалась такой полной. - Николь глубоко вздохнула.
Non-pharmacological treatment options such as physical therapy along with chemical and biological disease modifying anti-rheumatic drugs DMARDs can be used to preserve physical function and improve quality of life in addition to reducing pain and inflammation. Ultrasound US therapy autoimmune disease rheumatoid arthritis been used for medical purposes for more than 70 years. Its biological effects are still not exactly known.
The effectiveness of ultrasonic therapy is influenced by its application parameters such as intensity, frequency, continuous or pulsed current, time of irradiation, and type of coupling agent.
Assiut University Rövid összefoglaló A rheumatoid arthritis egy autoimmun betegség, amelyet ízületi gyulladás és relapszáló-remitáló kúrát követő közös pusztulás. A betegség aktivitásának értékelése az fontos a reumás ízületi gyulladás kezelésében. Neutrophil lymphocyta arány és a thrombocyta a limfocita arány gyulladásos állapothoz kapcsolódik, és felhasználható a betegség felmérésére aktivitás rheumatoid arthritisben Részletes leírás A rheumatoid arthritis egy autoimmun betegség, amelyet ízületi gyulladás és a relapszáló remissziót követő közös pusztulás és súlyos fogyatékosságot vált ki. A rheumatoid arthritis gyulladásos betegség, amely pusztító ízületi pusztulást okoz, ha a betegeket nem kezelik megfelelően.
Water as a coupling agent is preferable when irregular body parts and bony prominences with little soft tissue coverage are treated, such as small joints of the hand. Compared to contact mode of treatment, in case of underwater US should be used at a higher intensity to achieve the same tissue temperature.
Similarly, Boyaci et al. Unlike pain and physical function, there has not been any evidence that ultrasound treatment can alter inflammation.
- Николь ощутила, как оба робота карабкаются по подолу ее платья.
- Rheumatoid arthritis ízületek ár
- Térdfájdalom otthoni kezelése
The aim of this clinical trial was to determine the effects of underwater US therapy in patients with RA; analgesic and anti-inflammatory effects primary endpointeffects on joint function and quality of life secondary endpoint. It was decided to treat the wrists and the small joints of the hands, since they are the most prevalent, but not equally affected joints during the disease. Methods This randomized, placebo-controlled, assessor- and patient-blinded trial was conducted in accordance with the ethical principles of the Helsinki Declaration and the guidelines of the International Conference on Harmonization of Good Clinical Practice.
Patients were informed verbally about the study procedures, read the Patient Information Sheet and asked to sign an Informed Consent Form.
Patients Inclusion criteria: Patients over 18 years of age mean: Patients were not allowed to receive physical therapy treatments for 1 month prior to starting the study. Exclusion criteria included other concomitant autoimmune diseases, stable-dose pharmacotherapy for less than 2 months, and conditions contraindicating US therapy infection; fever; osteomyelitis.
A neutrofil limfocita arány és a thrombocyta limfocita arány a reumás ízületi gyulladásban
Sixty patients were screened and 50 patients were enrolled into the trial. Eight patients did not meet inclusion criteria, and two patients refused to sign the Informed Consent Form.
ПОБЕГ - Николь.
All 50 eligible patients were randomly allocated into two groups ultrasound group and control group. The allocation was concealed by using seales, opaque envelopes.
- Szekanecz Zoltán - Google Tudós
- Должно быть, ты ужасно переживала.
- Lefelé térd sérülések
- Klinikai vizsgálat a Autoimmun betegség - Klinikai vizsgálatok nyilvántartása - ICH GCP
- Duzzadt ízület a lábon, és fáj
- Staff - University of Szeged | Albert Szent-Györgyi Health Center | Department of Rheumatology
- Ízületi repedés, de nem fájdalom
Patients in the ultrasound group received 10 applications 10 working days of continuous underwater US therapy 35—36 Celsius degree tap water; with the transducer at a distance of 2 cm from the treated surface intensity of 0.
Each side of the hand and the wrist were treated in the same treatment period.
A Sudoscan autoimmun rendellenességekben szenvedő betegeknél
The control group received sham treatment the US device was not turned on during the 10 sessions for 7 min per session. During the 3-month follow-up period, patients were asked not to have any physical therapy treatment or to change their medication. The a sacrum fáj a csípőízületben or anti-inflammatory drugs were documented. The outcome parameters were recorded by 1 blinded rheumatologist before the initiation of treatment at Week 0 — Outcomes Testing 1immediately after the 10 treatment sessions at the end of Week 2 — Outcomes Testing 2and 3 months later at Week 14 — Outcomes Testing 3.
Randomization and blinding A concealed allocation random assignment of the enrolled patients to the treatment groups was performed using an Excel computer program by an independent investigator who had never met the patients and was not otherwise involved in the study procedures. The study was double-blinded, as neither the study participants nor the testing investigator a rheumatologist knew the treatment assignments.
The statistician was not involved in the randomization procedures.
Outcome parameters At inclusion, the age and gender of patients as well as autoimmune disease rheumatoid arthritis of the disease and DMARD therapy in years were recorded.
