{"title":"Grip \"strength' in the healthy.","authors":"M U Fernando, J C Robertson","doi":"10.1093/rheumatology/21.3.179","DOIUrl":"https://doi.org/10.1093/rheumatology/21.3.179","url":null,"abstract":"<p><p>The grip pressures of a normal population were determined using a 900 mmHg column. Men were stronger than women. The dominant hand was the stronger and the difference between the dominant and nondominant hand pressures was less than 10% in both sexes. One determination of grip pressure is adequate for clinical purposes. Much information is lost if the standard 300 mm mercury or aneroid sphygmomanometers are used.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":" ","pages":"179-81"},"PeriodicalIF":0.0,"publicationDate":"1982-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.3.179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40492828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K Andrews, J C Brocklehurst, B Richards, P J Laycock
{"title":"Stroke: does side matter?","authors":"K Andrews, J C Brocklehurst, B Richards, P J Laycock","doi":"10.1093/rheumatology/21.3.175","DOIUrl":"https://doi.org/10.1093/rheumatology/21.3.175","url":null,"abstract":"<p><p>Of 135 patients seen two weeks following a stroke and followed up for one year, 69 had a right hemiplegia and 66 left-sided weakness. Disturbance of the level of consciousness at the onset and confusion following the stroke were more common in those with right hemiplegia. Confusion, when present, improved more often in those with right hemiplegia. Neither severity nor functional outcome was associated with laterality. Elderly patients with right hemiplegia were more likely to be admitted to hospital, and of those admitted there were significantly more patients with a right hemiplegia admitted to general wards and of those with left hemiplegia to geriatric units. Radios, but not television, were more often used by those patients with left hemiplegia. Most bedside containers were placed on the patients right side irrespective of the side of the lesion.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":" ","pages":"175-8"},"PeriodicalIF":0.0,"publicationDate":"1982-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.3.175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40492827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gold and penicillamine therapy: is shared care with general practitioners effective and safe?","authors":"T Pullar, J A Hunter, H A Capell","doi":"10.1093/rheumatology/21.3.139","DOIUrl":"https://doi.org/10.1093/rheumatology/21.3.139","url":null,"abstract":"<p><p>One hundred patients with definite or classical rheumatoid arthritis were commenced on gold or penicillamine therapy. The patient's general practitioner was asked to participate in monitoring these patients. No reduction in efficacy or increase in serious adverse effects was present in this shared-care group. A 65% reduction in hospital clinic visits was achieved thus allowing more patients to benefit from this therapy.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":" ","pages":"139-44"},"PeriodicalIF":0.0,"publicationDate":"1982-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.3.139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D G Pocock, J E Agnew, E J Wood, E C Bannan, A R Valentine
{"title":"Radionuclide imaging of the neck in rheumatoid arthritis.","authors":"D G Pocock, J E Agnew, E J Wood, E C Bannan, A R Valentine","doi":"10.1093/rheumatology/21.3.131","DOIUrl":"https://doi.org/10.1093/rheumatology/21.3.131","url":null,"abstract":"<p><p>Blind marking was used to assess radionuclide neck images obtained with technetium-99m methylene diphosphonate in 28 patients with rheumatoid arthritis and 12 with cervical degenerative joint disease (spondylosis). Eleven out of the 16 rheumatoid arthritis patients who had neck pain when imaged showed enhanced uptake in the region of the atlantoaxial and temporomandibular joints. In contrast, no patient with cervical spondylosis and only one rheumatoid arthritis patient without neck pain had high uptake in either joint. Changes in uptake in this region on repeat imaging correlated significantly (P less than 0.01) with changes in pain. Patients with rheumatoid arthritis, with or without neck pain, and with cervical spondylosis showed similar patterns of radiological abnormality in the cervical spine. No detailed correlation was detected between radionuclide and radiographic findings. Radionuclide abnormalities were seen in the middle and lower cervical spine in both rheumatoid arthritis and cervical spondylosis. An abnormal radionuclide image of the middle or lower neck is thus of little value except when no degenerative change is present on the radiograph. An abnormal radionuclide image of the upper neck may be a useful indication of inflammation.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":" ","pages":"131-8"},"PeriodicalIF":0.0,"publicationDate":"1982-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.3.131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship between disease activity, immunoglobulins and lymphocyte sub-populations in ankylosing spondylitis.","authors":"P Hickling, L Turnbull, J S Dixon","doi":"10.1093/rheumatology/21.3.145","DOIUrl":"https://doi.org/10.1093/rheumatology/21.3.145","url":null,"abstract":"<p><p>Fifteen patients with active ankylosing spondylitis (ESR greater than 30 mm/h and persistent well-defined symptomatology) and 15 patients with inactive ankylosing spondylitis were studied to investigate the effect of disease activity on T and B cell numbers, plasma viscosity (PV), C reactive protein (CRP) and immunoglobulins. The ability of patients' sera to inhibit normal T cell rosette formation was also assessed. We were able to confirm the close correlation of CRP and PV with clinical disease activity, but were unable to confirm the previously reported T lymphopoenia in ankylosing spondylitis in either of our disease groups. There was no evidence of a serum factor capable of inhibiting T cell rosette formation. B cell numbers, IgG and IgA levels were significantly higher in the active disease group, reflecting increased activity in the humoral immune system during active phases of ankylosing spondylitis.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"21 3","pages":"145-50"},"PeriodicalIF":0.0,"publicationDate":"1982-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.3.145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18028185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A functional study of the rheumatoid elbow.","authors":"A A Amis, S J Hughes, J H Miller, V Wright","doi":"10.1093/rheumatology/21.3.151","DOIUrl":"https://doi.org/10.1093/rheumatology/21.3.151","url":null,"abstract":"<p><p>A clinical and functional study of rheumatoid elbows has been done to discover the magnitude and frequency of disabilities caused by elbow problems. Pain and weakness were found to affect all activities which were tested, with adjacent joint involvement, flexion deformity, and lack of supination causing significant disability. Instability was not a frequent problem. The frequency of functional disabilities, linked to severe pain, suggests that the development of an elbow joint replacement would be worthwhile.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":" ","pages":"151-7"},"PeriodicalIF":0.0,"publicationDate":"1982-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.3.151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A double-blind trial comparing indomethacin sustained release capsules (Indocid-R) with indomethacin capsules in patients with rheumatoid arthritis.","authors":"A R Rhymer, C B Hart, C Daurio","doi":"10.1093/rheumatology/21.2.101","DOIUrl":"https://doi.org/10.1093/rheumatology/21.2.101","url":null,"abstract":"<p><p>A double-blind, controlled and completely randomized trial was conducted in four European rheumatology clinics. Eighty-six patients with a diagnosis of rheumatoid arthritis and prior treatment of at least six months' duration with indomethacin 150 mg/day were studied. Comparisons of the clinical efficacy, tolerability and safety of a new, oral sustained-release formulation of indomethacin were made with a conventional formulation of indomethacin. In all clinical indices of response, the indomethacin sustained-release 75 mg capsule b.i.d. was found to provide relief of symptoms similar to the conventional 50 mg capsule t.i.d. The incidence of overall adverse clinical and laboratory effects was comparable for the two treatments.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"21 2","pages":"101-6"},"PeriodicalIF":0.0,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.2.101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18091012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P M Brooks, M A Dougan, D Thomas, L J Hills, P J Smith
{"title":"Naproxen and diflunisal in osteoarthrosis.","authors":"P M Brooks, M A Dougan, D Thomas, L J Hills, P J Smith","doi":"10.1093/rheumatology/21.2.95","DOIUrl":"https://doi.org/10.1093/rheumatology/21.2.95","url":null,"abstract":"<p><p>Sixty-two patients with osteoarthrosis entered a 10-week double-blind cross-over trial of diflunisal and naproxen. Eight patients withdrew for drug-related reason, and seven for other reasons. There was no statistically significant difference in parameters of disease activity on each treatment period, but naproxen produced fewer withdrawals due to drug-related side-effects.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"21 2","pages":"95-7"},"PeriodicalIF":0.0,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.2.95","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18091015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The demonstration of lymphatic channels on wrist arthrography in rheumatoid disease with particular reference to associated lymphoedema.","authors":"G Wu, G H Whitehouse, T R Littler","doi":"10.1093/rheumatology/21.2.65","DOIUrl":"https://doi.org/10.1093/rheumatology/21.2.65","url":null,"abstract":"<p><p>Delineation of lymphatic vessels is a frequent finding in arthrograms of rheumatoid joints. Arthrography of the rheumatoid wrist when associated with oedema of the upper limb reveals a characteristic pattern consistent with lymphatic obstruction. In our opinion, these findings may be regarded as further evidence in favour of lymphatic obstruction as the cause of peripheral oedema in rheumatoid arthritis. The syndrome appears to be a separate entity from idiopathic oedema of women.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"21 2","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.2.65","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18125900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infra-red thermography in the assessment of sacro-iliac inflammation.","authors":"D M Grennan, L Caygill","doi":"10.1093/rheumatology/21.2.81","DOIUrl":"https://doi.org/10.1093/rheumatology/21.2.81","url":null,"abstract":"<p><p>In a cross-sectional study designed to investigate the sensitivity of infra-red thermography in the detection of sacro-iliac regions were examined by thermography in a group of patients with ankylosing spondylitis and compared with normal volunteers and patients with other causes of low back pain. Thermograms were recorded both quantitatively via profile measurements across the sacro-iliac regions and sacrum and qualitatively via the pattern recorded by photography. Sacro-iliac disease activity was recorded clinically on the same day and was low overall in the patients examined. Thirteen of the 30 ankylosing spondylitis patients were abnormal thermographically either by profile or pattern measurements. None of the 13 patients with other causes of low back pain had increased sacro-iliac activity on thermography. None of four patients without X-ray evidence of sacro-iliitis was abnormal thermographically but there was a trend for increasing thermographic activity to be associated with increasing clinical activity. It was concluded that the thermographic technique examined was of little help in the diagnosis of early sacro-iliitis but might be more helpful in the objective serial assessment of sacro-iliitis in individual patients with active disease.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"21 2","pages":"81-7"},"PeriodicalIF":0.0,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/21.2.81","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17274615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}