{"title":"The dynamic vertical force distribution during level walking under normal and rheumatic feet.","authors":"A Simkin","doi":"10.1093/rheumatology/20.2.88","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.88","url":null,"abstract":"<p><p>Normal subjects and patients with rheumatoid arthritis and varying degrees of foot involvement have been studied using an apparatus which measures the dynamic force distribution under the foot during walking. There was a significant change in the walking pattern of the patients, expressed in slowing the speed of walking, lowering the heel-strike and push-off impacts, increasing the double-support period and reducing the amount of impulse taken by the forefoot. As a result, the localized peak loads and impulses were not higher than those of the control group, but moved from the medial side of the foot towards the centre, and the ratio of peak to average load (force concentration factor) at this region increased.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"88-97"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.88","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18292612","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":"Knee function after intra-articular hydrocortisone.","authors":"D H Bossingham, A K McQueen, A G Mowat","doi":"10.1093/rheumatology/20.2.98","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.98","url":null,"abstract":"<p><p>The effect of intra-articular hydrocortisone on knees affected by rheumatoid synovitis has been assessed objectively by the use of an electrogoniometer. The range of flexion during walking has been shown to improve, in some cases into the normal range, and this effect was maintained to a significant degree for eight weeks in a group of 12 patients. Function was shown to improve more slowly than pain and this may have an important bearing on future assessment of anti-inflammatory drugs.ion during walking has been shown to improve, in some cases into the normal range, and this effect was maintained to a significant degree for eight weeks in a group of 12 patients. Function was shown to improve more slowly than pain and this may have an important bearing on future assessment of anti-inflammatory drugs.ion during walking has been shown to improve, in some cases into the normal range, and this effect was maintained to a significant degree for eight weeks in a group of 12 patients. Function was shown to improve more slowly than pain and this may have an important bearing on future assessment of anti-inflammatory drugs. The benefits of hydrocortisone have been measured against intra-articular saline in a single-blind study and shown to be significant both symptomatically and functionally.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.98","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18292613","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":"Rheumatological features of patients admitted as emergencies to acute general medical wards.","authors":"M A Spencer, A S Dixon","doi":"10.1093/rheumatology/20.2.71","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.71","url":null,"abstract":"","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"71-3"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.71","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18024103","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 cross-over comparison of ready-made fabric wrist-splints in rheumatoid arthritis.","authors":"J M Gumpel, S Cannon","doi":"10.1093/rheumatology/20.2.113","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.113","url":null,"abstract":"","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"113-5"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18073183","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}
C Rajapakse, D M Grennan, C Jones, L Wilkinson, M Jayson
{"title":"Thermography in the assessment of peripheral joint inflammation--a re-evaluation.","authors":"C Rajapakse, D M Grennan, C Jones, L Wilkinson, M Jayson","doi":"10.1093/rheumatology/20.2.81","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.81","url":null,"abstract":"<p><p>The reproducibility and sensitivity of quantitative infra-red thermography as a measure of peripheral joint inflammation was reassessed. Experiments were carried out in a temperature-controlled room at 20 degrees C. Initial stabilization experiments showed that in normal, medium sized, joints, there was an initial rapid cooling phase followed by a slower cooling phase which lasted longer than two hours. In the knees the differences between normal and active rheumatoid joints increased the longer patients remained in the room but for practical reasons a 30-minute stabilization period was subsequently chosen. In views of hands and fingers, rebound increases in skin temperature after entering the room, together with lesser differences between inflamed and non-inflamed joints, were found. The results suggested that the thermographic technique examined was adequate for detecting inflammatory changes in knee, ankles and elbows but unsatisfactory for quantification of inflammation in the small joints of the hands.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"81-7"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.81","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18292610","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}
R J Haworth, J Hopkins, P Ells, C E Ackroyd, A G Mowat
{"title":"Expectations and outcome of total hip replacement.","authors":"R J Haworth, J Hopkins, P Ells, C E Ackroyd, A G Mowat","doi":"10.1093/rheumatology/20.2.65","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.65","url":null,"abstract":"The preoperative function, expectations of pain relief and expectations of improvement in activities of daily living were compared with the results nine months after total hip replacement in 145 patients with osteoarthrosis or rheumatoid arthritis. patients improved functionally and their expectations generally were met. They were most satisfied with improvements in pain relief and mobility but 28% still expressed disappointment because specific expectations were not fulfilled. The expectations of doctors were higher than those of occupational therapists.","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.65","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18292608","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}
H A Bird, V Rhind, P Leatham, A Saunders, V Wright
{"title":"Enteric-coated aspirin in rheumatoid arthritis.","authors":"H A Bird, V Rhind, P Leatham, A Saunders, V Wright","doi":"10.1093/rheumatology/20.2.116","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.116","url":null,"abstract":"<p><p>Sixty patients with active rheumatoid arthritis (mean ESR = 51 mm/h) were treated for six months with D-penicillamine (15 patients), sodium aurothiomalate (15 patients), hydroxychloroquine (15 patients) or enteric-coated aspirin (15 patients). The three groups receiving specific anti-rheumatoid therapy were also allowed enteric-coated aspirin in the dose of their choice as the only 'back-up' drug; the group treated with aspirin alone was encouraged to take the maximum tolerated dose. The mean duration of treatment tolerated by patients receiving aspirin alone was 12.3 weeks. Only four patients completed a 24-week treatment period and n improvement was seen in acute-phase reactants. Those patients receiving an anti-rheumatoid drug showed serial improvements in ESR as the dose of aspirin required fell. Plasma salicylate concentrations correlated well with aspirin dosage. Even as an enteric-coated formulation, aspirin alone is not the treatment of choice for active rheumatoid disease.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"116-21"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17844429","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":"Long-term corticosteroids and cervical subluxation in non-rheumatoid patients.","authors":"S R Rudge, P L Drury, J K Lloyd-Jones","doi":"10.1093/rheumatology/20.2.102","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.102","url":null,"abstract":"<p><p>Forty-five non-rheumatoid patients with chronic chest disease were examined radiographically for evidence of cervical subluxation. Twenty-six patients had received continuous corticosteroids for periods of between two and 20 years. The remainder (19 patients) had never been treated with steroids and acted as controls. There was no difference in atlanto-axial distance between the steroid-treated and control groups and in no patient did this measurement exceed 3 mm. However, subaxial subluxation was significantly increased in the steroid-treated group, directly related to the duration of steroid therapy (P less than 0.025).</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"102-5"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17844427","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":"Problems in the assessment of disease activity in ankylosing spondylitis.","authors":"D G Scott, E F Ring, P A Bacon","doi":"10.1093/rheumatology/20.2.74","DOIUrl":"https://doi.org/10.1093/rheumatology/20.2.74","url":null,"abstract":"<p><p>Serial assessments of disease activity using clinical, laboratory and thermographic indices were made on 20 patients with ankylosing spondylitis (AS) before and after active in-patient exercise classes and two months after discharge. Clinical measurements and the erythrocyte sedimentation rate suggested decreased activity by the time of the final assessment but plasma viscosity and thermography suggested increased activity and levels of C-reactive protein were unchanged. Functional improvements occurred mostly during the in-patient period. A wide range of complement levels was found but did not change, and IgG rheumatoid factor levels were negative throughout. The problems of laboratory assessment in AS are stressed.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 2","pages":"74-80"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.2.74","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18292609","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":"Chondromalacia of the patella: an unusual presentation.","authors":"D Raman","doi":"10.1093/rheumatology/20.1.11","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.11","url":null,"abstract":"<p><p>A 38-year-old male with a 10-year history of recurrent ruptured popliteal cyst at the right knee was diagnosed at arthroscopy to have chondromalacia patellae. After shaving of the affected area he had no further symptoms on follow-up 18 months later.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"11-3"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18235234","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}