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Occupational and genetic risk factors for osteoarthritis: A review
BACKGROUND : Osteoarthritis (OA) is a multifactorial disease with strong genetic and occupational components. Although published studies have described several risk factors for OA, very few studies have investigated the occupational and genetic factors that contribute to this debilitating condition. OBJECTIVE : To describe occupational and genetic factors that may contribute to the risk of developing (OA). METHODS : A literature search was conducted in PubMed using the search terms osteoarthritis, occupation, work, and genetics. RESULTS : Heavy physical work load was the most common occupational...
Rehabilitation Interventions for Pain and Disability in Osteoarthritis...
Iversen, Maura Daly (2012). Rehabilitation Interventions for Pain and Disability in Osteoarthritis: A review of interventions including exercise, manual techniques, and assistive devices. Orthopaedic Nursing 31(8): 103-108. OVERVIEW: Osteoarthritis (OA) results in progressive destruction of articular cartilage and bone at the joint margins, leading to impairments extending far beyond the synovial joint. Rehabilitation interventions that target specific impairments and activity restrictions can help restore independence and promote healthy living. Such interventions include exercise, physical modalities...
A Review of Occupational Knee Disorders
Lower extremity knee disorders, like other cumulative disorders of the body, build up over time through cumulative exposures. 2006 data from the U.S. Bureau of Labor Statistics reveal that cumulative knee disorders account for 65% of lower extremity musculoskeletal disorders and 5% of total body musculoskeletal disorders. Methods The objective of the literature review was to find papers on work-related musculoskeletal disorders (WMSDs) common to the knee region. From these, symptoms of the disorders, affected industries, and potential risk factors were assessed. Results A review of the literature...
Epidemiology of Osteoarthritis
Osteoarthritis (OA) is the most common joint disorder in the United States. Symptomatic knee OA occurs in 10% men and 13% in women aged 60 years or older. The number of people affected with symptomatic OA is likely to increase due to the aging of the population and the obesity epidemic. OA has a multifactorial etiology, and can be considered the product of an interplay between systemic and local factors. Old age, female gender, overweight and obesity, knee injury, repetitive use of joints, bone density, muscle weakness, and joint laxity all play roles in the development of joint OA, particularly...
Whole body vibration compared to conventional physiotherapy in patients with gonarthrosis: a protocol for a randomized, controlled study
Osteoarthritis (OA) is the most common degenerative arthropathy. Load-bearing joints such as knee and hip are more often affected than spine or hands. The prevalence of gonarthrosis is generally higher than that of coxarthrosis. Because no cure for OA exists, the main emphasis of therapy is analgesic treatment through either mobility or medication. Non-pharmacologic treatment is the first step, followed by the addition of analgesic medication, and ultimately by surgery. The goal of non-pharmacologic and non-invasive therapy is to improve neuromuscular function, which in turn both prevents formation...
An application of computerised adaptive testing for measuring health status in patients with knee osteoarthritis
The aim of this study was to explore the potential of computerised adaptive testing (CAT) for measuring health status in knee osteoarthritis. Method .Three hundred and fifty-one patients with knee osteoarthritis (OA) answered 118 questions from a range of widely used questionnaires. Three dimensions relevant to knee OA were identified by expert opinion as ‘pain, mental and emotional status'; ‘self-care and household activities' and ‘mobility and social activities'. Confirmatory factor analysis (CFA) was used to test the relationship between the items and their dimensions...
The Epidemiology, Etiology, Diagnosis, and Treatment of Osteoarthritis of the Knee
Osteoarthritis is the most common joint disease of adults worldwide. Its incidence rises with age. Both intrinsic and extrinsic risk factors promote its development. In men aged 60 to 64, the right knee is more commonly affected; in women, the right and left knees are affected with nearly equal frequency. Methods: The PubMed, Medline, Embase and Cochrane Library data-bases were selectively searched for current studies (up to September 2009; case reports excluded) on the epidemiology, etiology, diagnosis, staging, and treatment of osteoarthritis of the knee. The search terms were “gonarthrosis...
The Epidemiology, Etiology, Diagnosis, and Treatment of Osteoarthritis of the Knee
incidence rises with age. Both intrinsic and extrinsic risk factors promote its development. In men aged 60 to 64, the right knee is more commonly affected; in women, the right and left knees are affected with nearly equal frequency. Methods: The PubMed, Medline, Embase and Cochrane Library data-bases were selectively searched for current studies (up to September 2009; case reports excluded) on the epidemiology, etiology, diagnosis, staging, and treatment of osteoarthritis of the knee. The search terms were “gonarthrosis,” “prevention,” “conservative treatment,”...
Coping self-efficacy as a mediator between catastrophizing and physical functioning: treatment target selection in an osteoarthritis sample
The purpose of this study was to assess the relative effects of coping self-efficacy and catastrophizing on physical functioning. Over a 9-month period, studying changes in self-efficacy as possible mediator between catastrophizing changes and physical functioning changes might provide evidence for the most promising treatment target. Data came from a randomized, longitudinal controlled trial comparing exercise, self-management and the two combined to treat 254 individuals with early knee osteoarthritis. A secondary analysis using a bootstrapped linear mixed-effects mediational model produced estimates...
Job-Related Osteoarthritis of the Knee, Foot, Hand, and Cervical Spine
Objectives: To assess the influence of occupational exposures on risk of site-specific radiographic osteoarthritis (OA) of the knee, hand, foot, and cervical spine. Methods: Using a cross-sectional design, data collected from men and women aged 40 years and older participating in the Clearwater Osteoarthritis Study were analyzed (n = 3436). Subjects' occupational exposures were queried using the study intake form, including stair climbing, standing on a rigid surface, squatting, and jolting. Physical examinations including radiographs of the knee, hand, foot, and cervical spine were conducted...
Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
A large number of patients undergoing total knee (TKA) and hip (THA) arthroplasties are of working age at the time these procedures are performed. The objective of this study was to systematically review literature on the beneficial and limiting factors affecting return to work in patients undergoing TKA or THA. Method Pubmed and Embase were systematically searched to find studies that described factors that influence return to work (RTW) after surgery. The following inclusion criteria had to be met: (1) inclusion of patients with primary or revision TKA or THA; (2) description of return to work...
Osteoarthritis of the knee in coal miners
Report by the Industrial Injuries Advisory Council in accordance with Section 171 of the Social Security Administration Act 1992 considering prescription for osteoarthritis of the knee in coal miners. This review considers the case for prescription for osteoarthritis of the knee in miners from wear and tear or meniscal injuries outwith accidental events. Our inquiry follows a representation from an ex-Council member highlighting research evidence of an increased risk of the disease in miners. During the course of the review, the Council undertook its own literature search, made a call for evidence...

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