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At least 19 recordsLinked to original sources
PubMed1999

[Current status and perspectives of rehabilitation of musculoskeletal diseases].

Musculoskeletal diseases play a prominent role within the system of rehabilitation due to their high prevalence, the often progressive course they take, and the high amount of disabilities caused by them in occupational and everyday activities. In Germany, almost 50% of about 1 million cases of in-patient rehabilitation per year belong to this diagnostic group. At present, the repercussions of recent changes in legislation and the resulting decrease by about 30% in the use of rehabilitation have considerable influences on the system of in-patient rehabilitation. In addition, rehabilitation hospitals are exposed to a growing competition by the development of out-patient rehabilitation facilities. The present article describes the actual situation, analyses central dimensions of the process of rehabilitation in musculoskeletal diseases as well as the evidence on the efficacy of current rehabilitation programmes, and then informs on the systematic activities aiming at quality assurance in rehabilitation.

Humans↗
PubMed1989

[Musculoskeletal diseases. A review of musculoskeletal diseases and environment].

The article discusses the remarkably high prevalence of occupationally induced muscle pain and musculoskeletal diseases. The causes of this group of pain/disorders are complex. The increasing economic consequences, and the problems, call for research on practical prophylaxis. It is emphasized that research on environment and health should include sociopsychological conditions at work.

Bone Diseases↗
PubMed2003

Molecular imaging of musculoskeletal diseases.

Chronic musculoskeletal diseases such as arthritis, malignancy, chronic injury/ inflammation, and chronic musculoskeletal pain often pose challenges for current clinical imaging modalities. There is hope that a growing field, referred to as "molecular imaging," will shed new light on these chronic phenomenon as it aims to noninvasively detect special molecular and physiologic effects such as metabolism rate, specific proteins, cell death, and particular gene-related events. Molecular imaging represents recent advances in imaging technology, engineering, chemistry, molecular biology, and genetics that have coalesced into a multidisciplinary and multimodality effort. Molecular probes are currently being developed not only in radionuclide-based techniques but also in magnetic resonance imaging, magnetic resonance spectroscopy, ultrasound, and the emerging field of optical imaging. Furthermore, molecular imagers are fueling the development of novel molecular therapies and gene therapy, as tracking these efforts in living subjects is now possible with molecular imaging protocols.

Animals↗
PubMed1977

Industrial rheumatology. Clinical investigations into the influence of the pattern of usage of the pattern of regional musculoskeletal disease.

Regional musculoskeletal diseases are exceedingly common in all segments of society, and dramatically so in industry. For generations, medicine has assumed that many such entities are use-associated. A critical review of several examples of back and upper extremity disease demonstrates that the literature supporting these assumptions is almost entirely anecdotal. It is argued that if defined patterns of usage were associated with defined clinical syndromes, such knowledge would have considerable therapeutic and prophylactic potential. Industrial rheumatology is proposed as an investigative discipline for the study of such relationships. The prerequisites in terms of assumptions and methods as well as potential fallacies and pitfalls are discussed.

Arm↗
PubMed1998

Pedal manifestations of musculoskeletal disease.

The major systemic musculoskeletal diseases that involve the foot include the inflammatory arthritides, gout, and diabetic osteoarthropathy. Podiatric problems are present in over one-third of patients with musculoskeletal disease and in over half of all patients with diabetes. The pedal manifestations of musculoskeletal disease are reviewed as the first indicators of systemic disorders and as they occur in established systemic diseases.

Arthritis, Rheumatoid↗
PubMed1998

Pedal manifestations of musculoskeletal disease in children.

Musculoskeletal disease presenting in a child's foot is usually an isolated mechanical problem rather than part of a systemic disease; however, the pediatric flatfoot may be a more serious problem, caused by tarsal coalitions, congenital vertical talus, or part of a syndrome. The most common congenital pediatric foot deformities, including flatfoot, talipes equinovarus, digital anomalies, and osteochondritis, have characteristic and easily identifiable features that should be familiar to the practitioner. In this article, these deformities are described as they occur in isolation and as the result of more serious syndromes or causes.

Child↗
PubMed2006

The burden of musculoskeletal disease--a global perspective.

Musculoskeletal diseases are one of the major causes of disability around the world and have been a significant reason for the development of the Bone and Joint Decade. Rheumatoid arthritis, osteoarthritis and back pain are important causes of disability-adjusted-life years in both the developed and developing world. COPCORD studies in over 17 countries around the world have identified back and knee pain as common in the community and are likely to increase with the ageing population. Musculoskeletal conditions are an enormous cost to the community in economic terms, and these figures emphasise how governments need to invest in the future and look at ways of reducing the burden of musculoskeletal diseases by encouraging exercise and obesity prevention campaigns.

Cost of Illness↗
PubMed2004

Smoking expands expected lifetime with musculoskeletal disease regardless of educational level.

Lifetime with musculoskeletal disease were estimated for never smokers and smokers at three educational levels. Expected lifetime with musculoskeletal disease was 7.4 and 10.6 years for 30-year-old men and women, respectively. Regardless of educational level smokers could expect more years with the diseases than never smokers. Thus, the impact of smoking on the burden of musculoskeletal diseases is not confounded by educational level.

Adult↗
PubMed1999

[Chronic pelvic pain and chronic vulvodynia as multifactorial psychosomatic disease syndromes: results of a psychometric and clinical study taking into account musculoskeletal diseases].

OBJECTIVE: Chronic Pelvic Pain Syndrome (CPPS) and vulvodynia (CVPS) are two gynecological syndromes with psychosomatic implications. The purpose of the study was to examine multifactorial psychosomatic syndromes taking into account musculoskeletal diseases. PATIENTS AND METHODS: The psychosomatic data acquired in respect of 106 CPPS and 36 CVPS patients was evaluated. In addition, these patients were subject to orthopedic clinical examinations and the results compared with a control group without pain (n = 35). 68 CPPS and 24 CVPS patients took part in psychological tests, the results of which were compared with those of a control group of healthy women (n = 34). RESULTS: There was a significantly higher incidence of sexual abuse among the CPPS group. Sexual abuse and somatization were found to be significantly predictive factors. The CPPS and CVPS patients were significantly more depressive than the healthy group. The two clinical groups differ in that the CPP syndrome is significantly more frequently linked with a so-called early disturbance. The incidence of musculoskeletal diseases was higher in the case of the CPPS patients. CONCLUSIONS: Interdisciplinary psychosomatic treatment, which also includes nongynecological disorders, especially musculoskeletal diseases, is necessary in the case of both these syndromes.

Adolescent↗
PubMed2003

Prevalence of self reported musculoskeletal diseases is high.

OBJECTIVES: To present the prevalence of self reported musculoskeletal diseases, the coexistence of these diseases, the test-retest reliability with six months in between, and the association with musculoskeletal pain symptoms. METHODS: Twelve layman descriptions of common musculoskeletal diseases were part of the questionnaires of a prospective cohort study of a random sample in the general Dutch population aged 25 years or more (baseline: n=3664, follow up after six months: n=2338). Data collection also included information about pain relating to five different anatomical areas. RESULTS: Osteoarthritis of the knee (men 10.1%, women 13.6%) was amongst the most reported musculoskeletal diseases, whereas the figures for self reported rheumatoid arthritis (RA) were 1.6% and 4.6% for men and women, respectively. The coexistence of these diseases is high: 47 of the 66 combinations were reported more often than would be expected if they were independent of each other (p<0.05). For most diseases the test-retest reliability was good (kappa between 0.6 and 0.8), but for repetitive strain injury (kappa=0.37) and chronic arthritis other than RA (kappa=0.44) the agreement was fair to moderate. All complaints of pain were more often reported by those with musculoskeletal diseases than those without those diseases, and the pain pattern was disease-specific. CONCLUSIONS: Self reported musculoskeletal diseases are highly prevalent, with a fair to good reliability and a disease-specific pain pattern. Health surveys are a limited but valuable source of information for this group of health problems, which is not available from most other sources of information.

Adult↗
PubMed2003

[Prevalence and risk factors of psychological burden and mental disorders in patients with musculoskeletal diseases -- a review of empirical studies].

A musculoskeletal disease frequently entails numerous physical, social and occupational limitations, e.g. reduction of physical capabilities, chronic pain, and loss of employment. A number of patients suffer from comorbid psychological strain or mental disorders, and it frequently remains unclear whether these psychological phenomena are unconnected to, a consequence of or even among the causes for the somatic disease. In order to diagnose, or possibly prevent, comorbid mental disorders, it is necessary to know risk factors which are associated with mental disorders. Studies published during the last twenty years are reviewed which examine sociodemographic, disease specific and psychosocial factors in connection with psychological strain or mental disorders among patients with musculoskeletal diseases. Due to the relatively small number of relevant studies (n = 12), the findings have to be interpreted carefully.

Geography↗