Assuntos
Osteoartropatia Hipertrófica Secundária/diagnóstico por imagem , Neoplasias Pancreáticas/diagnóstico por imagem , Síndromes Paraneoplásicas/diagnóstico por imagem , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/secundário , Masculino , Pessoa de Meia-Idade , Radiografia , Tíbia/diagnóstico por imagemRESUMO
UNLABELLED: This article reports our experience with a five-day back school program focusing on active exercises, safe lifting, and occupational therapy. PATIENTS AND METHODS: The medical charts of 144 back school patients were reviewed retrospectively. Age, gender, type of low back pain, radiological findings, impact on work and psychological well-being, surgical history, and history of prior back school experience were recorded on the first and last back school session days (D1 and D5), after six months (M6), and after 12 months (M12). Efficacy was evaluated based on the number of days off work, Schöber's index, a visual analog scale pain score, and scores evaluating the active exercise, safe lifting, and occupational therapy techniques taught during the back school course. RESULTS: All evaluation scores were significantly better on D5 than on D1. This effect was sustained over time. The pain score fell by 50% between D1 and D5 (32.6 +/- 23.1 versus 16.3 +/- 18.5) and remained low at M6 and M12 (18.1 +/- 19.5 and 14.8 +/- 19.3) The number of days off work fell dramatically from baseline to M6 (51.2 +/- 63.8 vs 9.8 +/- 38.8) and remained low at M12. Forty-four patients were lost-to-follow-up between D5 and M6. CONCLUSION: Back school interventions are helpful in preventing recurrences of low back pain. Our promising data deserve to be confirmed in a larger study involving quality of life assessments, determination of the number of physician visits for low back pain during the M0-M6 and M6-M12 periods, and a comprehensive evaluation after 18 months.
Assuntos
Terapia por Exercício/educação , Hospitais de Ensino/métodos , Dor Lombar/epidemiologia , Dor Lombar/terapia , Educação de Pacientes como Assunto/métodos , Adulto , Feminino , França , Humanos , Remoção/efeitos adversos , Masculino , Terapia Ocupacional/educação , Estudos Retrospectivos , Procedimentos Cirúrgicos Operatórios/efeitos adversosRESUMO
Hypertrophic osteoarthropathy is characterized by digital clubbing, arthropathy and periostosis of long tubular bones. Currarino's disease is an extremely rare variant of primary hypertrophic osteoarthropathy in which there is delayed closure of the fontanelles and an absence of skin involvement. Most reported cases have been in blacks. We report a case in a Caucasian adolescent.
Assuntos
Osteoartropatia Hipertrófica Primária/diagnóstico por imagem , Osteoartropatia Hipertrófica Primária/patologia , Pele/patologia , Adolescente , Pé/diagnóstico por imagem , Mãos/diagnóstico por imagem , Articulação do Quadril/diagnóstico por imagem , Humanos , Masculino , Osteoartropatia Hipertrófica Primária/classificação , Osteoartropatia Hipertrófica Primária/etnologia , Radiografia , População BrancaRESUMO
The authors report a case of Pyoderma gangrenosum with seronegative nondestructive polyarthritis and perinuclear antineutrophil cyoplasm antibody. Rheumatic disorders that occur in association with Pyoderma gangrenosum are reviewed. The constellation of manifestations in the authors' patient does not have been reported previously and may represent a new entity among the rheumatic manifestations of Pyoderma gangrenosum.