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  • 1995-1999  (2)
  • 1990-1994  (1)
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  • 1
    ISSN: 1434-9949
    Keywords: Key words:Osteoarthritic knee – WOMAC validation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: The aim of the study was to validate a translated version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in Hebrew speaking populations. The WOMAC was translated into Hebrew from its English version and its reliability and validity were studied. Before its use in patients, the Hebrew version was translated back into English by an independent translator and minor amendments were made to satisfy the original English versions designed by Bellamy et al. The Hebrew version of the WOMAC questionnaire was administered to 114 patients with osteoarthritis of the knee. All the subjects were asked about the presence and severity of pain during movement and handicap, using a visual analogue scale (VAS) of pain and handicap. Test–retest reliability was assessed using Pearson’s and intraclass correlation coefficients. Internal consistency was evaluated by Cronbach’s alpha coefficient of reliability. Construct validity was tested by correlating the WOMAC items with VAS of pain and handicap. The test–retest reliability Pearson’s correlation coefficients for the WOMAC items ranged from 0.55 to 0.78 (p〈0.01), and the Cronbach’s alpha was 0.97 at time 1 and 0.98 at time 2. Significant correlations (p〈0.01) were obtained between the WOMAC items and VAS of pain and handicap. The Hebrew version of WOMAC is a reliable and valid instrument for evaluating the severity of osteoarthritis of the knee in Israeli patients.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1437-160X
    Keywords: Spa therapy ; Gonarthrosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The objective of this study was to evaluate the effect of spa therapy on clinical parameters of patients with gonarthrosis. Patients with gonarthrosis (n=33) underwent a 2-week spa therapy using three treatment regimes and a 20-week follow-up as follows: group I (n=11) had mineral water baths and hot native mineral mud packs, group II (n=12) had mineral water baths and rinsed mineral-free mud packs and group III (n=10) had tap water baths and mineral-free mud packs. The patients and the assessing rheumatologist were blinded to the difference in the treatment protocols. A significant improvement in the index of severity of the knee (ISK), as well as night pain scores, was achieved in group I. Improvement in physical findings and a reduction in pain ratings on a visual analogue scale (VAS) did not reach statistical significance. Analgesic consumption was significantly decreased in both groups I and III for up to 12 weeks. Global improvement assessed by patients and physician was observed in all three groups up to 16 weeks but persisted to the end of the follow-up period in group I only. Patients with gonarthrosis seemed to benefit from spa therapy under all three regimes. However, for two parameters (night pain and ISK) the combination of mineral water baths and mud packs (group I) appeared to be superior.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1434-9949
    Keywords: Rheumatoid Arthritis ; Collagen ; Conventional Radiography ; Scaphoid Bone ; Hand
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The distance between the os trapezium and radius (which we called scaphoid distance) became shorter during the course of rheumatoid arthritis (RA). Measurement of this distance was performed in 600 hands (300 patients), using standard position of patient's hand in supination with permanent angle (15–20%) between the axis of the radius and the axis of the third metacarpal bone (scaphoid distance). This provided a stable distance between the most distal pont of the radial styloid process and most proximal point of the os trapezium. The patients were divided into two groups: a control group consisting of 100 patients with no inflammatory joint disease, and a group of 200 patients suffering from RA. Patients suffering from RA with bone erosions had smaller scaphoid distance than those suffering from RA without bone erosions. The ratio between the distance from the distal radius to the most distal point of the third metacarpal bone and scaphoid inded was called carpometacarpo-scaphoid index. It excluded the constitutional influence on the scaphoid distance. The short the scaphoid distance, the bigger the carpometacarpo-scaphoid index. The average indexes were: in the control group 7.8 (±0.4), in group 2A with advanced RA 21.1 (±4.1) and in group 2B with early RA without bone changes 12.0 (±1.6). The results were statistically significant. The measurements are easy to perform and may be helpful in the early X-ray diagnosis of RA, when there are not bone erosions, or narrowing of articular spaces.
    Type of Medium: Electronic Resource
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