Therapeutic pulsed ultrasound with or without intra-articular methotrexate in the management of rheumatoid arthritis
المؤلفون المشاركون
Sulayman, Samar G.
Labeeb, Ala A.
Casale, Roberto
Musa, Walid A.
المصدر
Egyptian Rheumatology and Rehabilitation
العدد
المجلد 40، العدد 4 (31 ديسمبر/كانون الأول 2013)، ص ص. 198-202، 5ص.
الناشر
الجمعية المصرية للروماتيزم و التأهيل
تاريخ النشر
2013-12-31
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
-Objectives The aim of the study was to evaluate the role of combined therapeutic pulsed ultrasound with intra-articular methotrexate as against pulsed ultrasound treatment program alone in the management of chronic synovitis in rheumatoid arthritis patients.
Patients and methods A total of 38 patients were enrolled in the study.
All patients were above 18 years of age with inadequate clinical response in the form of persistent monoarthritis.
Of them, 24 completed the study.
Patients were divided into two equal treatment groups: The first group (12 patients) received three consecutive intra-articular methotrexate injections and daily therapeutic pulsed ultrasound sessions, whereas the second group (12 patients) received daily therapeutic lowintensity pulsed ultrasound sessions.
All patients were subjected to clinical, laboratory, and ultrasound evaluation before and after treatment.
Results Patients were subjected to an ultrasound evaluation before and after treatment to detect synovial thickness, hot spots, erosions and effusion, with highly statistically significant difference observed in the number of swollen joints, tender joint count, visual analogue scale scores and synovial thickness at the wrist (P<0.01) in the group of patients who received ultrasound and methotrexate.
In addition, there was a statistically significant difference with respect to hot spots, number of erosions and joint space narrowing (P<0.05).
Conclusion The combination of pulsed ultrasound therapy with repeated intra-articular methotrexate can give us better results in the form of decreased effusion, tenderness, inflammation and synovial membrane thickness, all of which translate into significant recovery of function and reduction in pain in rheumatoid patients with resistant monoarthritis or oligoarthritis, with the least number of side effects and without the need of adding another disease-modifying agent and/or resorting to surgical synovectomy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Labeeb, Ala A.& Casale, Roberto& Sulayman, Samar G.& Musa, Walid A.. 2013. Therapeutic pulsed ultrasound with or without intra-articular methotrexate in the management of rheumatoid arthritis. Egyptian Rheumatology and Rehabilitation،Vol. 40, no. 4, pp.198-202.
https://search.emarefa.net/detail/BIM-380987
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Labeeb, Ala A.…[et al.]. Therapeutic pulsed ultrasound with or without intra-articular methotrexate in the management of rheumatoid arthritis. Egyptian Rheumatology and Rehabilitation Vol. 40, no. 4 (Oct. / Dec. 2013), pp.198-202.
https://search.emarefa.net/detail/BIM-380987
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Labeeb, Ala A.& Casale, Roberto& Sulayman, Samar G.& Musa, Walid A.. Therapeutic pulsed ultrasound with or without intra-articular methotrexate in the management of rheumatoid arthritis. Egyptian Rheumatology and Rehabilitation. 2013. Vol. 40, no. 4, pp.198-202.
https://search.emarefa.net/detail/BIM-380987
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 202
رقم السجل
BIM-380987
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر