Proceedings: Locomotor disability--a study of need in an urban community.

Thompson, Matt; Anderson, Maleah Kay; Wood, Howard

doi:10.1136/jech.28.1.70-b

Cited by 5 publications

(3 citation statements)

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“…The arthritic interviewed in a clinic is rarely able to give a succinct account of how chronic disease has changed his life. Yet a common pattern of disadvantage has been found in this and other studies (Thompson et al, 1974), which it is the duty of the clinician to help reverse where possible.…”

Section: Discussionsupporting

confidence: 64%

The arthritic in an urban environment

Chamberlain

Buchanan

Hanks

1979

Annals of the Rheumatic Diseases

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SUMMARY Ninety-five patients with rheumatoid arthritis or osteoarthrosis were interviewed and questioned in their homes, being randomly selected from 354 outpatients with these diseases. The findings were compared with answers from 30 matched able-bodied controls. The handicapped were mainly female and elderly; over half were severely or appreciably handicapped; nearly one-third lived alone. The average weekly income of these households was £25, at least £6 a week less than their age-matched counterparts. Very few subjects lived in adapted or specially designed housing, and half the housing had at least 2 steps to street level. A third of the sample could not walk more than 10 yards (9 m), and only half could walk 100 yards (90 m); yet only one-third had a bus stop, one-quarter a local park, and one-third a local shop within this distance. One-third of the patients could not shop for themselves. Powered wheelchairs were not used. Buses were rarely or never used by nearly half these arthritics because of severe disability. Cars were owned by less than a quarter of the sample, and only by those financially better off. Over a third were unable to get a lift when wanted. Cars ameliorated much of the frustration and lack of social contact caused by physical disability. Adequate financing would enable those with severe disability to engage in normal activities. Better designed buses stopping nearer the homes of handicapped would improve independence for those less severely disabled. Correct siting of mobility housing, shops, community facilities, and parks would be greatly appreciated, as would removal of all unnecessary steps and kerbs.

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Section: Discussionsupporting

confidence: 64%

The arthritic in an urban environment

Chamberlain

Buchanan

Hanks

1979

Annals of the Rheumatic Diseases

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“…Flexion improved considerably which is of particular significance in the multiple replacement group, as it is essential to have combined hip and knee flexion of 190°in order to climb stairs and rise from a chair [4]. Although OA is the commonest aetiology in patients requiring THR/TKR [14], the majority of patients with more than two replacements suffer from RA. The functional score in RA patients was lower reflecting generalised disability with involvement of ankles and feet.…”

Section: Discussionmentioning

confidence: 99%

Results of a single total knee prosthesis compared with multiple joint replacement in the lower limb

Papanikolaou

Droulias

Nikolaides

et al. 2000

International Orthopaedics

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We present the clinical results of total knee replacement (TKR) in 133 patients who had two or more major joints of the lower limbs replaced, and compare them to the outcome in 406 patients with an isolated TKR. 383 patients had osteoarthritis (OA) and 136 had rheumatoid arthritis (RA) and these were assessed separately. A meniscal bearing prosthesis was used. The functional score was high and there was no statistically significant difference in the incidence of complications between the two groups.Résumé On présente les résultats cliniques de l'arthroplastie totale du genou sur 133 patients qui ont dû se faire remplacer deux ou trois articulations des membres inféri-eurs, en comparaison aux résultats de 406 patients qui ont subi une simple arthroplastie du genou. 383 patients souffraient d'arthrose et 136 de rhumatisme et ont été examinés séparemment. La prothèse du genou était du type menisceal bearing. Le score fonctionnel était élevé dans tous les groupes. Il n'y avait pas de différence statistiquement importante du pourcentage des complications post-opératoires entre les deux groupes.

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“…We know from the work of Harris (1971) that something like 2 % of the population are disabled or impaired by arthritis and rheumatism. From the work of Thompson, Anderson & Wood (1974) we know something of the findings in a sample of this 2 % fraction. Thus one would expect to find 20 persons per 100 000 with isolated hip involvement, and an overall frequency of hip trouble in disabled arthritics leading to 500 cases per 100000 population.…”

Section: P R O S P E C T S F O R T H E F U T U R Ementioning

confidence: 99%

Aetiology, epidemiology, and social impact - Arthritis calling for surgical treatment - aetiology and epidemiology

Wood

1976

Proc. R. Soc. Lond. B.

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The main contribution of surgery in the treatment of arthritis is to improve the function of damaged joints. Work, independence, and self-care are probably most in jeopardy, and for these the critical properties are hand function and the ability to walk. There are two principal classes of disorder leading to articular damage. Inflammatory conditions like rheumatoid arthritis affect only subpopulations. Degenerative changes or osteoarthrosis carry names that suggest universal susceptibility, but when attention is directed to individual joints this disorder can also be seen to be restricted only to subpopulations. Thus those people developing clinically significant hip disease, for instance, do not necessarily manifest osteoarthrosis elsewhere. As long as a condition is not ubiquitous, contained optimism for a preventive potential is justified. However, there are many difficulties in the way of attaining prevention; in any particular joint, be it hip or knee or hand, the relative importance of different causes varies, and much remains to be elucidated.

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Proceedings: Locomotor disability--a study of need in an urban community.

Cited by 5 publications

References 0 publications

The arthritic in an urban environment

The arthritic in an urban environment

Results of a single total knee prosthesis compared with multiple joint replacement in the lower limb

Aetiology, epidemiology, and social impact - Arthritis calling for surgical treatment - aetiology and epidemiology

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