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Book Details
Abstract
This issue of Clinics in Geriatric Medicine, Guest Edited by David Hunter, MD, will feature such article topics as: Epidemiology of Osteoarthritis; Age-Related Changes in the Musculoskeletal System and the Development of Osteoarthritis; The Contribution of Osteoarthritis to Disability; Etiology and Assessment of Disability in Older Adults; Quality of Osteoarthritis Care for Community-Dwelling Older Adults; Contextualizing Osteoarthritis Care and the Reasons for the Gap Between Evidence and Practice; Transforming Osteoarthritis Care in an Era of Health Care Reform; Strength Training in Older Adults: the Benefits for Osteoarthritis, Diet and Exercise in Older Obese Adults with Osteoarthritis; Device Use: Braces, Walking aids and orthotics; Pharmacologic Intervention for Osteoarthritis in Older Adults; Surgery in Older Adults with Osteoarthritis.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Contributors | iii | ||
| Contents | v | ||
| Preface | xi | ||
| Chapter 1. Epidemiology of Osteoarthritis | 355 | ||
| DEFINING OSTEOARTHRITIS | 355 | ||
| PREVALENCE AND INCIDENCE OF OSTEOARTHRITIS | 356 | ||
| SYSTEMIC RISK FACTORS FOR OSTEOARTHRITIS | 357 | ||
| LOCAL RISK FACTORS | 360 | ||
| OCCUPATION | 360 | ||
| RISK FACTORS FOR SYMPTOMATIC OSTEOARTHRITIS | 362 | ||
| SUMMARY | 363 | ||
| REFERENCES | 363 | ||
| Chapter 2. Age-Related Changes in the Musculoskeletal System and the Development of Osteoarthritis | 371 | ||
| THE PATHOBIOLOGY OF OSTEOARTHRITIS | 372 | ||
| RISK FACTORS FOR DEVELOPMENT OF OSTEOARTHRITIS IN THE ELDERLY | 375 | ||
| THE CONTRIBUTION OF AGING IN CELLS AND TISSUES TO THE DEVELOPMENT OF OSTEOARTHRITIS | 376 | ||
| SUMMARY | 380 | ||
| REFERENCES | 380 | ||
| Chapter 3. The Contribution of Osteoarthritis to Functional Limitations and Disability | 387 | ||
| THE MAIN PATHWAY | 388 | ||
| THE FACTORS | 388 | ||
| THE CONTRIBUTION OF ARTHRITIS TO FUNCTIONAL LIMITATIONS AND DISABILITY | 390 | ||
| THE CONTRIBUTION OF OSTEOARTHRITIS TO FUNCTIONAL LIMITATIONS AND DISABILITY | 392 | ||
| FACTORS INFLUENCING THE COURSE OF DISABLEMENT | 393 | ||
| REFERENCES | 397 | ||
| Chapter 4. Quality of Osteoarthritis Care for Community- Dwelling Older Adults | 401 | ||
| THE PUBLIC HEALTH BURDEN OF OSTEOARTHRITIS | 402 | ||
| OSTEOARTHRITIS MANAGEMENT | 402 | ||
| PLETHORA OF GUIDELINES | 403 | ||
| CLINICAL PRACTICE DOES NOT REFLECT WHAT IS RECOMMENDED | 403 | ||
| FROM GUIDELINE RECOMMENDATIONS TO CLINICAL PRACTICE | 411 | ||
| GUIDELINE IMPLEMENTATION, QUALITY INDICATORS, AND CONSUMER-DRIVEN HEALTH CARE MODELS | 413 | ||
| SUMMARY | 413 | ||
| REFERENCES | 413 | ||
| Chapter 5. Contextualizing Osteoarthritis Care and the Reasons for the Gap Between Evidence and Practice | 419 | ||
| BEST PRACTICE GUIDELINES FOR THE MANAGEMENT OF OSTEOARTHRITIS | 419 | ||
| THE NICE GUIDELINES ON THE MANAGEMENT OF OSTEOARTHRITIS | 420 | ||
| CONTEXTUALIZING CARE | 421 | ||
| THE GAP BETWEEN EVIDENCE AND PRACTICE | 421 | ||
| THE 3 PILLARS OF BEST PRACTICE | 421 | ||
| THE PATHWAY FROM RESEARCH-BASED EVIDENCE TO BEST PRACTICE | 422 | ||
| COMORBIDITY AND COMPLEXITY | 427 | ||
| THE ART OF MEDICINE AND THE CONTEXT OF CARE | 427 | ||
| A WAY FORWARD: CONTEXTUALIZING OSTEOARTHRITIS CARE | 428 | ||
| REFERENCES | 429 | ||
| Chapter 6. Transforming Osteoarthritis Care in an Era of Health Care Reform | 433 | ||
| A PATIENT PERSPECTIVE: DELIVERY OF OSTEOARTHRITIS CARE | 434 | ||
| OSTEOARTHRITIS PAIN LIFE CYCLE | 436 | ||
| MAGNITUDE OF OSTEOARTHRITIS IN THE UNITED STATES | 437 | ||
| FISCAL HEALTH CRISIS: COST OF CHRONIC CARE | 438 | ||
| HEALTH CARE REFORM IN AN AGE OF NATIONAL CRISES | 438 | ||
| HEALTH CARE: A PREINDUSTRIAL INDUSTRY | 439 | ||
| TOWARDS INDUSTRIAL HEALTH CARE | 439 | ||
| SUMMARY: OPPORTUNITY FOR EXEMPLARS | 439 | ||
| REFERENCES | 440 | ||
| Chapter 7. Strength Training in Older Adults: The Benefits for Osteoarthritis | 445 | ||
| MUSCLE WEAKNESS IN OLDER ADULTS | 445 | ||
| MUSCLE WEAKNESS IN OA | 446 | ||
| BENEFITS OF STRENGTH TRAINING | 446 | ||
| STRENGTH TRAINING BY OLDER ADULTS WITH OA | 447 | ||
| SYSTEMATIC REVIEW METHODS | 447 | ||
| META-ANALYSIS RESULTS | 448 | ||
| DESIGN OF TRAINING PROGRAMS | 449 | ||
| DISCUSSION | 449 | ||
| SUMMARY | 457 | ||
| ACKNOWLEDGMENTS | 458 | ||
| REFERENCES | 458 | ||
| Chapter 8. Diet and Exercise for Obese Adults with Knee Osteoarthritis | 461 | ||
| INFLAMMATION AND OA | 465 | ||
| EFFECTS OF WEIGHT LOSS | 465 | ||
| DIETARY WEIGHT LOSS INTERVENTIONS | 466 | ||
| EFFECTS OF EXERCISE | 467 | ||
| EXERCISE PRESCRIPTION | 469 | ||
| SOCIAL COGNITIVE BEHAVIORAL STRATEGIES IN WEIGHT LOSS AND EXERCISE INTERVENTIONS | 469 | ||
| THE FUTURE OF WEIGHT LOSS AND EXERCISE INTERVENTIONS | 470 | ||
| THE ROLE OF THE PHYSICIAN | 471 | ||
| REFERENCES | 472 | ||
| Chapter 9. Device Use: Walking Aids, Braces, and Orthoses for Symptomatic Knee Osteoarthritis | 479 | ||
| TARGETING KNEE BIOMECHANICS | 480 | ||
| WALKING AIDS AND GROUND REACTION FORCES | 480 | ||
| CANES AND THE ADDUCTION MOMENT | 481 | ||
| THE UNLOADER BRACE AND GENU VARUM/VALGUM MALALIGNMENT | 485 | ||
| PATELLAR TAPING OR BRACING AND RETROPATELLAR PRESSURE | 488 | ||
| VISCOELASTIC INSOLES AND THE HEEL STRIKE TRANSIENT | 493 | ||
| LATERALLY WEDGED SHOE INSOLES AND GENU VARUM MALALIGNMENT | 494 | ||
| MEDIAL FOOT ORTHOSES AND FLAT FEET | 495 | ||
| SUMMARY | 499 | ||
| REFERENCES | 499 | ||
| Chapter 10. Pharmacologic Intervention for Osteoarthritis in Older Adults | 503 | ||
| ANALGESICS | 504 | ||
| NSAIDS | 506 | ||
| TOPICAL AGENTS | 507 | ||
| INTRAARTICULAR CORTICOSTEROIDS | 508 | ||
| HYALURONIC ACID | 508 | ||
| GLUCOSAMINE AND CHONDROITIN | 509 | ||
| NUTRITIONAL SUPPLEMENTATION | 509 | ||
| EMERGING THERAPEUTIC TARGETS | 510 | ||
| SUMMARY | 510 | ||
| REFERENCES | 510 | ||
| Chapter 11. Total Joint Replacement in the Elderly Patient | 517 | ||
| PREVALENCE OF HIP AND KNEE OSTEOARTHRITIS | 518 | ||
| ECONOMIC BURDEN OF OSTEOARTHRITIS OF THE HIP AND KNEE | 518 | ||
| DIAGNOSIS AND REFERRAL OF PATIENTS WITH OSTEOARTHRITIS OF THE HIP AND KNEE | 519 | ||
| EFFICACY OF TOTAL HIP ARTHROPLASTY IN THE ELDERLY | 521 | ||
| EFFICACY OF TOTAL KNEE ARTHROPLASTY | 522 | ||
| COMPLICATIONS AND SPECIAL CONSIDERATIONS FOLLOWING TOTAL JOINT REPLACEMENT IN THE ELDERLY | 523 | ||
| SUMMARY | 526 | ||
| REFERENCES | 526 | ||
| INDEX | 531 |