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All Journal Indian Journal of Forensic Medicine & Toxicology
Raj Mhatre
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Public Health

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Assessment of Cervical Spine Mobility in a Subjects with Rheumatoid Arthritis Associated with Neck Pain Raj Mhatre; Poonam Patil
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.17270

Abstract

Background : Rheumatoid arthritis is an immunological mediated ,chronic inflammatory multisystemdisease which involves inflammation of peripheral joints along with involvement of haematological ,neurological and cardiovascular abnormality. Studies have shown that the involvement of cervical spineis common commonly affecting C1 and C21 due absence of intervertebral disc and synovial inflammationresulting in alteration in range of motion. Keeping in mind the inflammation and degeneration causesalteration in mobility . So that present study is conducted with the aim to find out proportion of alterationin mobility at the cervical spine range of motion in subjects with rheumatoid arthritis associated with neckpain.Methodology: An observational study was conducted in 33 patients at karad with study duration of 6 months.The inclusion criteria was the patient with rheumatoid arthritis any age and gender willing to participate.The outcome measures were goniometer and inch tape method of assessing the range of motion .Result: The results observational study suggest there is significant decrease in all movement of cervicaljoint with rotational components were hampered most around 26.36% loss of mobility for left rotation and26.12 % loss of mobility for right rotation followed by right lateral flexion , flexion, extension , right rotationand left rotation .Conclusion: the study concluded that rotational movements was more affected in a patients with rheumatoidarthritis associated with neck pain which is attributed to marked involvement of the C1 and C2 vertebraefollowed by other movements at the neck.
Effectiveness of Cervical and Upper Shoulder Stabilization Exercises in Subjects With Rheumatoid Arthritis Patients Associated with Neck Pain Raj Mhatre; Smita Pati
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14382

Abstract

Background: Rheumatoid arthritis is an immunological mediated, chronic inflammatory multisystem diseasewhich involves inflammation of the peripheral joint. Ra affects about 24.5 million people as of 2015 and theincidence rate is more dominated amongst female. Historically the involvement of the cervical spine in laterstages of rheumatoid arthritis isn’t uncommon. Specifically, C1 and C2 are involved as they are the onlyvertebrae without intervertebral disc and synovial lining and hence they are very susceptible to inflammationdue to autoimmune reaction. The alteration in the range of motion is quite significant at the cervical spine.The biomechanics of the cervical spine and shoulder joint are interlinked with each other. The protocol ofspecific cervical and upper shoulder stabilization exercises with electrical modalities like hot-moist packand transcutaneous electrical nerve stimulation and short wave diathermy therapy was conducted to findout the effectiveness of scheduled, designed physiotherapy protocol of specific stabilization exercises alongwith electrotherapy for cervical spine and upper shoulder stabilization exercises to see the improvement incervical and shoulder range of motion and pain in patients with rheumatoid arthritisMethodology: An observational study was conducted in 25 patients at Karad with a study duration of 6months. The inclusion criteria were the patient with rheumatoid arthritis any age and gender willingly toparticipate. The outcome measures were universal goniometer for assessing cervical and shoulder range ofmotion, the visual analogue scale for pain assessment.Conclusion: The study concluded that there was a significant reduction in the range of motion in both thecervical spine and shoulder joint. The visual analogue scale suggests there was significant pain present inthe shoulder joint and cervical spine. Post-treatment assessment suggests the improvement in the range ofmotion and pain that leads to improvement in the quality of life.
Co-Authors Poonam Patil Smita Pati