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Friday, 19 February 2016

Most Common Disease of elder: The Clinical trials and Studies of Musculo-Skeletal disorders(MSDs) - Rheumatoid Arthritis: Tai Chi

Kyle J. Norton (Scholar, Master of Nutrients, All right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) are medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed. A major restriction of joint movement range was frequent in the shoulder but uncommon in other joints(1).

Types of Musculo-Skeletal disorders in elder(2)
1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia


                      Rheumatoid Arthritis

Rheumatoid Arthritis is defined a chronic disorder as a result of inflammation, affecting mostly the flexible (synovial) joints and tissues and organs in the body. The disease affects more women than men and generally occurs after the ages of 40, causing diminished quality of life of many elders(1). According to CDC, Musculoskeletal disorders (MSDs) affects over 52 millions of adults in the US alone, including 294,000 children under age 18 with some form of arthritis or rheumatic conditions(2). Rheumatoid Arthritis can induced bone loss through elevating bone resorption without increasing bone formation(4). A cross-sectional population-based study of 1042 patients with rheumatoid arthritis showed that RA patients had an increased risk of death from various causes(4a).


                          The Treatment

B. Treatment in herbal and traditional Chinese medicine

B.7. Other essential alternative medicine treatment
6. Tai Chi
Tai chi, is an ancient form of mind-body technique used in Chinese with meditative movements that promote balance and healing of the mind and body(406, 331). But to use the technique for treatment of RA has produced conflict result.
According to the review of 4 trials including 206 participants, tai chi showed a statistically significant and clinically important improvements in ankle plantar flexion, benefits on lower extremity range of motion, in particular ankle range of motion, for people with RA but had no alternation of outcomes of disease activity(332).  Contract to the study, Dr Lee MS and the research team at the Universities of Exeter & Plymouth, said, " Tai chi reported some positive findings for tai chi on disability index, quality of life, depression and mood for RA patients, (but) did not demonstrate effectiveness on pain reduction(333).
Other study in the assessment of patient with RA suggested that tai chi should be sued for treatment of  people with a chronic debilitating disease such as RA due to its potential for physical and psychological improvements(334).

Arthritis Is Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

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References(1) 8 Areas of Age-Related Change(NIH)
(2) Arthritis-Related Statistics(CDC)
(3) Valgus deformities of the feet and characteristics of gait in patients who have rheumatoid arthritis by Keenan MA1, Peabody TD, Gronley JK, Perry J.(PubMed)
(4) Serum Sclerostin Level Among Egyptian Rheumatoid Arthritis Patients: Relation to Disease Activity ,Bone Mineral Density and Radiological Grading by Mehaney DA, Eissa M, Anwar S, El-Din SF(PubMed)
(4a) Death rates and causes of death in patients with rheumatoid arthritis: a population-based study by Sihvonen S1, Korpela M, Laippala P, Mustonen J, Pasternack A(PubMed)
(331) [Influence of balneophysical therapy on activity, functional capacity, and quality of life in patients withrheumatoid arthritis].[Article in Serbian] by Stojanović S, Dimić A, Stamenković B, Stanković A, Nedović J.(PubMed)
(332) Tai chi for treating rheumatoid arthritis. by Han A1, Robinson V, Judd M, Taixiang W, Wells G, Tugwell P.(PubMed)
(333) Tai chi for rheumatoid arthritis: systematic review by Lee MS1, Pittler MH, Ernst E.(PubMed)
(334) Tai Chi exercise and auricular acupressure for people with rheumatoid arthritis: an evaluation study by Lee HY1, Hale CA, Hemingway B, Woolridge MW.(PubMed)