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In contrast, full mobility and function may not be realistically expected in patients with significant cognitive impairment or symptomatic cardiopulmonary disease, since these conditions can impede post-operative rehabilitation. au bon pain Arthritis of the back. (top of page) Functional Assessment Several questionnaires have been established as validated, reliable research instruments for assessing functional outcomes in patients with arthritis. These include the Lequesne index, the Western Ontario McMaster Arthritis scale (WOMAC), activities of daily living (ADL), etc. Several performance-based tests of function can be done rapidly and easily in the office, however, and may be more sensitive in predicting impending disability than direct questions about disability and impairment. au bon pain Arthritis how it affects people. Such measures include grip strength, a timed walk, sequential chair-stands, and others listed below. . These tests can provide the clinician with valuable information on the patient­s current level of function, as well as serve longitudinally to assess decline in function. au bon pain Arthritis in cats. (top of page) Future Directions The development of selective COX-2 inhibitors has been an exciting advance in the management of pain and inflammation, as discussed above. If the safety profile of the specific COX-2 inhibitors is confirmed in additional long-term studies to be superior to non-selective COX inhibitors, they are likely to replace traditional NSAIDs in the management of arthritis and other painful, inflammatory conditions. It should be kept in mind, however, that no matter what their degree of selectivity, COX inhibitors (NSAIDs) do not alter the natural history of OA and a "disease modifying" agent is still critically needed. One disease modifying strategy is to suppress the progressive degradation of cartilage that occurs in OA.

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