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Related Experiment Video

Updated: Apr 21, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Joint counts in inflammatory arthritis.

I C Scott1, D L Scott

  • 1Academic Department of Rheumatology, Centre for Molecular and Cellular Biology of Inflammation, 1st Floor, New Hunt's House, Guy's Campus, King's College London, Great Maze Pond, London, SE1 1UL, UK. ian.scott@kcl.ac.uk.

Clinical and Experimental Rheumatology
|November 4, 2014
PubMed
Summary
This summary is machine-generated.

Joint counts are crucial for assessing inflammatory arthritis, but the standard 28-joint assessment has limitations like floor effects and observer variability. Future research aims for more robust disease activity measures.

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Area of Science:

  • Rheumatology
  • Clinical Assessment
  • Inflammatory Arthritis

Background:

  • Joint counts are vital for monitoring inflammatory arthritis.
  • Accurate assessment is key in clinical and research settings.

Purpose of the Study:

  • To provide a comprehensive overview of joint counts in inflammatory arthritis.
  • To discuss their application, limitations, and standardization.

Main Methods:

  • Literature review focusing on joint counts in inflammatory arthropathies.
  • Specific emphasis on rheumatoid arthritis (RA).

Main Results:

  • The standard 28-joint count (DAS28) in RA exhibits a floor effect.
  • Significant inter-observer variability exists; training may reduce variability in tender joint counts.
  • Fibromyalgia impacts tender joint counts disproportionately.
  • Patients are limited in assessing synovitis, though tender joint counts correlate with physician assessments.

Conclusions:

  • Joint counts offer an objective measure but have notable limitations.
  • Further research is needed for improved clinical assessment tools for inflammatory arthropathies.