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Record W2986946247 · doi:10.1016/j.ocarto.2019.100005

Osteoarthritis is a neurological disease – an hypothesis

2019· review· en· W2986946247 on OpenAlex
Jason J. McDougall

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueOsteoarthritis and Cartilage Open · 2019
Typereview
Languageen
FieldMedicine
TopicOsteoarthritis Treatment and Mechanisms
Canadian institutionsDalhousie University
Fundersnot available
KeywordsOsteoarthritisMedicineProprioceptionArthritisSynovial jointDiseaseNervous systemJoint painNeurovascular bundleNeurosciencePhysical medicine and rehabilitationPhysical therapyPathologyPsychologyInternal medicineArticular cartilage

Abstract

fetched live from OpenAlex

Objective: This commentary aims to summarise the importance of the joint nervous system in maintaining joint homeostasis and the role of nerves in contributing to degenerative diseases such as osteoarthritis (OA). Methods: Pertinent scientific literature was evaluated and summarised to form the hypothesis that OA is a neurological disease. Results: Joint nerves regulate a constant blood supply to maintain joint homeostasis and sustain tissue health; however, in OA this neurovascular control system is compromised and joint tissue integrity declines. Similarly, a decrease in joint proprioceptors and nociceptors with age and during arthritis interferes with position sense and pain transmission so that the body is unable to correct abnormal loading and this alteration in joint biomechanics can lead to joint destruction. Finally, brain morphology and activity are altered in OA patients but can be rectified by total joint replacement. Conclusions: Joints possess a complex nervous system that controls multiple physiological functions such as tissue blood flow, position sense, and pain. Damage or dysfunction of the joint nervous system can affect joint health and promote degenerative diseases such as OA. Drugs that are used to treat neurological diseases such as epilepsy and depression have been found to be effective at ameliorating the symptoms of OA. Thus, in addition to age, obesity, joint instability, and sex, neuronal impairment could be considered an additional risk factor for the development and pathogenesis of OA.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.992
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0040.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.068
GPT teacher head0.321
Teacher spread0.253 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it