Joint and Connective Tissue Injuries Flashcards
what are the s/s common to all types of arthritis?
impaired mobility, muscle performance, and balance (if LE) ; activity limitations and participation restriction
what are some common s/s of rheumatoid arthritis flare up?
synovial inflammation, morning stiffness, bilateral onset, subluxation/ankylosis with progression, systematic response
pain in adjoining muscles>atrophy, asymmetrical strength due to change in line of pull
what are the principles of management for an RA flare-up
patient education, joint protection, energy conservation, joint mobility, flexibility/strength, functional training, cardiopulm endurance
what precautions and contraindications are related to RA?
respect fatigue and pain, steroid sequelae, structurally weakened capsule/ligaments/tendons (carefully graded mobes)
Any intervention on swollen joints, heavy resistance, vigorous stretch or high-velocity thrust
what are common s/s specific to osteoarthritis?
capsular laxity due to remodeling> pain, usually asymptomatic @ first>pain leads o immobility and then hypomobility
what are the principles of management for osteoarthritis?
pt education on movement and pain management, ADs, strengthening, stretching and joint mobes, aerobic conditioning, resistance exercise
what are the differences between fibromyalgia and myofascial pain syndrome?
FM pts process nociceptive stimuli differently (lasts more than 3 mo) and is diffuse and idiopathic , MFP pts have chronic localized changes in muscle regions
what factors affect the severity of fibromyalgia (but don’t cause them)?
environmental stress, physical stress, emotional stress
What do the CPGs suggest for fibromyalgia?
aerobics, strengthening, therapy, and lifestyle change (alcohol and stress management), manual therapy
what are the principles of management for MFP?
correcting chronic overload, eliminating trigger point, strengthen muscle
what kinds of interventions are most appropriate for osteoporotic pts?
WBing> nonWBing physical activity, aerobics (5x/wk , resistance exercises that deform bone to stimulate osteoblast (2-3x/wk)
describe osteoporosis.
a disease of bone that leads to decreased mineral content and weakening of the bone
what are some precautions and contraindications for your osteoporotic pts?
end range spinal flexion, combo of flex/rotation of trunk
increase resistance training progressively
what are contributors to fracture healing times?(6)
age, location of fx, displacement, surgery, amount of soft tissue injury, blood supply to fragments
what are the general bone healing times by age?
children: 4-6 weeks
adolescents: 6-8 weeks
adults: 10-18 weeks
