arthritis Flashcards
(12 cards)
1
Q
arthritis
A
inflammation of joint(s)
2
Q
rheumatoid arthritis (RA)
A
- systemic, symmetrical
- most commonly affect hand joints
3
Q
types of deformities common with RA
A
- ulnar drift and subluxation of MCP joints
- boutonniere deformity
- swan neck deformity
- zig zag deformity
4
Q
boutonniere deformity
A
flexion of PIP joint and hyperextension of DIP joint
5
Q
swan neck deformity
A
hyperextension of PIP joint and flexion of DIP joint
6
Q
osteoarthritis
A
- degenerative joint disease
- commonly affect large weight bearing joints
7
Q
types of OA bone spurs
A
- herbedens nodes at the DIP joint
- bouchards nodes at the PIP joint
8
Q
OT eval for arthritis
A
- occupational profile
- ROM
- muscle strength (avoid muscle testing unless requested by physician)
- grip strength (sphygmomanometer or bulb dynamometer)
- ADL and role activities
- pain: pain profile
- edema: volumeter or tape measure
9
Q
orthotics for arthritis
A
- resting hand for acute stage
- wrist orthosis if specific to wrist
- ulnar drift orthosis to prevent ulnar drift deformity of MCP joints
- dynamic MCP extension orthosis with radial pull for post op MCP arthroplasties
10
Q
swan neck deformity orthotics
A
- silver rings
- 3 point oval 8
- digital dorsal orthosis in slight PIP extension
11
Q
boutonniere deformity
A
- silver rings
- 3 point oval 8
- PIP extension orthosis
12
Q
OT intervention for arthritis
A
- joint protection
- energy conservation
- pain management
- ROM
- fluidotherapy/hot packs before exercise (avoid during inflammatory phase)
- paraffin
- cold packs during inflammatory stage
- strengthening (avoid during inflammatory stage)
- purposeful and occupation based activities
