Arthritis

Question 1

Rheumatoid Arthristis

Answer 1

most commonly attacks small joints of hand
remissions and exacerbations
symmetrical and affects many joints

Question 2

Symptoms of RA

Answer 2

pain
stiffness
weightloss
fatigue
inflammation
limited ADL status

Question 3

Types of deformities common with RA

Answer 3

ulnar drift and subluxation of MCP
Boutonniere deformity
Swan neck
zig zag

Question 4

Boutonniere deformity

Answer 4

flexion of the PIP joint and hyperextension of the DIP

Question 5

Swan neck deformity

Answer 5

hyperextension of PIP and flexion of DIP

Question 6

Osetoarthritis

Answer 6

degenerative joint disease
Often affects weight-bearing joints

Question 7

OA symptoms

Answer 7

pain
stiffness
limited ROM
Bone spurs

Question 8

Types of Bone Spurs in OA

Answer 8

Heberden’s Nodes at DIP joints
Bouchard’s nodes at PIP joints

Question 9

Eval for Arthritis

Answer 9

gentle AROM and PROM, no pain
note deformities or modules
avoid MMT
Use bulb for grip strength
ADL and roles
Complete pain profile
Measure edema

Question 10

Orthotics for Arthritis

Answer 10

resting hand in acute stage
ulnar drift orthosis for ulnar drift in MCPS

Question 11

Orthotic for Swan Neck

Answer 11

3-point oval 8 orthosis
Digital dorsal orthosis in slight PIP flexion

Question 12

Orthotic for Boutonniere

Answer 12

3-point oval 8 orthosis
PIP extension orthosis

Question 13

PAMS for Arthritis

Answer 13

fluidotherapy or hotpacks before exercise, avoid in inflammatory stage
paraffin
Cold packs can be used in the inflammatory stage