Arthritis part two Flashcards
(10 cards)
What are some of the subjective sensations associated with fatigue?
Fatigue has been described as the enduring subjective sensation of generalized tiredness or exhaustion.
Explain the multi-dimensional nature of general fatigue.
General fatigue originates from the CNS and consists of emotional, behavioural and cognitive components, making it multi-dimensional.
How can an occupational therapist help a client manage fatigue related to activities?
The occupational therapist should teach (or make the client reflect upon) the client how to analyse activities and identify those which cause fatigue.
Besides inflammation and joint destruction, what are two other causes of limited range of motion?
Muscle weakness, reflex inhibition because of pain, and disuse are other causes of limited ROM.
During an acute inflammatory episode, what type of ROM exercise is recommended at least once a day?
During an acute episode, joint motion should be maintained with at least one complete AROM a day.
What is the recommended duration for maintaining a near maximal isometric contraction when strengthening?
Near maximal contractions (70%) should be maintained for 6 seconds (and not more).
What are two primary purposes of splinting as described in the source material?
Two primary purposes of splinting are reduction of inflammation and providing support and reducing pain to unstable joints during function.
Give an example of how modifying the physical environment can assist someone with limitations.
Removing cabinet doors or attaching loops to handles, lowering above-counter cupboards, or changing door knobs to lever handles are examples of modifying the physical environment.
According to research cited, what is a key factor contributing to compliance in the use of splints?
The patient’s perceived relief of pain and education about splinting are contributing factors in the compliance in the use of splints.
What is the primary characteristic that distinguishes Osteoarthritis from Rheumatoid Arthritis in terms of joint presentation?
Osteoarthritis can be distinguished from RA by the absence of synovial thickening, absence of local warmth associated with systemic inflammation, and ESR not increased.
