MIDTERMS: Rheuma Rehab Flashcards

(35 cards)

1
Q

Q: What are the goals of Phase 1 (Active Inflammatory Period) rehabilitation for Rheumatoid Arthritis?

A

Reduce pain, swelling, and joint stiffness.

Educate the patient on joint protection and energy conservation.

Maintain joint mobility with gentle PROM and isometric exercises.

Avoid stretching and resistive exercises during active inflammation.

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2
Q

Q: What are the goals of Phase 2 (Subacute Stage) rehabilitation for RA?

A

Begin low-impact aerobic and resistance exercises (swimming, cycling).

Improve joint mobility with gentle stretching.

Continue joint protection strategies and activity modifications.

Address muscle imbalances by strengthening weak muscle groups.

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3
Q

Q: What should be achieved in Phase 3 (Chronic Stage) rehabilitation for RA?

A

Improve flexibility, strength, and endurance.

Introduce weight-bearing activities and functional training.

Increase aerobic conditioning to prevent deconditioning.

Continue monitoring for joint deformities and pain flare-ups.

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4
Q

Q: What are the goals of Phase 1 (Early Stage) rehabilitation for Osteoarthritis?

A

Educate the patient on joint protection and lifestyle modifications.

Control pain and stiffness with NSAIDs, heat therapy, and gentle ROM exercises.

Maintain muscle strength and joint mobility.

Introduce low-impact activities such as walking and aquatic therapy.

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4
Q

Q: What are the goals of Phase 2 (Progressive Stage) rehabilitation for Ankylosing Spondylitis?

A

Continue postural training to prevent spinal fusion in a flexed position.

Strengthen back extensors and core stabilizers.

Improve thoracic mobility and respiratory function.

Use aqua therapy and yoga to maintain flexibility.

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4
Q

Q: What are the goals of Phase 2 (Moderate OA) rehabilitation?

A

Strengthen joint-supporting muscles to reduce mechanical stress.

Improve joint mobility with stretching and self-mobilization exercises.

Introduce assistive devices (cane, walker) if needed.

Address balance and proprioception deficits.

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5
Q

Q: What are the goals of Phase 1 (Early Stage) rehabilitation for Ankylosing Spondylitis?

A

Reduce morning stiffness and inflammation with NSAIDs and warm-up exercises.

Improve spinal mobility with extension-based exercises.

Maintain good posture to prevent kyphotic deformities.

Encourage low-impact activities (swimming, stretching, deep breathing exercises).

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5
Q

Q: What should be achieved in Phase 3 (Advanced OA) rehabilitation?

A

Continue pain management strategies (ice, bracing, activity modification).

Maximize functional independence with adaptive strategies.

Consider surgical options (joint replacement) if conservative treatment fails.

Emphasize low-impact aerobic exercises to maintain cardiovascular health.

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6
Q

Q: What should be achieved in Phase 3 (Late Stage) rehabilitation for Ankylosing Spondylitis?

A

Maximize independence in ADLs with adaptive techniques.

Prevent hip and knee contractures with mobility exercises.

Use assistive devices (canes, braces) if needed.

Continue breathing exercises to maintain chest expansion.

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6
Q

Q: What are the goals of Phase 1 (Prevention & Early Management) rehabilitation for Osteoporosis?

A

Educate on calcium and vitamin D intake for bone health.

Introduce weight-bearing and resistance exercises.

Avoid smoking, excessive alcohol, and a sedentary lifestyle.

Begin postural correction exercises to prevent kyphotic deformities.

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7
Q

Q: What should be achieved in Phase 3 (Severe Osteoporosis) rehabilitation?

A

Prevent vertebral compression fractures by avoiding spinal flexion exercises.

Focus on gentle resistance exercises to prevent muscle atrophy.

Improve functional mobility with safe movement strategies.

Use assistive devices if needed for safety and fall prevention.

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7
Q

Q: What are the goals of Phase 2 (Mild Osteoporosis) rehabilitation?

A

Improve bone density with weight-bearing exercises (walking, resistance training).

Enhance core stability to reduce fall risk.

Continue postural and balance exercises.

Avoid high-impact activities that increase fracture risk.

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8
Q

Q: What are the goals of Phase 1 (Acute Attack) rehabilitation for Gout?

A

Reduce pain and inflammation (NSAIDs, colchicine, corticosteroids).

Advise rest and elevation of the affected joint.

Avoid weight-bearing on the inflamed joint.

Educate on diet modifications (reduce purine intake, increase hydration).

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9
Q

Q: What are the goals of Phase 1 (Acute Stage) rehabilitation for Juvenile Rheumatoid Arthritis?

A

Reduce pain and inflammation with medications, splinting, and rest.

Maintain joint mobility with gentle PROM and AAROM exercises.

Avoid aggressive stretching and resistive exercises during flare-ups.

Educate caregivers on joint protection techniques.

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9
Q

Q: What are the goals of Phase 2 (Intercritical Period) rehabilitation for Gout?

A

Introduce low-impact, joint-friendly exercises (aquatic therapy, cycling).

Maintain ideal body weight and hydration to prevent flare-ups.

Encourage regular movement to prevent joint stiffness.

Continue dietary management and medication adherence.

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9
Q

Q: What should be achieved in Phase 3 (Chronic Stage) rehabilitation for JRA?

A

Improve functional mobility and independence in ADLs.

Maintain optimal muscle strength and endurance.

Introduce functional training and adaptive strategies for school/work.

Continue monitoring for growth-related complications and joint deformities.

10
Q

Q: What are the goals of Phase 2 (Subacute Stage) rehabilitation for JRA?

A

Begin low-impact aerobic activities (swimming, cycling).

Improve joint mobility with gentle stretching and self-mobilization exercises.

Continue joint protection strategies to prevent deformities.

Address muscle imbalances by strengthening weak muscle groups.

10
Q

Q: What should be achieved in Phase 3 (Chronic Tophaceous Gout) rehabilitation?

A

Manage joint deformities and mobility restrictions.

Improve joint function with strengthening and stretching exercises.

Use assistive devices for functional independence.

Continue lifestyle modifications to prevent future attacks.

11
Q

Q: What are the goals of Phase 1 (Acute Stage) rehabilitation for Psoriatic Arthritis?

A

Reduce pain, swelling, and joint stiffness.

Encourage gentle ROM exercises and pain-free movement.

Educate the patient on joint protection and energy conservation.

Avoid activities that trigger excessive joint stress.

12
Q

Q: What are the goals of Phase 2 (Subacute Stage) rehabilitation for PsA?

A

Introduce low-impact exercises (aquatic therapy, stretching).

Strengthen muscles surrounding affected joints.

Improve balance and proprioception.

Address postural imbalances due to pain and inflammation.

13
Q

Q: What should be achieved in Phase 3 (Chronic Stage) rehabilitation for PsA?

A

Maintain joint mobility and muscle strength.

Continue aerobic and resistance training within tolerance.

Implement adaptive strategies for daily activities.

Monitor for secondary complications like enthesitis and tendon involvement.

14
Q

Q: What are the goals of Phase 1 (Acute Stage) rehabilitation for Lupus?

A

Manage fatigue and joint pain with pacing strategies.

Perform gentle ROM and isometric exercises.

Educate on energy conservation and sun protection.

Avoid high-intensity activities that worsen fatigue.

15
Q

Q: What are the goals of Phase 2 (Subacute Stage) rehabilitation for SLE?

A

Increase cardiovascular endurance with low-impact exercises.

Address muscle weakness and postural deficits.

Encourage stress management techniques.

Continue joint protection techniques for long-term function.

16
Q

Q: What should be achieved in Phase 3 (Chronic Stage) rehabilitation for SLE?

A

Maintain functional independence.

Progress strength and endurance training as tolerated.

Implement adaptive strategies for managing flare-ups.

Monitor for renal, cardiac, or neurological complications affecting function.

17
Q: What are the goals of Phase 1 (Early Stage) rehabilitation for Scleroderma?
Prevent joint contractures with stretching and splinting. Maintain skin flexibility with massage and heat therapy. Encourage pain-free mobility and ROM exercises. Educate on cold exposure management for Raynaud’s phenomenon.
18
Q: What are the goals of Phase 2 (Progressive Stage) rehabilitation for Scleroderma?
Improve hand and joint function with fine motor exercises. Address dysphagia and respiratory function if affected. Use assistive devices to compensate for joint limitations. Monitor for circulatory complications and skin changes.
19
Q: What should be achieved in Phase 3 (Late Stage) rehabilitation for Scleroderma?
Maximize functional independence with adaptive techniques. Implement breathing exercises for pulmonary complications. Prevent further disability with joint protection techniques. Continue pain management and psychosocial support.
20
Q: What are the goals of Phase 1 (Acute Management) rehabilitation for Fibromyalgia?
Reduce pain and sensitivity with gentle stretching. Introduce low-intensity movement (Tai Chi, yoga). Address sleep disturbances with relaxation techniques. Educate on stress reduction and lifestyle modifications.
21
Q: What are the goals of Phase 2 (Exercise Progression) rehabilitation for Fibromyalgia?
Improve muscle endurance with graded aerobic exercise. Address trigger points with manual therapy and myofascial release. Gradually increase strength training with light resistance. Continue pain management strategies.
22
Q: What should be achieved in Phase 3 (Long-Term Maintenance) rehabilitation for Fibromyalgia?
Maintain physical activity with individualized exercise programs. Implement self-management strategies for flare-ups. Address psychological well-being with cognitive-behavioral therapy (CBT). Encourage consistent, moderate exercise without overexertion.
23
Q: What are the goals of Phase 1 (Acute Stage) rehabilitation for Polymyalgia Rheumatica?
Control pain and stiffness with medications and gentle movement. Prevent muscle atrophy with light ROM exercises. Educate on gradual return to activity. Avoid vigorous stretching due to inflammation.
24
Q: What are the goals of Phase 2 (Recovery Stage) rehabilitation for Polymyalgia Rheumatica?
Improve strength and mobility with progressive resistance exercises. Address functional limitations with task-specific training. Continue pain management techniques. Encourage low-impact aerobic conditioning.
25
Q: What should be achieved in Phase 3 (Maintenance Stage) rehabilitation for Polymyalgia Rheumatica?
Maintain muscle strength and endurance. Prevent recurrence with gradual activity modifications. Implement joint protection techniques. Continue low-impact exercise to preserve function.
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