Other Musculoskeletal Conditions

Question 1

Arthritis

Answer 1

What: inflammation of joints

Symptoms: sensory impairments, pain, swelling, deformities, limited ROM, fatigue

Interventions:
•joint protection principles
•energy conservation principles
•adapted equipment
•PAMs- heat/paraffin
•splints
•strengthening

Question 2

Upper Extremity Amputation

Answer 2

What: loss of any part of arm or hand

Symptoms: insensitivity, pain, skin integrity, postural changes

Effects: body image, hand dominance, compensation, bilateral capabilities

Interventions:
•adaptive equipment
•prosthetic training

Question 3

Pre-prosthetic Treatment

Answer 3

o	Change of dominance activities
o	ROM of uninvolved joints
o	Prep limb
o	Desensitization
o	Wrap to shape and shrink residual limb
o	ADL training

Question 4

Prosthetic Treatment

Answer 4

o Functional training with prosthesis
o Practice engagement in activities
o Don and doff prosthetic
o Increase wearing tolerance

Question 5

Types of Burns

Answer 5

o Superficial/1st degree
o Superficial partial thickness
o Deep partial thickness
o Full Thickness
o 4th degree

Question 6

Superficial/1st degree burn

Answer 6

o epidermis only
o minimal pain/edema, no blisters
o healing time 3-7 days

Question 7

Superficial Partial Thickness Burn

Answer 7

o 2nd degree burn
o epidermis and upper portion of dermis
o red, blistering, wet
o painful but no grafting necessary
o healing time 7-21 days

Intervention:
•Wound care, debridement, sterile whirlpool, dressing changes
•	Gentle AROM and PROM
•	Edema control
•	splinting

Question 8

Deep Partial Thickness Burn

Answer 8

o Deep 2nd degree burn
o Epidermis and deep portion of dermis including hair follicles and sweat glands
o Red, white, and elastic
o Sensation may be impaired
o Potential to convert to full thickness burn if infected
o Healing time: 21-35 days

Intervention:
•	Wound care, debridement, sterile whirlpool, dressing changes
•	Gentle AROM and PROM
•	Edema control
•	splinting
•	strengthening

Question 9

Full Thickness Burn

Answer 9

o 3rd degree burn
o involves epidermis, dermis, hair follicles, sweat glands, nerve endings
o white, waxy, leathery, non-elastic
o Sensation is absent, requires skin graft
o Hypertrophic scar
o Healing time- months

Intervention:

• 72 hours post op: dressing changes, splint at all times
• 5-7 days: begin AROM, light ADL, meaningful activities, sterile whirlpool
• +7 days: PROM as tolerated, ADL
• massage when wounds heal
• compression garments
• strengthening

Question 10

4th Degree Burn

Answer 10

o involves fat, muscle, bone

o Electrical Burn: destruction of nerve along pathway

Question 11

Splints for burns

Answer 11

o	Hands:
•	Wrist in 20-30° extension
•	MCP joints 50-70° flexion
•	IP fully extended
•	Thumb abducted and extended
•	Volar burns:
	Wrist in 0-30° extension
	MCP joints neutral to slight extension and abducted
	IP joints full extension
	Thumb abducted and extended